Health Journal Online

Tag: get back to sleep

  • A Meditation to Settle Mind and Body for Sleep

    A Meditation to Settle Mind and Body for Sleep

    If you’re feeling restless before bed or in the middle of the night, try this extended practice to soothe racing thoughts and ease tension in the body.

    There are so many reasons why we might struggle to get to sleep and stay asleep. Work or relationship stress, health concerns, hormonal changes, the state of the world—there’s plenty to keep us awake at night.

    Here, Mark Bertin offers a soothing sleep practice to help soften our restlessness, using the breath as a calming anchor to gently allow our busy minds and tense bodies to rest.

    This is a great go-to practice to keep as part of your regular sleep routine, or whenever you need support to settle mind and body. The more you do it, the more it will signal to your brain and body that it’s time for rest.

    A Meditation to Settle Mind and Body for Sleep

    Read and practice the guided meditation script below, pausing after each paragraph. Or listen to the audio practice.

    1. Find a comfortable posture, typically lying on your back. Allow your arms and legs to fall gently to the side. If this posture isn’t comfortable for you, then find another posture you’ll be able to relax into over the course of this meditation. 
    2. Keep your eyes open if you like, or allow them to lightly close. Begin the practice by taking a few deeper breaths and focusing as best as you’re able on that physical sensation your body makes with each breath, noting perhaps the rising and falling of your belly and chest. Perhaps a movement of the back of your body against whatever surface you’re lying on. 
    3. Let go of any sense that you’re trying to make anything specific happen. We can’t force ourselves to relax any more than we can force ourselves to sleep. But using that sense of physical movement that your body makes with each breath as a place to lightly anchor your awareness and attention. 
    4. Your mind may stay busy for now, and that’s normal. With a sense of gentleness and care, each time you notice your mind caught up in an emotional state or some pattern of thinking, simply come back with that sense of gentleness. You can say: I am aware I’m breathing in and aware I am breathing out. 
    5. We’ll begin a guided body scan in which we’ll be paying attention to different parts of our body, both as a way to bring our mind back from its thinking and the places it wanders and also as an opportunity to relax our body physically. 
    6. Start by bringing your awareness to your feet. You might notice touch or temperature. If you’re covered by a blanket, you might notice the sensation of the blanket draped over your feet and. For the next few minutes, when your mind wanders, bring your awareness back to your feet and let go a little bit of any tension or tightness you notice in your feet. No need to do anything with them, no need to move them around. 
    7. Notice any sense that you’re getting wound up a little bit, that you are caught up in the need for sleep or wanting things to be different than they are. So make that sense of care and letting go part of this practice, too. You can’t force that away, but noticing it’s part of the experience now and returning again to the sensation of your feet wherever they’re lying right now. 
    8. Next, move your awareness from your feet up into your lower legs. Relax them if you notice anything tight or uncomfortable. Stay patient with yourself as best as you’re able. 
    9. Next, move attention into your knees and your upper legs. Notice where your thoughts go or where your awareness wanders. Come back as many times as you need. 
    10. Next, move your awareness through your pelvis and your buttocks. Up into your lower back. Noticing the pressure against the bed or wherever you’re lying. Maybe there’s a sense of movement with each breath. 
    11. If at any point, because of discomfort or anything else, you feel like you need to make a little physical adjustment, that’s normal and that’s okay too. Maybe settling and observing for a few breaths, and then with a sense of intention, make whatever adjustment you need to make next. 
    12. Now, move your awareness into your upper back—a place many of us hold a lot of tension and tightness. Respect that and pay attention to it, while also letting go and relaxing whatever you find available right now. Stay patient with your mind for staying busy and come back to your body as many times as you need. 
    13. Next, move your awareness to your belly. Note if you like the gentle rising and falling of your belly with each breath. Note any other physical sensations that might be happening now in this part of your body. Often in the belly, we also encounter some reflection of our emotional state. Note that and let go a little bit if you can—not forcing it away, but recognizing it and releasing a little bit if you’re able to do that right now. 
    14. Now, shift your awareness into your chest. Keep using that same perspective of observing patience. Note the movement as your body breathes. Note any reflection of your emotional state in this moment. And then without forcing anything, see if you can sustain that awareness and let go a little bit around it. Ease up if there’s a sense of tightness or tension there. 
    15. What if that becomes difficult? That’s okay. Simply come back to that physical movement of your body with each breath. 
    16. Now, move your awareness into your hands. Relax your hands. Ease all the muscles of your palms and the back of your hands and your fingers and let go. 
    17. When you’re ready, transition to your forearms. Then your upper arms and your shoulders with that same sense of awareness and letting go. Then your shoulders and relaxing your shoulders. Your neck and relaxing your neck. And then noticing your facial expression and the muscles of your face. And relaxing your facial expression as much as you’re able. And then the entirety of your head. 
    18. Now, expand your awareness for a few moments to the entirety of your body. Use your breath as an anchor, if that open awareness is too distracting. There’s nothing special to do right now, except as best as you’re able, noticing the state of your mind and returning to your body. 
    19. As we continue this practice with a sense of open awareness, it might be helpful to add a short mental phrase, such as I am aware I’m breathing in and aware I am breathing out. Allow your body and mind to settle into this space, not wrestling with thoughts or emotions, but perhaps engaging with them a little more gently, noticing them and coming back again to the breath as many times as you need. 
    20. Continue now, as long as you need, with this sense of body awareness and letting go, allowing things to be. There will be no ending bell. Simply let yourself drift now, into a healthy night’s sleep.



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  • Why We Wake Up At Night and How Mindfulness Helps Us Sleep Again

    Why We Wake Up At Night and How Mindfulness Helps Us Sleep Again

    You’re awake, and the time on your nightstand shows 3:33 a.m. There’s no reason to be awake, but your mind has other ideas. Some nights it could be an overactive mind; other times, you’re fighting a hot flash or the urge to scroll on your phone, hoping to fall back asleep.

    Regardless of what’s calling to you in the middle of the night, the message you really need to hear: You’re not alone.

    Nearly 18% of U.S. adults report trouble staying asleep, and 30–50% experience insomnia symptoms, including difficulty falling or staying asleep. And yet, our initial response to waking in the middle of the night tends to lean toward frustration or anger rather than curiosity.

    Dr. Jessica Shepherd asks her readers to be curious about the patterns and symptoms we experience around wakefulness instead of moving towards “fixing” our sleep problem.

    What would happen if we chose to investigate our feelings around wakefulness with self-compassion and mindfulness, instead of pushing against our own discomfort with what’s unwanted? Understanding more about why we wake up at night can help.

    The Nervous System and Sleep Disruption

    When did 3 a.m. become the new wake-up call?  If you’ve slept soundly for most of your life, only to be suddenly confronted with a nightly routine that involves struggling to get back to sleep, know you’re in good company. These “wakeups” happen across ages, genders, and all life stages. Some of us (ahhem, menopause ladies, we see you) begin having some of these issues as a result of hormone shifts (we’ll get into that later).

    What you need to know is that waking in the night is not a personal failure.  Oftentimes, your nervous system responds to cues your body sends, both internal and external. Here are a few reasons why we wake up at night, and why your sleep may be feeling more fragmented:

    • Hyperarousal: Stress hormones like cortisol and adrenaline can trigger micro-awakenings. Even while asleep, your brain is scanning for potential threats.
    • Racing or overloaded mind: Daytime to-do lists, worries, or plans can linger into the night, keeping your brain alert.
    • Environmental triggers: Neighborhood noise, light, temperature swings, or even screens can subtly wake the brain.
    • Aging sleep architecture: As we age, our sleep naturally becomes lighter and more fragmented.
    • Hormonal shifts: As I mentioned above, if you’re in perimenopause or menopause, changes in estrogen, testosterone, and progesterone can significantly affect your sleep cycles. They can disrupt sleep when you’re experiencing hormone imbalances. Still, these shifts are a small part of the overall picture when we consider why many people experience nighttime wakefulness.

    Why starting with curiosity helps

    OB-GYN and author of Generation M, Dr. Jessica Shepherd, asks her readers to be curious about the patterns and symptoms we experience around wakefulness instead of moving towards “fixing” our sleep problem. Here are four questions she poses to help guide reflection: 

    • Is this wake-up due to hot flashes or night sweats?
    • Am I waking repeatedly or having trouble breathing?
    • Is my mind racing too much to fall asleep or fall back asleep?
    • Do I need to use the bathroom frequently at night?

    While Dr. Shepherd is a go-to source for menopausal struggles and solutions, these questions can be used to assess your symptoms, regardless of your age. Typically, mid-morning wakeup calls fall into one of these four categories:  mental overactivity, changes in body or room temperature, repeated environmental disruptions, or physical cues. When we understand the causes and conditions for our experience, we can cultivate a mindful response.

    Why Are My Thoughts Awake at 3 a.m.?

    The main culprit for middle-of-the-night wakefulness can vary from person to person. No matter what time you’re waking up, if it’s before your alarm clock goes off, it’s likely to feel unsettling.

    For those of you in perimenopause or menopause, the shift of our hormones (feeling hot flashes/night sweats) can make us feel very stressed out. As our stress levels rise, so do our cortisol levels. Typically, this stress hormone rises around 3 a.m. to prepare us for waking, but if our stress levels are too high, it can shift that baseline and cause us to wake up earlier than usual.

    Mindfulness offers a different way to approach these interruptions. It nudges us first to accept what’s happening in the present moment, and then to gently turn towards curiosity and self-compassion.

    For those of you who have surpassed that hurdle of menopause or generally have trouble falling asleep or staying asleep, this time of night can feel so much louder than usual. When we’re alone with our thoughts in the middle of the night, our fears can feel heightened. Sleep deprivation heightens amygdala reactivity, making even small anxieties feel intense. Mindfulness can help settle our nervous system by guiding us towards practical tools that help us eliminate spiraling narratives.

    So, how can you shift your perspective when it comes to that mid-morning wake-up? Mindfulness offers a different way to approach these interruptions. 

    We’ve all heard the phrase, What you resist, persists, and you likely know from experience that it doesn’t work to fight sleeplessness or try to force yourself to go back to sleep. 

    Mindfulness nudges us first to accept what’s happening in the present moment, and then to gently turn towards curiosity and self-compassion. So perhaps the questions and phrases we could be engaging with might sound more like, “How can I offer myself compassion when sleeplessness makes itself known?” or, “What is this experience trying to show me?”

    Look for clues in your daily routines

    Sleep expert and author of Powerful Sleep, Shawna Robins, encourages people who have trouble navigating the “wide-awake” brain by taking a look at what they’re doing during the day.

    She emphasizes laying the groundwork for a healthy routine (meals, exercise, self-care) that supports hormone balance and your nervous system. For Robins, that begins with stress management, proper nutrition, and some form of physical activity. When we do these things, sleeping, and specifically “falling asleep” or returning to sleep after that three o’clock wake-up, can get much easier. Robins says, “Healthy sleep starts during the daytime with healthier habits. It’s not just about what happens when you get into bed at night.”

    Mindful Sleep Strategy

    What does a mindfulness strategy look like for cultivating good sleep? Think about all the tools you’ve developed over the course of your mindfulness journey and start putting them to use.

    Sleep supports the choices we make before bed.

    That means journaling, sitting regularly, mindfully eating and noticing the times you’re eating. It can also involve checking in with your physical body (think body-scan meditation or breathwork), coupled with daytime routines (yoga/gym workout, exercises you can do throughout the day at work/your desk, etc.) that will help create a stable space for you to reset your energy and recalibrate your nervous system. Sleep supports the choices we make before bed.

    If you find yourself up in the middle of the night and can’t get back to sleep, here are some different ways you can try to help yourself. 

    1.  30-Second Body Scan
       Redirect attention from racing thoughts to physical sensations, noticing each part of the body without judgment.
    2. Lengthened Exhale Breathing (4–6 breaths)
       Extending the exhale calms the parasympathetic nervous system, signaling the body that it is safe to rest.
    3. Thought Noting
       Label thoughts gently (“I’m worrying,” “I’m planning”) to create mental distance.
    4. Journaling
       Keep a notepad by the bed to externalize racing thoughts and reduce cognitive load.
    5. Gentle Somatic Grounding
      Release tension in the jaw, shoulders, or belly to help the body signal safety.

    Nighttime wakefulness often coincides with vivid or emotionally charged dreams. Sansan Fibri, founder of the app Wakefully.io, describes dreams as “our subconscious screenplay, where hidden narratives sometimes replay on repeat.”

    Wakefully is an AI-driven dream-analysis and journaling app that allows users to examine dream themes and emotions or reframe dreams with evidence-based techniques. For those who wake at night due to intense dreams or lingering emotional tension, incorporating tools like Wakefully alongside your mindfulness practice can help shift into a more reflective space, calming a reactive mind. With curiosity, gentle awareness, and practical tools, you can transform these moments into opportunities for connection with your body and mind.

    When we approach sleep with mindfulness,  we can meet moments of wakefulness with curiosity instead of frustration, helping us meet them in the middle of the night with presence and ultimately a sense of well-being.



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