Sleeping pills should be a last resort; effective sleep improvement begins with changing daily habits such as limiting caffeine intake, avoiding evening fluids, reducing screen time before bed, maintaining consistent sleep schedules, and keeping a sleep diary to track progress.
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[music] [music] >> Step one.
>> Emma, what brings you in today?
>> I can't sleep well. I haven't had a good night's sleep in months.
>> What symptoms are you experiencing?
>> I keep waking up at night and I never feel rested in the morning. So, I'd like a prescription for sleeping pills.
>> Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
>> Yes, almost every time.
>> Do you drink coffee?
>> Two cups a day, one at work and one after lunch.
>> What about tea or water at night?
>> I have a cup of tea at night. I heard it helps with sleep.
>> Do you use your phone or watch TV in bed?
>> I scroll on my phone for a while, about 30 minutes, sometimes an hour.
>> Do you go to bed at the same time every night?
>> No, it changes every day. 11, midnight, 1.
>> Okay, I think I see the problem.
>> What is it?
>> First, the lunch coffee. Caffeine stays in your body longer than you think. The evening tea is probably why you're waking up to use the bathroom.
Your phone is also a problem. The blue light keeps your brain awake.
And different bedtimes confuse your body's internal clock.
>> So, what should I do?
>> Sleeping pills are a last resort.
Changing your habits comes first. Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
>> A book? Not an exciting one, I guess.
>> Exactly. And keep a sleep diary every day.
>> A sleep diary?
>> Yes. Note your bedtime, wake up time, how often you woke up, and how rested you felt. Also, note whether you followed my advice.
>> Okay. I'll do my best.
>> Try this for 2 weeks, then let's meet again.
>> Step two.
>> Emma, what brings you in today?
>> I can't sleep well. I haven't had a good night's sleep in months.
>> What symptoms are you experiencing?
>> I keep waking up at night, and I never feel rested in the morning. So, I'd like a prescription for sleeping pills.
>> Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
>> Yes, almost every time.
>> Do you drink coffee?
>> Two cups a day. One at work, and one after lunch.
>> What about tea or water at night?
>> I have a cup of tea at night. I heard it helps with sleep.
>> Do you use your phone or watch TV in bed?
>> I scroll on my phone for a while, about 30 minutes, sometimes an hour.
>> Do you go to bed at the same time every night?
>> No, it changes every day. 11, midnight, 1.
>> Okay, I think I see the problem.
>> What is it?
>> First, the lunch coffee. Caffeine stays in your body longer than you think. The evening tea is probably why you're waking up to use the bathroom.
Your phone is also a problem. The blue light keeps your brain awake.
And different bedtimes confuse your body's internal clock.
>> So, what should I do?
>> Sleeping pills are a last resort.
Changing your habits comes first. Only one coffee in the morning. No tea, no water 2 hours before bed.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
>> A book? Not an exciting one, I guess.
>> Exactly. And keep a sleep diary every day.
>> A sleep diary?
>> Yes. Note your bedtime, wake-up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
>> Okay. I'll do my best.
>> Try this for 2 weeks, then let's meet again.
>> Step three.
>> Emma, what brings you in today?
Emma, what brings you in today?
Emma, what brings you in today?
Emma, what brings you in today?
Emma, what brings you in today?
Emma, what brings you in today?
Emma, what brings you in today?
Emma, what brings you in today?
>> I can't sleep well. I haven't had a good night's sleep in months.
I can't sleep well. I haven't had a good night's sleep in months.
I can't sleep well. I haven't had a good night's sleep in months.
I can't sleep well. I haven't had a good night's sleep in months.
I can't sleep well. I haven't had a good night's sleep in months.
I can't sleep well. I haven't had a good night's sleep in months.
I can't sleep well. I haven't had a good night's sleep in months.
I can't sleep well. I haven't had a good night's sleep in months.
>> What symptoms are you experiencing?
What symptoms are you experiencing?
What symptoms are you experiencing?
What symptoms are you experiencing?
What symptoms are you experiencing?
What symptoms are you experiencing?
What symptoms are you experiencing?
What symptoms are you experiencing?
>> I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
>> Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
>> Yes, almost every time.
Yes, almost every time.
Yes, almost every time.
Yes, almost every time.
>> Do you drink coffee?
Do you drink coffee?
Do you drink coffee?
Do you drink coffee?
>> Two cups a day, one at work and one after lunch.
Two cups a day, one at work and one after lunch.
Two cups a day, one at work and one after lunch.
Two cups a day, one at work and one after lunch.
Two cups a day, one at work and one after lunch.
Two cups a day, one at work and one after lunch.
Two cups a day, one at work and one after lunch.
Two cups a day, one at work and one after lunch.
>> What about tea or water at night?
What about tea or water at night?
What about tea or water at night?
What about tea or water at night?
What about tea or water at night?
What about tea or water at night?
What about tea or water at night?
What about tea or water at night?
>> I have a cup of tea at night. I heard it helps with sleep.
I have a cup of tea at night. I heard it helps with sleep.
I have a cup of tea at night. I heard it helps with sleep.
I have a cup of tea at night. I heard it helps with sleep.
I have a cup of tea at night. I heard it helps with sleep.
I have a cup of tea at night. I heard it helps with sleep.
I have a cup of tea at night. I heard it helps with sleep.
I have a cup of tea at night. I heard it helps with sleep.
>> Do you use your phone or watch TV in bed?
Do you use your phone or watch TV in bed?
Do you use your phone or watch TV in bed?
Do you use your phone or watch TV in bed?
Do you use your phone or watch TV in bed?
Do you use your phone or watch TV in bed?
Do you use your phone or watch TV in bed?
Do you use your phone or watch TV in bed?
>> I scroll on my phone for a while, about 30 minutes, sometimes an hour.
I scroll on my phone for a while, about 30 minutes, sometimes an hour.
I scroll on my phone for a while, about 30 minutes, sometimes an hour.
I scroll on my phone for a while, about 30 minutes, sometimes an hour.
I scroll on my phone for a while, about 30 minutes, sometimes an hour.
I scroll on my for a while, about 30 minutes, sometimes an hour.
I scroll on my phone for a while, about 30 minutes, sometimes an hour.
I scroll on my phone for a while, about 30 minutes, sometimes an hour.
>> Do you go to bed at the same time every night?
Do you go to bed at the same time every night?
Do you go to bed at the same time every night?
Do you go to bed at the same time every night?
Do you go to bed at the same time every night?
Do you go to bed at the same time every night?
Do you go to bed at the same time every night?
Do you go to bed at the same time every night?
>> No, it changes every day. 11:00, midnight, 1:00.
No, it changes every day. 11:00, midnight, 1:00.
No, it changes every day. 11:00, midnight, 1:00.
No, it changes every day. 11:00, midnight, 1:00.
No, it changes every day. 11:00, midnight, 1:00.
No, it changes every day. 11:00, midnight, 1:00.
No, it changes every day. 11:00, midnight, 1:00.
No, it changes every day. 11:00, midnight, 1:00.
>> Okay, I think I see the problem.
Okay, I think I see the problem.
Okay, I think I see the problem.
Okay, I think I see the problem.
Okay, I think I see the problem.
Okay, I think I see the problem.
Okay, I think I see the problem.
Okay, I think I see the problem.
>> What is it?
What is it?
>> First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
The evening tea is probably why you're waking up to use the bathroom.
The evening tea is probably why you're waking up to use the bathroom.
The evening tea is probably why you're waking up to use the bathroom.
The evening tea is probably why you're waking up to use the bathroom.
The evening tea is probably why you're waking up to use the bathroom.
The evening tea is probably why you're waking up to use the bathroom.
The evening tea is probably why you're waking up to use the bathroom.
The evening tea is probably why you're waking up to use the bathroom.
Your phone is also a problem. The blue light keeps your brain awake.
Your phone is also a problem. The blue light keeps your brain awake.
Your phone is also a problem. The blue light keeps your brain awake.
Your phone is also a problem. The blue light keeps your brain awake.
Your phone is also a problem. The blue light keeps your brain awake.
Your phone is also a problem. The blue light keeps your brain awake.
Your phone is also a problem. The blue light keeps your brain awake.
Your phone is also a problem. The blue light keeps your brain awake.
And different bedtimes confuse your body's internal clock.
And different bedtimes confuse your body's internal clock.
And different bedtimes confuse your body's internal clock.
And different bedtimes confuse your body's internal clock.
And different bedtimes confuse your body's internal clock.
And different bedtimes confuse your body's internal clock.
And different bedtimes confuse your body's internal clock.
And different bedtimes confuse your body's internal clock.
>> So, what should I do?
So, what should I do?
So, what should I do?
So, what should I do?
>> Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
Turn off your phone and TV an hour before bed. Keep a book by your bed if you want to read.
>> A book? Not an exciting one, I guess.
A book? Not an exciting one, I guess.
A book? Not an exciting one, I guess.
A book? Not an exciting one, I guess.
A book? Not an exciting one, I guess.
A book? Not an exciting one, I guess.
A book? Not an exciting one, I guess.
A book? Not an exciting one, I guess.
>> Exactly. And keep a sleep diary every day.
Exactly. And keep a sleep diary every day.
Exactly. And keep a sleep diary every day.
Exactly. And keep a sleep diary every day.
Exactly. And keep a sleep diary every day.
Exactly. And keep a sleep diary every day.
Exactly. And keep a sleep diary every day.
Exactly. And keep a sleep diary every day.
>> A sleep diary?
A sleep diary?
>> Yes. Note your bedtime, wake up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
Yes, note your bedtime, wake up time, how often you woke up, and how rested you felt. Also, note whether you followed my advice.
Yes, note your bedtime, wake up time, how often you woke up, and how rested you felt. Also, note whether you followed my advice.
Yes, note your bedtime, wake up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
Yes, note your bedtime, wake up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
Yes, note your bedtime, wake up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
Yes, note your bedtime, wake up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
Yes, note your bedtime, wake up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
>> Okay, I'll do my best.
Okay, I'll do my best.
Okay, I'll do my best.
Okay, I'll do my best.
>> Try this for 2 weeks, then let's meet again.
Try this for 2 weeks, then let's meet again.
Try this for 2 weeks, then let's meet again.
Try this for 2 weeks, then let's meet again.
Try this for 2 weeks, then let's meet again.
Try this for 2 weeks. Then, let's meet again.
Try this for 2 weeks. Then, let's meet again.
Try this for 2 weeks. Then, let's meet again.
>> Step four.
>> Emma, what brings you in today?
Emma, what brings you in today?
>> I keep waking up at night, and I never feel rested in the morning.
I keep waking up at night, and I never feel rested in the morning.
So, I'd like a prescription for sleeping pills.
So, I'd like a prescription for sleeping pills.
>> First, the lunch coffee. Caffeine stays in your body longer than you think.
First, the lunch coffee. Caffeine stays in your body longer than you think.
Sleeping pills are a last resort.
Changing your habits comes first.
Sleeping pills are a last resort.
Changing your habits comes first.
>> Step five.
>> Emma, what brings you in today?
>> I can't sleep well. I haven't had a good night's sleep in months.
>> What symptoms are you experiencing?
>> I keep waking up at night and I never feel rested in the morning. So, I'd like a prescription for sleeping pills.
>> Before I prescribe anything, let me ask a few questions. Do you use the bathroom when you wake up?
>> Yes, almost every time.
>> Do you drink coffee?
>> Two cups a day, one at work and one after lunch.
>> What about tea or water at night?
>> I have a cup of tea at night. I heard it helps with sleep.
>> Do you use your phone or watch TV in bed?
>> I scroll on my phone for a while, about 30 minutes, sometimes an hour.
>> Do you go to bed at the same time every night?
>> No, it changes every day. 11, midnight, 1.
>> Okay, I think I see the problem.
>> What is it?
>> First, the lunch coffee. Caffeine stays in your body longer than you think. The evening tea is probably why you're waking up to use the bathroom.
Your phone is also a problem. The blue light keeps your brain awake.
And different bedtimes confuse your body's internal clock.
>> So, what should I do?
>> Sleeping pills are a last resort.
Changing your habits comes first. Only one coffee in the morning. No evening tea. No water 2 hours before bed.
Turn off your phone an hour before bed.
Keep a book by your bed if you want to read.
>> A book? Not an exciting one, I guess.
>> Exactly. And keep a sleep diary every day.
>> A sleep diary?
>> Yes. Note your bedtime, wake up time, how often you woke up, and how rested you felt.
Also, note whether you followed my advice.
>> Okay, I'll do my best.
>> Try this for 2 weeks, then let's meet again.
>> [music]
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