Tag: midlife sleep

  • Perimenopause and Sleep: What the Mind Side Can Still Do

    Something changes, usually in the forties, sometimes earlier.

    You were never someone who thought about sleep. You went to bed, you
    slept, you got up. Now you are awake at 3:12 and you have been awake at
    roughly 3:12 for months, and the whole thing has become a subject in
    your life instead of a non-subject.

    That is a real change and you are not imagining it. A lot of women
    describe the same shape: falling asleep is fine, staying asleep is not.
    Waking hot. Waking wired. Waking with the mind already mid-sentence.

    First, the part that is not
    mine

    I need to be direct about where my lane ends.

    What happens hormonally in perimenopause is medical territory. I am a
    hypnotist, not a physician. I do not diagnose anything, I do not treat
    anything, and nothing I offer is a substitute for medical care.

    Decisions about hormones, medication, or any treatment belong between
    you and your clinician. Full stop. If your sleep has changed and it is
    affecting your days, that is worth a conversation with a doctor who
    knows your history — and it is worth telling them plainly how many
    nights a week it happens, because people routinely undersell it.

    And if you snore heavily, gasp or stop breathing in the night, or
    find yourself falling asleep during the day without meaning to, please
    see a doctor. Some sleep problems are physical and are not a mindset
    matter at all.

    So what is left for me?

    Quite a lot, actually. Just not the part you were expecting.

    Two problems, bundled
    together

    When you say “I am not sleeping,” you are usually describing two
    different things that have been stapled together.

    The first is the interruption. Something wakes you. In midlife that
    something may well be physical, and I have no business speculating about
    it.

    The second is what happens next. The forty or seventy minutes after
    the waking. The clock check. The arithmetic. The rehearsal of tomorrow’s
    meeting. The slow build of frustration that makes returning to sleep
    progressively less likely.

    Those are two separate machines, and they are not equally
    reachable.

    If you spend your effort fighting the first one, you lose, because it
    is not currently taking instructions from you. If you put that same
    effort into the second one, you are working on something that has
    actually been within reach the whole time.

    I am not going to pretend the second is the whole problem. It is not.
    It is just the part that answers to practice.

    The re-entry, not the waking

    Think of it as a re-entry procedure. It starts the second you become
    aware you are awake, and it is short.

    Do not look at the clock. This is the single biggest
    one. The number gives you nothing you can use, and it gives the
    arithmetic something to chew on. Three-eleven, alarm at six-thirty, that
    is three hours and change, and I have the presentation. You have now
    started a project. Turn the clock away from the bed before this ever
    comes up so the decision is already made.

    Do not audit the night. No tallying how many times
    this has happened this week. No conclusions about what kind of sleeper
    you have become. The audit feels like problem-solving and it is not — it
    is a wide-awake activity performed in a dark room.

    Handle the body plainly and without drama. Kick a
    foot out from under the covers. Push the blanket down. Keep the room
    dark and the phone face-down and unread. Whatever the small practical
    adjustment is, make it the way you would flip a breaker: quietly, and
    then done.

    Then give the mind one dull job. Not an empty mind —
    you cannot order that. One still image, held loosely. A stone. A wooden
    spoon on a counter. Go into the surface of it, the grain, where the
    light sits. When you drift, you come back. The coming back is the
    technique.

    None of that is dramatic and none of it is supposed to be. You are
    simply refusing to turn a wake-up into an event.

    The story you tell in the
    daytime

    There is one more piece, and it operates when you are nowhere near a
    bed.

    Somewhere in the last year or two you may have started saying a
    sentence out loud. “I do not sleep anymore.” “I am a terrible sleeper
    now.” “This is just what it is from here.”

    I understand why. It is descriptive, it is honest on the evidence,
    and it gets sympathy from other women who are living the same thing.

    It is also an instruction.

    A mind takes a repeated statement about identity far more seriously
    than a wish. Say a thing about yourself with conviction enough times and
    it stops being a report and becomes a setting. By eight in the evening
    you are already braced for a bad night, and bracing is a wide-awake
    posture.

    You do not have to swap it for something false. Nobody is asking you
    to affirm your way through a genuine physical change. But there is an
    enormous difference between “I am a broken sleeper” and “my sleep is
    going through a chapter, and I know how I handle a wake-up.”

    One of those closes the file. The other leaves it open.

    Rehearse it in the afternoon

    The re-entry procedure is a skill, and no skill learns well at three
    in the morning.

    Run it in daylight. Two minutes on the couch, no intention of
    sleeping. Eyes closed, body loose, one still picture, drift, return,
    drift, return. Nothing impressive happens and nothing is supposed
    to.

    You are laying track. The nervous system learns a route by repeating
    it, not by being told about it. Do it in the flat calm of a Tuesday
    afternoon and it will be available to you at 3:12 on a Saturday, which
    is when you actually need it.

    This is also what a good hypnosis recording is for. It is a rehearsal
    with the pacing handled for you, run often enough that the route gets
    worn in.

    Start Tonight

    I made a free guided session called The Military Sleep
    Method
    . It runs eleven minutes, walks you through the whole
    sequence in my voice, and comes with the Nightly Wind-Down Checklist so
    you know what to do with the hour before bed.

    Both are free here: https://davidbryansmith.com/free-track-download/

    If you use it and want more, The Sleep Reset Program is seven guided
    sessions that build on the same approach. It’s at https://davidbryansmith.com/product/bst-better-sleep-tonight/
    whenever you’re ready. No rush. Start with the free one.