Overcoming a lifetime of struggles with sleep- Penny's Story
READ: Overcoming a lifetime of struggles with sleep
Penny’s sleep story in brief:
+ Sleep problems since childhood
+ Good spells and bad spells of sleep
+ Feelings of dread in the evenings
+ Ruminating during the night
Penny had experienced sleep problems since childhood which had then worsened through her life. She had unpredictable good spells and bad spells of sleep which is not at all uncommon in a long term insomnia problem. Penny was very low in mood and feeling exhausted whilst continuing on with a busy life. When she decided to seek help, it was out of desperation after a long spell of very poor sleep. She was desperate but doubtful that anything could help - after all, this was a problem she had experienced as long as she could remember.
IN HER WORDS:
Q: Describe how things were for you before starting the Sleep Rebuilder Programme (e.g.how much sleep you were getting, what was concerning you, how you were feeling etc).
Before I started I had had sleeping issues for most of my adult life (I’m now 52), and even as a child I recall finding it difficult to fall asleep. My problems got worse gradually with age, and my sleep deteriorated significantly during the perimenopause, which has been ongoing now for about 5 years.
My sleep was unpredictable - weeks where the sleep is fine and then weeks/months where it is pretty awful. It was hard to understand the difference, as the patterns seemed quite random and unrelated to external events.
When I approached Emma I had had a period of around 2-3 months of very poor sleep, averaging maybe 4 hours per night, with a few good nights of 7-8 hours but also some very bad nights of just 2 or 3 hours, where I would finally fall asleep at dawn.
My problem was mainly with getting to sleep although, since perimenopause, I had also started with wakeful periods in the middle of the night and some early waking. I have always been pretty careful with sleep hygiene and have gradually added, over recent years, things like earplugs, eye mask, lavender oil, antihistamines and melatonin. Despite all this, my sleep was still not good overall and, for long stretches, pretty bad.
I felt extremely tired during the bad periods but, with a busy and demanding full time career and study on top of that, I was surviving on adrenalin alone I think, most days.
My mood was very low, I was often tearful and felt rather hopeless.
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Q: Describe how things are for you now. What has changed?
The main thing that has changed is that I’ve learned that there are aspects of my life which I can take better control of to help with the emotional and cognitive aspects of sleep. In other words, I now understand more clearly the need to feel safe, relaxed and calm at bedtime, and to separate the worries of the day from what should be the restfulness of the night, and I have learned how to achieve this for myself.
In relation to the emotional aspects, through the sleep therapy I recognised that I had been experiencing a sense of dread at bedtime and reluctance to go to bed which, it seems, was linked to childhood difficulties.
More consciously, I had often experienced a mild sense of anxiety, growing through the evening, about what my sleep might be like that night. I talked often about my sleep to others and had made being ‘a poor sleeper’ part of my identity, I think.
This meant that I was approaching sleep with negative expectations, which contributed to the anxiety and the poor sleep. The guided visualisations tapped into that less conscious part of myself, linked to childhood fears, and the relaxation recordings, which I used at night to help with letting go of anxieties and feeling calm and relaxed.
In addition, I often have a lot on my mind, both with work and other things in my life, and wasn’t unwinding properly at night. I often found myself dwelling on things that had happened, reliving them and getting upset or worrying about things to come, making detailed plans in my mind about how to manage those things.
I would also worry about my lack of sleep during sleepless nights. During the therapy with Emma, I learned how to make a deliberate decision and take positive action to unload those worries, stresses and concerns before bed, and to encourage my mind to take a rest from them during the night.
These are the keys things which have changed for me. My sleep isn’t perfect, I still have bad nights, but being able to turn off the light with a calm, relaxed, contented and peaceful mind has made a significant difference to me. I have far more good nights than before.
Q: If you could go back and give yourself a piece of advice or support when you were struggling, what would it be?
There is hope, no matter how entrenched the problem is, and you can get better control over your sleep.
Q: Are there any other comments you would like to make (eg how you found the programme experience as a whole)?
There is hope, no matter how entrenched the problem is, and you can get better control over your sleep.
A Note From Emma:
Whilst working with Gill I witnessed her health visibly improve as the quantity and quality of her sleep improved. She became noticeably brighter in mood and the colour came back into her face. As someone who had never used zoom before, she had been concerned about what working in this way would be like but very quickly got used to it and got all the benefits from the programme. It is very common for a major life change to be the trigger for sleep problems as it was for Gill. I am really glad that her struggling health prompted her to seek help as now she is enjoying the benefits of good, consistent sleep.
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