Sheep Dont Count Tips & Tricks for Better Sleep Jan McGilliard 1 - - PowerPoint PPT Presentation

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Sheep Dont Count Tips & Tricks for Better Sleep Jan McGilliard 1 - - PowerPoint PPT Presentation

10/21/2019 Sheep Dont Count Tips & Tricks for Better Sleep Jan McGilliard 1 10/21/2019 Introductions Introduce yourself and a one liner about what brought you to this workshop Set an intention Make a lifeline/timeline


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10/21/2019 1

Sheep Don’t Count

Tips & Tricks for Better Sleep

Jan McGilliard

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10/21/2019 2

Introductions

  • Introduce yourself and a one‐liner about what brought you to this

workshop

  • Set an intention
  • Make a lifeline/timeline about your sleep story/history
  • Name three things that keep you awake at night

McGilliard, POAMN, Louisvile, 2019

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The Psalmist on Sleep “I will both lie down and sleep in peace; for you alone, O Lord, make me lie down in safety.”

  • Ps. 4:8

McGilliard, POAMN, Louisvile, 2019

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The Psalmist on Sleep “He who keeps Israel will neither slumber nor sleep…The Lord is your keeper; the Lord is your shade at your right hand. The sun shall not strike you by day, nor the moon by night.”

  • Ps. 121:4‐6

McGilliard, POAMN, Louisvile, 2019

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The Psalmist on Sleep “It is in vain that you rise up early and go late to rest, eating the bread of anxious toil; for he gives sleep to his beloved.”

  • Ps. 127:2

McGilliard, POAMN, Louisvile, 2019

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A Fitful History of Sleep

At Day’s Close: Night in Times Past

Roger Ekirch, Professor of History Virginia Tech

Once Upon a Time

McGilliard, POAMN, Louisvile, 2019

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A Fitful History of Sleep

  • Sleep interruptions: lice, fleas, bed bugs, weather, illness, noise,

smelly chamber pots

McGilliard, POAMN, Louisvile, 2019

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Sleep deprivation

  • Several arousals in the night will lead to sleep deprivation
  • Napping during the day to compensate. Think Dagwood
  • Tossin and Turnin – Bobby Lewis, 1961
  • https://www.youtube.com/watch?v=ghFBvBmXv4E

McGilliard, POAMN, Louisvile, 2019

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We all need (yawn) better sleep

  • “Sleep is a miraculously curative way to help heal much of what ails

us.” Liza Field, from Field Notes, Roanoke Times

  • Many consider sleep optional – a boring waste of consumer and

spectator time. 1 of 2 adults gets by on 6 hrs./night, leading to

  • a “mangling” of the human genetic fabric,
  • switching off genes involved w/immune function,
  • triggering other genes associated w/inflammation, tumors, and

cardiovascular disease …Matthew Walker, neuroscience professor

McGilliard, POAMN, Louisvile, 2019

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Wired and tired

  • By the 1990s, every city was open for business round the clock
  • Now we have 24/7 sunbeams‐in‐the‐hand
  • Only 11% of U.S. teens get sufficient sleep
  • Grownups work 2nd & 3rd jobs, need down time, put off sleep

1 2 3 4 5 6 7 8 9 10

1910 1942 2013 2019

Hours of Sleep per Night

9.0 7.8 6.8 6.5

McGilliard, POAMN, Louisvile, 2019

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Common symptoms of insomnia

  • Difficulty falling asleep at night
  • Waking up during the night
  • Waking up too early
  • Not feeling well‐rested after a night's sleep
  • Daytime tiredness or sleepiness
  • Irritability, depression or anxiety
  • Difficulty paying attention, focusing on tasks or remembering
  • Increased errors or accidents
  • Ongoing worries about sleep

McGilliard, POAMN, Louisvile, 2019

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Common Causes of Insomnia

  • Stress.
  • Concerns about work, school, health, finances or family
  • Stressful life events or trauma — such as the death or illness of a loved one, divorce, or a job loss
  • Travel or work schedule.
  • Your circadian rhythms act as an internal clock
  • Guide your sleep‐wake cycle, metabolism and body temperature.
  • Disrupting your body's circadian rhythms can lead to insomnia.
  • Causes include jet lag, working a late or early, or frequent change in schedule.
  • Poor sleep habits.
  • Irregular bedtime schedule or naps
  • Stimulating activities before bed
  • Uncomfortable sleep environment, working, eating or watching screens in bed
  • Eating too much late in the evening.
  • A light snack before bedtime is OK, but eating too much is risky
  • Physical discomfort while lying down, heartburn, a backflow of acid from stomach to esophagus

.. From Mayo Clinic

McGilliard, POAMN, Louisvile, 2019

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Additional causes…

  • Mental health disorders.
  • Anxiety disorders, such as post‐traumatic stress disorder, may disrupt your sleep
  • Awakening too early can be a sign of depression. Insomnia often occurs with other mental health disorders as well.
  • Medications.
  • Many prescription drugs can interfere with sleep, such as antidepressants and medications for asthma or blood pressure.
  • Many over‐the‐counter medications — such as pain medications, allergy and cold medications, and weight‐loss products
  • Products that contain caffeine and other stimulants that can disrupt sleep.
  • Medical conditions.
  • Chronic pain, cancer, diabetes, heart disease, asthma, gastroesophageal reflux disease (GERD), overactive thyroid,
  • Parkinson's disease and Alzheimer's disease.
  • Sleep‐related disorders.
  • Sleep apnea causes you to stop breathing periodically throughout the night, interrupting your sleep.
  • Restless legs syndrome causes unpleasant sensations in your legs and an almost irresistible desire to move them
  • Caffeine, nicotine and alcohol.
  • Coffee, tea, cola and other caffeinated drinks are stimulants
  • Nicotine in tobacco products is another stimulant that can interfere with sleep.
  • Alcohol may help you fall asleep, but it prevents deeper stages of sleep and often causes awakening in the night.

McGilliard, POAMN, Louisvile, 2019

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The aging factor

  • Changes in sleep patterns.
  • Noise or other changes in your environment are more likely to wake you.
  • Your internal clock often advances, so you get tired earlier and wake up earlier in the morning.
  • But older people generally still need the same amount of sleep as younger people do.
  • Changes in activity.
  • You may be less physically or socially active.
  • A lack of activity can interfere with a good night's sleep.
  • With less activity, the more likely a daily nap, interfering with sleep at night.
  • Changes in health.
  • Chronic pain from conditions such as arthritis or back problems
  • Depression or anxiety
  • Issues that increase the need to urinate during the night ―prostate or bladder
  • Sleep apnea and restless legs syndrome become more common with age.
  • More medications. Older people typically use more prescription drugs than younger

people do, which increases the chance of insomnia associated with medications.

McGilliard, POAMN, Louisvile, 2019

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Prevention

  • Keep your bedtime and wake time consistent from day to day, including

weekends.

  • Stay active — regular activity helps promote a good night's sleep.
  • Check your medications to see if they may contribute to insomnia.
  • Avoid or limit naps.
  • Avoid or limit caffeine and alcohol, and don't use nicotine.
  • Avoid large meals and beverages before bedtime.
  • Make your bedroom comfortable for sleep and only use it for sex or sleep.
  • Create a relaxing bedtime ritual, such as taking a warm bath, reading or

listening to soft music. No screens or reading in bed.

McGilliard, POAMN, Louisvile, 2019

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My Quest for Sleep

  • Many years of prescription sleep medication – then a firm

decision to stop. Fear of later life changes in brain chemistry and potential loss of balance.

  • There are many things to try…

McGilliard, POAMN, Louisvile, 2019

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Sleep Specialist

  • Goal setting
  • Mindfulness
  • The practice of paying attention to what is happening in your life from

moment to moment.

  • It teaches us to slow down and notice things in the present.
  • Practice self‐acceptance, reduce self‐judgement.
  • Become an observer. Get curious. Practice describing what you observe.
  • Do one thing at a time, and while you do it, practice mindfulness.

McGilliard, POAMN, Louisvile, 2019

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Mindfulness Meditation

  • Get comfortable
  • Begin by taking slow, deep breaths, focusing on your breathing
  • As you continue, focus on trying to relax your body
  • Visualize the tension leaving your body
  • If your thoughts start to wander, bring your attention back to your breath

(no judgement!)

  • Continue for 10‐20 minutes
  • You can use a short mantra to help you stay focused

McGilliard, POAMN, Louisvile, 2019

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Sleep Hygiene (habits)

  • Keep a regular sleep and wake schedule
  • Avoid daytime napping
  • Use bedroom for sleep and sex only
  • No reading or using electronics in bed
  • Avoid bright lights and screens at least one hour before bedtime
  • Bedroom should be comfy, dark, cool
  • Develop a relaxing bedtime routine (like a hot bath w/bath salts)
  • Avoid stressful conversations/thoughts before bedtime

McGilliard, POAMN, Louisvile, 2019

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More habits!

  • No alcohol or tobacco products 4‐6 hours before bed
  • No caffeine after noon (coffee, tea, chocolate soda)
  • Avoid eating and drinking large quantities w/in 3 hours of bedtime
  • Expose yourself to natural light ASAP in the morning! Promotes

healthy circadian rhythms.

  • Avoid heavy exercise up to 2 hours before bedtime
  • Stop clock watching!
  • Limit time in bed. If not asleep w/in 30 min., get up and go to

another room. Relaxing/boring activity until sleepy again

McGilliard, POAMN, Louisvile, 2019

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Breathing exercises – two favorites

  • Can be done anywhere, depending on your purpose.
  • Generally, sitting or lying down,
  • Breathe in 4 counts through your nose, hold your breath at the top,

then exhale slowly through your mouth 8 counts.

  • Or, breathe in 8 counts, hold at the top, exhale slowly 10 counts

through your mouth.

  • Repeat several times, and imagine yourself feeling completely relaxed

and at peace. Remain still for a minute before getting up.

McGilliard, POAMN, Louisvile, 2019

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Muscle Relaxation (or Yoga Nidra)

  • Reduces stress and muscle tension
  • Sitting or lying down, close your eyes, take several deep breaths
  • Begin by tensing and relaxing the following muscle groups (hold each

for 5 seconds, then relax):

  • Toes, feet, calves, thighs, hips and buttocks, stomach, back, shoulders,

upper arms, forearms, hands, jaw, cheeks and lips, eyes and nose, head.

  • Even if this doesn’t work at first, keep trying.

McGilliard, POAMN, Louisvile, 2019

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Meditation (goes hand in hand w/mindfulness)

  • Two great apps: Insight Timer and Brainwave (32 binaural programs)
  • Ye Olde Transcendental Meditation: https://www.tm.org
  • Mindfulness Summit: https://themindfulnesssummit.com/
  • Look for local meditation groups
  • Yoga – look for a flow class

McGilliard, POAMN, Louisvile, 2019

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Passage Meditation (Eknath Easwaran)

  • “The secret of meditation is simple: you become what you meditate
  • n. When you use an inspirational passage every day in meditation,

you are driving the words deep into your consciousness. Eventually they become an integral part of your personality, which means they will find constant expression in what you do, what you say, and what you think.”

McGilliard, POAMN, Louisvile, 2019

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More on Passage Meditation

  • In passage meditation you choose a spiritual text or inspirational

passage that embodies your highest ideals, memorize it, and then go through the words slowly, silently, and with as much concentration as

  • possible. Two benefits: By training our mind to stay on the words of

the passage, we gradually build the precious capacity to place our attention wherever we choose. We begin to resemble and actually become whatever we give our attention to. As the inspired words slowly come to life in us, they bring with them quiet joy, the capacity to face challenges with equanimity, and a deep sense of contentment.

McGilliard, POAMN, Louisvile, 2019

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Example of Passage Meditation

Let nothing upset you Let nothing frighten you Everything is changing God alone is changeless Patience attains the goal Who has God lack nothing God alone provides every need St. Theresa of Avila

McGilliard, POAMN, Louisvile, 2019

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Passage Meditation

I weave a silence onto my lips I weave a silence into my mind I weave a silence within my heart I close my ears to distraction I close my eyes to attraction I close my heart to temptation Calm me O Lord as you have stilled the storm Still me Lord, keep me from harm Let all tumult within me cease Enfold me Lord in your peace. The Ortha Nan Gaidheal

McGilliard, POAMN, Louisvile, 2019

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Reiki*****

  • The word Reiki is made of two Japanese words
  • Rei which means "God's Wisdom or the Higher Power" and
  • Ki which is "life force energy".
  • So Reiki is actually "spiritually guided life force energy.“
  • A treatment feels like a wonderful glowing radiance that flows

through and around you.

  • Reiki treats the whole person including body, emotions, mind and spirit
  • Creates relaxation and feelings of peace, security and wellbeing.
  • Many have reported miraculous results.
  • Reiki is a simple, natural and safe method of spiritual healing and self‐

improvement that everyone can use.

`

McGilliard, POAMN, Louisvile, 2019

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Acupuncture

  • Acupuncture is a complementary medical practice that entails

stimulating certain points on the body, most often with a needle penetrating the skin, to alleviate pain or to help treat various health conditions.

  • There is a sleep protocol that may help….but if after four sessions there

is no improvement, it is not likely to help. Definitely helps some people!

McGilliard, POAMN, Louisvile, 2019

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Naturopath

  • Naturopathic medicine is a distinct primary health care profession
  • emphasizing prevention, treatment, and optimal health
  • through the use of therapeutic methods and substances
  • that encourage individuals' inherent self‐healing process.
  • It’s a slow, subtle process, but can be very beneficial
  • Often supplements, teas, and tinctures are suggested that promote

sleep or address an individual’s problem.

  • It’s holistic

McGilliard, POAMN, Louisvile, 2019

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Naturopathic recommendations

  • Survey form/consultation
  • Request for blood work to check various hormone levels; saliva test
  • Suggested supplements:
  • magnesium citrate relaxes muscles,
  • formula 303 addresses restless legs,
  • lemon balm tea (after dinner/evening),
  • CBD capsules or drops,
  • essential oils (lavender, cedarwood),
  • castor oil treatment (Edgar Cayce)

Edgar Cayce was an American self‐professed clairvoyant who answered questions on subjects as varied as healing, reincarnation, wars, Atlantis, and future events while allegedly asleep. A biographer gave him the nickname, The Sleeping Prophet. (1877‐1945)

McGilliard, POAMN, Louisvile, 2019

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Reiki Regimen

  • Ayurvedic medicine (“Ayurveda” for short)
  • One of the world's oldest holistic (“whole‐body”) healing systems.
  • Developed more than 3,000 years ago in India.
  • Based on the belief that health and wellness depend on a delicate balance

between the mind, body, and spirit.

  • Early AM:
  • wash face, brush teeth, healthy drink,
  • 5 min. yoga, 15 min. meditation (begin w/breathing 4/8, 4/10, 10X each)
  • Evening:
  • very warm bath w/Epsom salts,
  • lemon balm tea, any supplements, massage oil w/lavender,
  • breathing, meditation, sleep

McGilliard, POAMN, Louisvile, 2019

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Music Resource

  • Music for Healing & Transition Program
  • www.mhtp.org/therapeutic‐music‐research
  • This program trains and certifies musicians in the art & science of

providing therapeutic music for body, mind, and spirit.

  • Why? Music can decrease pain, lower blood pressure, reduce anxiety,

stabilize heart rate, and more.

  • Every Thursday, this organization provides 20 minutes of music.
  • You can choose any of the selections.
  • Can be very helpful when you’re ready to sleep.

McGilliard, POAMN, Louisvile, 2019

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10/21/2019 34

The Psalmist on Sleep

  • “I will both lie down and sleep in peace; for you alone, O Lord, make

me lie down in safety.” Ps. 4:8

  • “He who keeps Israel will neither slumber nor sleep…The Lord is your

keeper; the Lord is your shade at your right hand. The sun shall not strike you by day, nor the moon by night.” Ps. 121:4‐6

  • “It is in vain that you rise up early and go late to rest, eating the bread
  • f anxious toil; for he gives sleep to his beloved.” Ps. 127:2
  • “Then the Lord awoke as from sleep, like a warrior shouting because
  • f wine.” Ps. 78:65

McGilliard, POAMN, Louisvile, 2019

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10/21/2019 35

Wired and tired

  • In 1910, adults reported a 9 hr. average of nightly sleep
  • By 1942, the average fell to 7.8 hrs (more radios, electric lights)
  • By the 1990s, every city was open for business round the clock
  • Now we have 24/7 sunbeams‐in‐the‐hand
  • By 2013, the average American sleep fell to 6.8 hrs.
  • Today, it’s about 6.5
  • Only 11% of U.S. teens get sufficient sleep
  • Grownups work 2nd, 3rd jobs, need down time, put off sleep

McGilliard, POAMN, Louisvile, 2019

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10/21/2019 36

Common Causes of Insomnia

  • Stress. Concerns about work, school, health, finances or family can keep your mind

active at night, making it difficult to sleep. Stressful life events or trauma — such as the death or illness of a loved one, divorce, or a job loss — also may lead to insomnia.

  • Travel or work schedule. Your circadian rhythms act as an internal clock, guiding such

things as your sleep‐wake cycle, metabolism and body temperature. Disrupting your body's circadian rhythms can lead to insomnia. Causes include jet lag from traveling across multiple time zones, working a late or early shift, or frequently changing shifts.

  • Poor sleep habits. Poor sleep habits include an irregular bedtime schedule, naps,

stimulating activities before bed, an uncomfortable sleep environment, and using your bed for work, eating or watching TV. Computers, TVs, video games, smartphones or other screens just before bed can interfere with your sleep cycle.

  • Eating too much late in the evening. Having a light snack before bedtime is OK, but

eating too much may cause you to feel physically uncomfortable while lying down. Many people also experience heartburn, a backflow of acid and food from the stomach into the esophagus after eating, which may keep you awake….. From Mayo Clinic

McGilliard, POAMN, Louisvile, 2019

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10/21/2019 37

Additional causes…

  • Mental health disorders. Anxiety disorders, such as post‐traumatic stress disorder, may disrupt your sleep.

Awakening too early can be a sign of depression. Insomnia often occurs with other mental health disorders as well.

  • Medications. Many prescription drugs can interfere with sleep, such as certain antidepressants and

medications for asthma or blood pressure. Many over‐the‐counter medications — such as some pain medications, allergy and cold medications, and weight‐loss products — contain caffeine and other stimulants that can disrupt sleep.

  • Medical conditions. Examples of conditions linked with insomnia include chronic pain, cancer, diabetes,

heart disease, asthma, gastroesophageal reflux disease (GERD), overactive thyroid, Parkinson's disease and Alzheimer's disease.

  • Sleep‐related disorders. Sleep apnea causes you to stop breathing periodically throughout the night,

interrupting your sleep. Restless legs syndrome causes unpleasant sensations in your legs and an almost irresistible desire to move them, which may prevent you from falling asleep.

  • Caffeine, nicotine and alcohol. Coffee, tea, cola and other caffeinated drinks are stimulants. Drinking them

in the late afternoon or evening can keep you from falling asleep at night. Nicotine in tobacco products is another stimulant that can interfere with sleep. Alcohol may help you fall asleep, but it prevents deeper stages of sleep and often causes awakening in the middle of the night.

McGilliard, POAMN, Louisvile, 2019

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SLIDE 38

10/21/2019 38

The aging factor

  • Changes in sleep patterns. Sleep often becomes less restful as you age, so noise or other

changes in your environment are more likely to wake you. With age, your internal clock

  • ften advances, so you get tired earlier in the evening and wake up earlier in the
  • morning. But older people generally still need the same amount of sleep as younger

people do.

  • Changes in activity. You may be less physically or socially active. A lack of activity can

interfere with a good night's sleep. Also, the less active you are, the more likely you may be to take a daily nap, which can interfere with sleep at night.

  • Changes in health. Chronic pain from conditions such as arthritis or back problems as

well as depression or anxiety can interfere with sleep. Issues that increase the need to urinate during the night ―such as prostate or bladder problems ― can disrupt sleep. Sleep apnea and restless legs syndrome become more common with age.

  • More medications. Older people typically use more prescription drugs than younger

people do, which increases the chance of insomnia associated with medications.

McGilliard, POAMN, Louisvile, 2019