From an evolutionary perspective, sleep is the most idiotic of all behaviors, you know, when you think about it. Because firstly, when you're asleep, you're not finding a mate, you're not reproducing, you're not caring for your young, you're not foraging for food, and worse still, you're vulnerable to predation. Now on any one of those single grounds, but especially all of them as a collective, sleep should have been strongly selected against.
Hey everybody, welcome to another episode of Health Theory. I am here with somebody that's going to blow your mind. His name is Matthew Walker.
Matthew, welcome to the show. It's a delight to be here, Tom. Thank you for having me, dude.
Super excited. I was telling you before we started recording that, uh, you wrote a book called Why We Sleep and I'm always worried when I'm bringing somebody on that's covering a subject that I've talked about before if they're going to hit it in a new way. And I loved your book.
You come at it from a totally different angle. I wore my brain shirt out of acknowledgement of, um, how much you talk about sleep and the neurological impact. And so I want to start with two things from the book that really blew my mind.
And the first is that sleep is so important that the Guinness Book of World Records will not let people try to set records for sleep deprivation. Walk us through why not. I think this is a great entry to your world.
Yes. So, what we know is that a lack of sleep, um, will impact just about every major physiological system in your body and almost every operation of your mind. For example, if I were to take you and limit you to just four hours of sleep for one single night, there is almost a 70% drop in what we call natural killer cell activity, which are critical anti-cancer fighting immune cells.
That's after one night of four hours of sleep. That's crazy. Secondly, if I were to short sleep you for just one week, your levels of testosterone would be that of someone 10 years your senior.
Define what, how many hours. Here we could be talking about four to 5 hours a night for four or five nights in a row, which if you look at the data on the survey, that's not unusual for perhaps even 20 to 30% of the population, certainly during the week. Um, we also know from daylight savings time that it doesn't take very much because there is a global experiment that's performed on about 1.
6 billion people across 70 countries twice a year and it's called daylight savings time. Now, in the spring, when we lose one hour of sleep, we see a 24% increase in heart attacks the following day. Yet, in the autumn, in the fall, we see a 21% decrease in heart attacks.
Now, you collide all of that information together, as well as the impact on the brain, the mental health issues regarding anxiety, suicidality, depression, as well as increased risk for Alzheimer's disease. And we've been, uh, seeing that as well. Um, all of these things created this perfect storm for Guinness to take a step back.
They used to recognize world record-breaking attempts. And to put this in context, you know, several years ago, a remarkable individual, I think his name was Felix Balgardner, an Austrian, um, with Red Bull. He went up in a space capsule.
He went to the outer edges of our atmosphere, of our planet. He opened the door, and then in a space suit, he jumped out. He h hurtled back down to earth at over a thousand kilometers per hour.
He broke the sound barrier with his body and Guinness says that's just fine. However, sleep deprivation attempts no longer because they are that much more concerning to your mental, your physical and your cognitive health. That is the perfect explanation, like that dichotomy of Felix Bombgartner versus just not getting enough sleep.
And I don't think it's a mistake that the Navy Seals use it just catastrophic sleep deprivation as a part of their hell week to really find out, like, who's got the mental resilience to make it on the other side. Because when you're talking cuz I, if I remember right, they get like 3 hours of sleep over 5 days or just something stupid like that. It's remarkably minimal and they start hallucinating.
You know, I've had a friend who was, um, who was in the British version of that. Um and they were saying, you know, they were running around on these hills during sort of these combat training events and they were just seeing sort of gravestones popping up in front of them. They were just delusional and hallucinating.
What's going on? Like what is it that causes us to hallucinate? Do we know the mechanism, whatever breakdown there is between the conscious and subconscious?
I'm not even sure what's happening. Yeah. What we think is happening is that after some degree of sleep deprivation, you build up this pressure for the different stages of sleep.
And one of the two main stages of sleep of human sleep at least is something called rapid eye movement sleep or REM sleep, which is the stage that is principally associated with dreaming. And what we've learned is that once you start to go through sleep deprivation and including REM sleep deprivation, the brain gets so starved of this thing called dream sleep that it just simply says, "Look, I, at some point I've got to get this thing called REM sleep. And if you're going to stay awake, I don't really care.
I'm just going to produce this state of REM sleep. " And so it's almost as though you're awake, but the veil of REM sleep dreaming comes over the brain. And therefore, you're essentially dreaming while you're awake.
And that's why you start seeing these hallucinations and delusions. That's our, our current understanding. All right.
Now, that's really interesting. So, one, one of the questions I was most excited to ask you about is the nature of dreaming. So, if the brain is saying, "Hey, look, I'm going to do this whether you're awake or asleep.
" Why is it so contextual? Like there's no question there are times where the dream is so bizarre, like I can't anchor it to my life. But a lot of times I can where I'm like I know exactly why I started dreaming about that thing.
Do we have a sense of what the brain is trying to do with dreams? We do. And dreaming seems to offer at least two different benefits for the brain.
The first is creativity. The second is essentially emotional first aid. It's overnight therapy.
So point number one, creativity. One of the things that REM sleep actually does, is it takes all of the information that you've been learning, and I should take a step back. It's during deep sleep, which actually happens more in the first half of the night, that those memories, those freshly minted memories that you've recently learned and laid down in the brain, deep sleep will hit the save button on those new memories so that you don't forget.
So, so deep sleep strengthens and solidifies those individual memories. But sleep, we've learned, is much more intelligent than we ever imagined because thereafter it's dream sleep. It's REM sleep that takes all of those individual memories and it starts to intelligently collide them and interconnect them.
Essentially, it's informationational alchemy, um, or you could almost think of it like, um, group therapy for memories that you know everyone gets a name badge and REM sleep gathers in all of these pieces and it forces you to go and speak to the people not at the front of the room that you think you've got the most obvious connection with but to the people at the back of the room that you think you've got no connection with at all, but it turns out that you do. It's a non-obvious one, but it's a potentially powerful one nonetheless. And so after dream sleep, you wake up with essentially a revised mindwide web of associations every single day.
And as a consequence, you are able to divine solutions to previously impenetrable problems. And it's the very reason that no one has ever told you to stay awake on a problem. And that's one of the benefits of dream sleep of REM sleep.
The second however is something that we've more recently discovered and we've done a lot of work in this area regarding mental health, is that REM sleep provides this emotional first aid and what seems to happen is that sleep will take in these difficult, often concerning, even painful or traumatic emotional experiences and dream sleep acts like this beautiful nocturnal soothing balm and it just takes the sharp edges off those painful, difficult experiences so that you come back the next day and they don't feel as difficult anymore. So in other words, it's not time that heals all wounds, but it's time during sleep that provides that emotional convolescence, as it were. So why does this relate to your question, which is there are times when it seems strange and there are times when I can definitely pick it up.
What we know de facto definitively is that dreaming is not simply you rewinding the videotape of the day and then playing it back over again. In fact, only about 5% of your dreaming life is a veritical replay of anything you experience during the day. However, what is dominant if there is a if there's a red thread narrative that runs through from your waking life into your dreaming life, it is emotional themes and concerns.
That's the sort of mental health benefit. That's the mental first aid, the emotional first aid. So, the emotional first aid was the second thing that I wanted to talk about.
That was one of the the most striking things about your book. And I want to go a little bit deeper. um so much around dreaming and I don't I don't want to stray too far from that cuz there's so many more questions I have about dreaming but talk to me about some of the research with um noradrenaline and PTSD and the work there because this was where I was like whoa there is a layer to sleep that I've never heard anybody talk about the way that you're talking about it this is really fascinating.
Yeah. So several years ago, um I developed a theory as to exactly how this emotional first aid would actually work where it's it's what's remarkable about dreaming. It's the only time during the 24-hour period where your brain shuts off this stress related neurochemical called neuradrenaline.
We never see it at any other time, any other stage of sleep or any time when you're awake. And the sister chemical everyone will know about in the body, which is called adrenaline, but upstairs in the brain it's noradrenaline. And I propose that what happens during dream sleep, which is remarkable is that firstly we know from brain imaging studies that we've done where we put people inside of a scanner and we watch the brain as it lights up as it goes into dream sleep.
Emotional centers of the brain and memory centers of the brain are reactivated during dream sleep. So firstly, we know that the brain is capable and is probably reactivating these emotional experiences. But secondly, unlike when you're awake, it's reactivating and re sort of, um, playing those memories in a brain state that is devoid of any of this stress related neurochemical.
And so in other words, dream sleep we sort of put forward as a theory allows the brain to take this sort of highly charged emotional memory and strip away the bitter emotional rind from the informational orange so that you come back the next day and it's peeled away. And as a consequence dream sleep has divorced the emotion from the memory because of this neurochemical state, this kind of mllifying soothing neurochemical bath. Are you familiar with what they're studying with MDMA?
Because it feels to me like the same idea, right? So, hey, I've got this guy that has PTSD. I'm going to make him relive it, but I'm going to hit him with MDMA, which neurochemically is going to move him into a radically different state.
They now revisit the same emotion cuz for, and look, you, you know so much more about this than I do, but I find this so interesting, you will correct me where I go wrong, but we're not we're not faithful to the truth of what has happened in our past. We pull a memory forward as we're sort of holding it in working memory, it becomes manipulatable. And then when we restore it, it's restored with whatever new context we give it.
So if you revisit, you can make it worse or you can make it better. And that feels like it's an echo of this mechanism that you're talking about in dreams. It's exactly that.
And you know, and what we know is that when I was describing that deep sleep hits the save button on those new memories, that's what we call consolidation. But there's also a process of reconsolidation. You're absolutely right.
And a great analogy here is a word document. You know, you'd never open up a word document and then create a new set of sort of text, which is the memory, then hit the save button, and then doubleclick it the next day, open it back up, and you can't do anything with it. It's you can't change it.
You can't edit it. That's a ridiculous system of storage of information storage. And the brain works just like that.
When you recall a memory, a memory once you've hit the saved button is not simply permanent and immutable. It's modifiable and you can change it and modify it and then you can reconsolidate it. You can resave it.
Now it's edited. And that's what therapy does. That's what we think happens with MDMA.
That's what we think is partly happening with dream sleep. But dream sleep is quite different there. It's this neurochemical strange state that allows you to sort of soothe that memory as well.
And as I said, sort of strip away. It's almost like detoxifying the memory of the emotion so that you come back the next day and you have a memory of an emotional event, but it's no longer emotional itself. And so I had a theory that was in search of data and I went to a conference in Seattle and I presented the theory and then the next person up was a psychiatrist called Murray Rascin and he was working in the VA system with veterans who had terrible PTSD and he was treating them with a blood pressure medication that was generic because it's the VA system and that blood pressure medication was called Prazin.
Now Prazin will actually cross the bloodb brain barrier. It will not only affect the body, it'll go up into the brain. And one of the things that it shuts off is noradrenaline.
And what we knew before is that in PTSD, those patients have too high levels of noradrenaline. And what he was finding and scratching his head over was to say, "Look, I've been treating these patients with this blood pressure medication, and they're coming back to me because one of, by the way, one of the diagnostic features of PTSD is repetitive nightmares. In fact, you can't get a diagnosis of PTSD without having repetitive nightmares.
And so he was coming, um, these patients were coming back to him and saying, "Look, doc, I, I don't know if my blood pressure is any better, but my trauma dreams are starting to go away, and I don't know why. " And he was publishing this data. So crazy.
So I had a and that's exactly what the model would predict that in PTSD, levels of noradrenaline are too high. So the brain is unable to do this elegant trick of stripping the emotion from the memory. So the next night, when they come back to dream, the brain comes back and sleep to sleep and says, look, I've still got this highly charged trauma memory.
Please do your trick of separating emotion from memory. It fails again. It's a broken record.
It is the repetitive nightmares of PTSD. And I said look I I've got to speak with you. Um I flew him down to Berkeley.
Um a few weeks later we had spent the whole day together. We went out to dinner. We just jammed on this.
He started doing these remarkable studies with praises looking at REM sleep, looking at dreaming. And um several years later, it became the um one of the only approved medications for um repetitive nightmares uh in PTSD. Wow, dude.
that that to me is like just when it feels like man we really know a lot about something and then a breakthrough like that will occur. This whole field of beginning to really understand cuz when the the title of the book Why do we sleep is no one's been able to give a satisfying answer to that like you get a lot of these hypotheses but this is really starting to feel like we're at the beginning of beginning to understand some of the stuff. So give us the explanation in in sort of an evolutionary context of why we know sleeping just absolutely has to be crushingly important.
Yeah. And I'll just touch on your first point which is to say you're right sort of you know the book was um called why we sleep because we do have now a pretty good understanding. 50 years ago, you know, we used to ask the question, why do we sleep?
And the the crass and unhelpful answer was at the time was that we sleep to cure sleepiness, which is the the fatuous equivalent of saying, and you would know this better than anyone, you know, I eat to cure hunger. Well, that tells you nothing about the nutritional dynamics of food, but it was the best that we had at the time. Now 50 years later with over 10,000 empirical research studies, we've actually had to upend the question.
We've actually now had to ask, is there anything within the body, any major physiological system in the body or any sort of major function of the mind that isn't wonderfully enhanced by sleep when we get it or demonstrabably impaired when we don't get enough? And so far the answer seems to be no for the most part. So sort of to come back to your sort of the the the second part of the question you know from an evolutionary perspective sleep is the most idiotic of all behaviors you know when you think about it because firstly when you're asleep you're not finding a mate you're not reproducing you're not caring for your young foraging for food and worse still you're vulnerable to predation.
Now on any one of those single grounds but especially all of them as a collective sleep should have been strongly selected against in the course of evolution. But what we know is that sleep if you look from an evolutionary perspective sleep appears to have evolved with life itself on this planet and then it has fought its way through heroically every step along the evolutionary pathway. And it's long been said that as a consequence, if sleep doesn't serve an absolutely vital set of functions, then it is the biggest mistake that the evolutionary process has ever made.
And what we're now learning from the science is that mother nature did not make a spectacular blunder in creating this beautiful thing called a full night of sleep. Yeah, it's really interesting to think through. And one of the things that gave me the first hook into why sleep might be ridiculously important is the fact that when you're sleeping, the brain actually shrinks and allows you to clear out amalloid plaques and like basically you're brainwashing yourself.
Literally washing your brain. Yeah. Um at night, the lymphatic system and and then I was like, okay, that's interesting that you would need to go into sort of this altered state to clear this stuff out.
Um that to me gets interesting. What have you found there in the literature that um shows that it needs to specifically be an altered state? Yeah, we never thought that the brain had its own cleansing mechanism.
Um and we all know that the body has that mechanism. It's called the lymphatic system. But it was only um probably six or seven years ago that a remarkable scientist Megan Nedagard at the University of Rochester made a stunning set of discoveries in mice.
What she found was that the brain actually does have its own cleansing system. It's called the glimpmphatic system named after the gal cells in the brain that make it up. Now if that wasn't remarkable enough, she went on to find two additional discoveries.
The first is that um that sewage system is not always switched on in high flow volume across the 24-hour period. It's specifically during deep sleep when that um that cleansing mechanism kicks into high gear. And as you said, these brain cells will actually shrink and allowing the cerebra spinal fluid to wash away all of the metabolic detritus that's been building up whilst we're awake.
Because make no mistake about it, from a biochemical perspective, wakefulness is low-level brain damage and sleep is sanitary salvation. Um, and the third thing that you discovered, which is something you mentioned there, one of the pieces of toxic metabolic protein, uh, product that that cleansing system was washing away was something called beta amalloid, which is what we know is a protein culprit in the cascade of Alzheimer's disease. And we've now done a lot of work and others have done this work showing that insufficient sleep may be one of the most significant lifestyle factors determining whether or not you will develop Alzheimer's disease in later life.
And it it seems to be that it's this particular state of deep sleep and these pulsing these slow pulsing electrical big powerful brain waves that happen during deep sleep that may be driving the pulsing of this cerebral spinal fluid. And this is wonderful work by Laura Lewis at Boston University most recently in humans that are coupled to the brain waves that you have. So the reason that it's this specific state which was your question why deep sleep in particular because it's only that time period where we get these huge powerful deep brain waves and we get this shrinking of the cells and we get therefore the flow of this pulsing glimpmphatic system.
So, in other words, it's it's almost like a power cleanse for your brain. You know, it's good night sleep clean as it were in that regard. So complex.
It's crazy. This is exactly why I don't like to take supplements. It's like, man, there there are levels of complexity that I assure you we have not discovered yet.
And you never know, like the heart medication that's also, oh, this one's bypassing the brain and dealing with noradrenaline. And it has this huge impact. Now, that one happens to be positive, but there are some in certain cases, but there are some that very much are not.
And speaking of are not positive. So, if sleep is so good for me and dreams are amazing and they help with creativity and they they take the sharp edges off my emotions, why the hell do I have nightmares? Yeah.
So, what we know is that nightmares aren't necessarily pathological. Um, and we we know that in some conditions and PTSD is a is a very good example of this that they can sort of step over that threshold from being normative to non-normative and they can be very concerning and and and disruptive to people and also very traumatic too to relive those and and wake up from them. We do think it's part of the same process of sort of emotional regulation that it's the brain trying to understand and better comprehend what this thing called waking life and all of its emotional peaks and troughs are all about.
So the bottom line here is that as long as they're not causing you distress and harm, then you don't have to worry about them. If they are doing that though, there are new clinical therapies for, um, what we call nightmare, um, disorders and it involves usually just what you were describing before, which is speaking with a therapist, writing down the nightmare and then replaying it while you are awake. sort of, you know, speaking about it, writing it back down, working with the therapist and essentially trying to sort of just say, look, okay, in that context, it's safe.
Let's better understand that. And repeatedly doing that type of work where you're sort of reactivating the nightmare and then trying to change the context to something that's safe or that's less fearful or that's less negative. Gradually over time that type of work can dissipate the frequency and the severity of those nightmares.
So nightmares by themselves not necessarily a bad thing. If they are causing you problems you can go and speak to your doctor and there are some therapies for that that you can sort of just Google around, um, nightmare therapy etc. And those will help.
Yeah. And that like the way in which your brain chooses to interpret its sort of dream reassessment of the real world will have huge implications in your life. It could be PTSD.
It could be a bazillion things. I have a feeling, I have never had this thought before, but I have a feeling that the more we learn about how individual brains recontextualize things and how much the conscious mind and subconscious mind sort of come into cahoots to decide how they're going to line things up. Because when I was in my early 20s and I was convinced I was stupid, I was interpreting the world one way that was just had me paralyzed by fear.
And then as I began to realize sort of the nature of the brain and oh just because I'm stupid now doesn't mean I can't learn about this you know that Carol Dwek's notion of yet right I'm not good yet and so that since then consciously I have changed the way that I frame things but I would bet a bazillion dollars that I'm also doing that subconsciously as my brain sort of processes the day. I think that's what you know dreaming if if it's one of its functions is that recontextualizing of those experiences. You know dreaming I think is a is a way for us to understand the world in which we live.
And we can do it whilst we're awake. You know I'm not suggesting that we don't form connections and we don't see links between different pieces of information but the way that we do it in dreaming is very different. You know, I often liken it to when we're awake, you're sort of inputting this information into the brain, and it's almost like a Google search page one, where you insert your search term, you hit return, and you get the most obvious immediate hits, the direct connections.
That's what waking is all about. Draming is you inserting the search term, hitting the return button and being taken straight to page 20, you know, and you inserted, you know, Impact Theory University, and all of a sudden on page 20, it's about a field hockey game in Utah, and you think, hang on a second, what on earth is, but then you read it and you think, ah, I can, it's a distant, wacky connection, and it's not obvious to me that I would have made that, but it's a potentially powerful one because when you start to fuse use things together that shouldn't normally go together, but they cause these marked advances in evolutionary fitness. It sounds like the biological basis of creativity.
And that's one of the things that we're learning about with dream sleep as well, contextualization, emotional resolution, creativity. Yeah. So, you know, as we start talking about dreaming and nightmares and all of the different ways that the brain is sort of interacting, uh, trying to make sense of the conscious world, one thing I heard you talk about is cognitive behavioral therapy for insomnia, which I found very interesting and I know so little about it, but knowing what I know about cognitive behavioral therapy in terms of pattern interrupting and things like that, are you is this like us sending a sort of subconscious conscious signal to our brain like how does that work?
Not quite. So what we know obviously has been the rise of sleep difficulties in society and that has been matched by unfortunately a rise in pharmarmacology and particularly sleeping pills. And I say unfortunately not because I'm anti- medication and I know a lot of people who work at these pharmaceutical companies and they're good people, great scientists wanting to do good things.
But unfortunately, sleeping pills are largely blunt instruments and they don't produce naturalistic sleep. Um, they're in a class of drugs that we call the seditive hypnotics. And when we take sleeping pills, we mistake sedation for sleep, but it's not natural sleep.
And in fact, um, sleeping pills have been associated with a significantly high risk of death as well as cancer. So much so that in 2016, the American College of Physicians made a landmark recommended, um, intervention. They said that sleeping pills must no longer be the first line treatment for, uh, insomnia.
Instead, the American College of Physicians said it has to be cognitive behavioral therapy for insomnia. That must be the first line recommended treatment for those sleep problems. And so cognitive behavioral therapy in general really tries to target two things, cognitive and behavioral.
And so the cognitive aspects for insomnia are aspects where we try to correct your beliefs or your misbeliefs around sleep and some of your ideas around sleep. Some of those things that can be either inappropriate, incorrect or just triggering anxiety or worry. So we try to modify those cognitions, those beliefs, but then we also look at what you're doing in your life, the different behaviors that you're doing or things that you're not doing and try to correct the behaviors as well.
For example, how's your caffeine intake? How's your alcohol intake? Uh what time are you going to bed?
What time are you waking up? What's your chronoype? Are you a morning type, evening type?
Are you sleeping in harmony with your chronoype or against your chronoype? um are you getting daylight in the morning? Are you getting too much daylight at, uh, light at night?
Artificial light at night? Do you exercise? And so we change behaviors and we change thought patterns.
And together, cognitive behavioral therapy for insomnia is just as effective as sleeping pills in the short term. But what's great is that when you stop working with that clinician, um, or your online, uh, program and I should say that I, um, I'm, uh, work with a company, um, I'm an adviser to a company called Shuni, um, it's sh hu ni. io IO if people want to go and explore it and you can get cognitive behavioral therapy online there, but you work with your therapist and after about, uh, five or six sessions you can continue that benefit of improved sleep for up to 5 years the studies have demonstrated now, whereas with sleeping pills when you stop their use then not only do you go back to the bad sleep that you you were having you typically go back to even worse sleep.
It's called rebound insomnia. And now you have to go back onto the you so you become dependent. There is an addiction dependency cycle.
So that's really what CBTI is. And that's really the best approach for sleeping, uh, problems right now. All right.
So I have two sleeping problems. One is that there are times where I will get, um, either really stressed or I'll get really excited and I have a very easy time falling asleep, but then I'll wake up after 3 or 4 hours and I find it very difficult to fall back asleep and then the second part just so I don't forget is sleep inertia in the morning. But what can I do to, um, optimize for staying asleep?
Yes. So there it's a case of trying to deal with that sort of downgrade the activation of the nervous system. The reason that people typically wake up, uh, in the middle of the night and can't get back to sleep, not always but often is because they have this sort of stress relie biologically is the principal mechanism that we think underlies most insomnia.
And what happens in part is that the fightor-flight branch of the nervous system becomes overactive. And that's exactly why does it shut down? Like I find it so easy to fall asleep, but I can tell on the nights where I'm going to wake up.
It just seems weird, but then my subconscious mind kicks it back alive. Yeah. Why?
Why would it be that way? And the reason is because after about 16 hours of wakefulness, you've built up a lot of that healthy sleepiness, what we call sleep pressure. And the longer that you're awake, the more of that sleep pressure builds up.
And it's a chemical that builds up in the brain called adenosine. And then when we go into sleep, it's the time when the brain can actually start to clear out that adenosine. And it's so it starts to lower the sleep pressure.
And after about 8 hours of sleep, you've cleared away 16 hours of that adenosine, of that sleepiness. And so you wake up naturally and you feel refreshed and restored. But what will happen is that you can be stressed and sort of or excited, but the sleepiness, the weight of sleepiness pulling you down is so heavy at that point that you can get to sleep.
But then 3 or 4 hours later, you've jettisoned maybe 50% of all of that adenosine, maybe even more because it principally happens during deep sleep. And so now your brain is much more vulnerable to those awakenings because it doesn't have the weight of that sleepiness. Does that make some sense?
It makes total sense and it makes me want to punch myself back to sleep. It's so obnoxious. Well, because the the benefits or or I should say the the damage that you do by not getting sleep is so terrifying that I'm every time I wake up I'm like come on.
Like you know how much better you will perform if you just sleep. And I am not one of those guys that's like hey you got to grind in 4 hours sleep. I'm like, if I need 9 hours of sleep, I want to get 9 hours of sleep every single night forever until the end of time.
So, it's just always supernous. If you're hoisting that flag, I will salute it. And I definitely, you know, not everyone, but certainly in the type A sort of particularly business culture, maybe there is this sort of sleep machismo attitude where people were there, lack of sleep like a badge of honor.
Um, but you're right, it's it's foolhardy for a number of reasons. But let me come back to that issue of of you know beating ourselves up because we need to have some degree of self-compassion when it comes to sleep. You know I am not invulnerable to sleep problems myself.
I've had bouts of insomnia throughout my life to be completely transparent and open with you. Um and everyone every one of us is going to have a bad night of sleep. It's not unusual.
Don't worry. Don't stress. You know, back when I was starting to write the book, it took me about 4 years to write it in 2014.
You know, sleep was sort of the neglected stepsister in the health conversation of that time. And I was so saddened by the sickness and the disease and the suffering that was happening because of a lack of sleep. You know, I came out, you know, all guns blazing.
And I think that that was important. But for those people who were struggling with sleep, those people who had sleep problems with insomnia, you know, the book kind of felt almost as though it was, you know, sleep or else dot dot dot. Um, and I didn't mean it to be that way.
So, I want to say right now because I've I've learned to soften and become a much better appreciator of these conditions just like you described. If you wake up and you can't get back to sleep, don't worry. Just realize tonight is not my night.
It's not the end of the world. I'm still going to be able to function somewhat tomorrow. Don't stay in bed awake for too long, though.
That's the important message here because really I'm super curious to see what you think about this because I know where you're going, right? Yeah. You're training yourself that being in bed is is being awake is okay while you're in bed.
So that's right. I used to get up and whether I slept for two hours, three hours, whatever, if I couldn't fall back asleep in like 15 minutes, I'd get out of bed and I would go to work and start doing my thing and then I would go lay back down and sleep. And sometimes I'd fall asleep for, you know, two or three more hours.
But the number of times I would wake up with a headache after that was just too much. So was way frustrated and I'm like, "All right, there's got to be something else. " So what I found is if I put an audio book on, dude, I will be back asleep in like 10 or 15 minutes.
It's crazy. And the only thing that wakes me up is the fact that I have headphones in my ears or if they start yelling in the book or something like that, which always pisses me off. Uh, but it puts me back to sleep so reliably, it's crazy.
That's great. That's exactly what we recommend. So, don't go to work.
Don't start checking emails. Don't eat because it trains the brain to expect food, but instead in a dim room somewhere different. So, you change the context.
So, you're changing the learned association. Just read a book, listen to an audio book, um, meditate in dim light. All of these things are great.
Find out whatever works for you. And then only when you're sleepy do you return to bed.