The Too Stressed Can’t Sleep Blues

The Too Stressed Can’t Sleep Blues

Go, Go, Go, and did I mention Go.  Does this feel like your life – a constant bombardment of job stress, family stress, and environmental stress?  And then you lie down at night, and that deep restful sleep you long for struggles to come.  (Boo!)  Well you are most certainly not alone.  According to a survey from the Better Sleep Council, half of Americans (48%) say they don’t get enough sleep, and less than half of them take any one specific action to help them get better sleep.(1)

Sleep, like the whole of the human body, is complex, and many things may be involved in your inability to get a good night sleep, but for the overworked and stressed out, there is a good chance cortisol is part of the problem.  Cortisol is the hormone that governs your hunger cravings, digestion, blood pressure, sleep/wake patterns, a capacity to cope with stress.   It is produced in the adrenal glands and helps manage glucose levels in the body.(2)  It responds when the fight or flight part of our brain is triggered by stress.  This is an ideal response if you are being chased by a bear, but not when our phone pings at us that we have a message waiting or when we see that escalating pile of laundry in the corner.  But this is what is happening without us even realizing it and it is affecting our sleep and our health.

I started struggling with sleep when I went back to school for acupuncture (oops ;-p) These are some recommendations that I find work for me:

 The Sleep Supplement Regimen

Ashwagandha

The powerful Ayurvedic herb- Ashwagandha, often referred to as “indian ginseng” because of its many restorative benefits, has been shown to boost the immune system, modulate blood sugar, and lower cortisol levels, helping you stay stable through the day.  Ashwagandha is an adaptogenic herb.  Adaptogens not only increase the resistance to the adverse effects of long-term stress yet the majority are also a tonic, immune-stimulating and increase general sense of well-being.

Tart Cherry Juice

Multiple clinical studies have shown tart montmorency cherry juice to have a positive effect on sleep, helping you fall asleep quicker and stay asleep longer. (3)(4)  Tart cherry juice increases melatonin, which can help improve sleep quality immediately, and also improve how your body uses tryptophan, which has been shown to help people fall asleep and stay asleep. 

I recommend starting out with 1 tablespoon and ramping up to 2 if needed.  Tart Cherry Juice might not be the easiest to find on the grocery store shelves, but many stores do carry it and it is well worth asking the store clerk about.  My sleeping life changed when I found tart cherry juice. 

Magnesium and Calcium

Magnesium is a critical mineral responsible for over 300 enzyme reactions in the body. You must have it for your cells to make energy, for many different chemical pumps to work, to stabilize membranes, and to help muscles relax.  Magnesium is a relaxing mineral, helping all forms of tension-  Tense nerves, tense bowels, and tense muscles.

Calcium plays an important role in cell signaling, helping to induce normal muscle contraction and conduct of nerve impulses.  Magnesium and calcium are both sleep boosters, and when taken together they become even more effective. (5)

 What Else Can you Try?

Ditch the alcohol

It may help you fall asleep, but doesn’t assure a quality rest.  As alcohol metabolizes during the night, sleep becomes fragmented and deep sleep decreases.  Try having your nightcap at happy hour at least 3 hours before hitting the pillow. (6)

Acupuncture

Acupuncture modulates the hormone system through its effect on the hypothalamus, and stimulates the ‘rest and digest’ part of the brain.  A pilot study of acupuncture, three times a week for twelve weeks, showed a decrease in urinary cortisol levels, improved sleep and quality of life for menopausal women. (7)

by Sarah Edwards, L.Ac. 

Resources:

(1)https://bettersleep.org/research/sleep-surveys/survey-americans-ignoring-better-sleep-advice

(2)Gottfried, Sara, MD.  The Hormone Cure. Chapter 4.

(3) Effects of a tart cherry juice beverage on the sleep of older adults with insomnia: a pilot study. Pigeon WR, Carr M, Gorman C, Perlis ML. J Med Food. 2010 Jun;13(3):579-83.

(4) Effect of tart cherry juice (Prunus cerasus) on melatonin levels and enhanced sleep quality. Howatson G, Bell PG, Tallent J, Middleton B, McHugh MP, Ellis J. Eur J Nutr. 2012 Dec;51(8):909-16

(5) http://articles.mercola.com/sites/articles/archive/2009/01/06/8-natural-remedies-that-may-help-you-sleep.aspx

(6) https://health.clevelandclinic.org/2014/12/why-you-should-limit-alcohol-before-bed-for-better-sleep/

(7)A pilot randomized, single-blind, placebo-controlled trial of traditional acupuncture for vasomotor symptoms and mechanistic pathways of menopause. Painovich JM, Shufelt CL, Azziz R, Yang Y, Goodarzi MO, Braunstein GD, Karlan BY, Stewart PM, Merz CN. Menopause. 2012 Jan;19(1):54-61. doi: 10.1097/gme.0b013e31821f9171.

The Too Stressed Can’t Sleep Blues

Acupuncture and Other Healthy Ways to Conquer Stress and Anxiety

Stress and Modern Living

As many of us juggle work, family, and personal obligations, stress becomes commonly accepted as a factor of day to day life.  Any time we spend dealing with demanding or adverse circumstances, we enter a state of mental, emotional, and/or physical strain.  When we are healthy and the stress is short-lived, we are usually able to recover from stressful situations relatively unscathed. However, if stress and anxiety are prolonged and/or coupled with other emotional or physical disruptions, they begin to have serious consequences on our overall well-being.

Stress served as an important survival trait during our hunter gatherer days. It affects the sympathetic nervous system, which initiates the instinctive “fight or flight” response when we are met with a dangerous or stressful situation. On a physical level, this response causes some dramatic temporary physical changes, such as increased heart rate, increased blood circulation, increased oxygen intake, dilation of pupils, and shutdown of digestive functions – all designed to enable us to either flee or combat a perceived danger for survival.

Unfortunately, this response by our sympathetic nervous system does not fit as well into modern living, where most of our stressful situations are met at home or at work. Unlike in our cave-dwelling days, stressful situations tend to be more long-term and cannot usually be resolved by fleeing or fighting. As a result, levels of cortisol, the body’s natural stress hormone, become elevated, resulting in high blood pressure, increased abdominal fat, increased blood sugar, lowered immune function, and decreased cognitive performance. Over time, this can cause long-term disruptions to our physical and mental health such as fatigue, depression, digestive issues, sleep problems, weight gain, fertility issues, headaches, and other pain problems.  Emotionally, the body reacts to stress with feelings of anxiety, uneasiness, and nervousness.

Acupuncture for Stress and Anxiety

In Traditional Chinese Medicine, physical and emotional imbalances are closely linked in the sense that one type of imbalance can cause or exacerbate the other. Prolonged disruptive emotions like stress and anxiety cause obstructions in the natural flow of energy in the body, which can cause pain and illness. For example, chronic stress often manifests itself with muscle tension and pain in the upper back and neck, often also leading to headaches. Physical pain often leads to even more anxiety, resulting in a perpetuating cycle of imbalance.

Acupuncture combats stress by breaking this cycle of imbalance. It does this by freeing up the obstructions in the flow of energy and thereby restoring natural balance to the body. This not only helps to alleviate the physical manifestations of stress, such as pain, digestive disorders, and sleep issues, but it also directly combats the emotional strain that stress brings.  In our practice, patients often feel a sense of calm and well-being immediately even after the first session.  Many report sleeping more deeply and restfully than they have in a long time.

From a scientific perspective, acupuncture helps to alleviate stress by causing the body’s nervous system to release natural chemicals, such as serotonin and endorphins, in the brain and body. These chemicals act as pain-killers and relaxants, which have a calming effect on the body. The calming effect of acupuncture decreases heart rate, lowers blood pressure and relaxes the muscles, thus alleviating many of they physical issues associated with stress. Acupuncture stimulates the parasympathetic nervous system, which can be viewed as the opposite of the part of the nervous system that initiates the “fight or flight” response.  In fact, people often feel an almost immediate decrease in stress and anxiety when receiving acupuncture as their nervous system goes into parasympathetic, or “calm and connect”, mode.

Other Healthy Ways to Reduce Stress and Anxiety

In addition to acupuncture, there are many other natural and healthy ways to combat stress.  Listed below are some of our favorite ways to manage stress and decrease anxiety.

Moderate Exercise – Moderate amounts of exercise can increase the body’s feel-good hormones, like endorphins.  This can bring about a greater sense of calm, well-being, and self confidence.  Exercise can also improve your sleep, which not only decreases stress and anxiety, but also boosts overall health.  Some particularly great stress busting forms of exercise are yoga, pilates, tai-chi, weight training, and dancing.  Be careful about getting too much of a good thing, however.  Over exercising can be counterproductive. Frequently exercising to the point of exhaustion or pain can put increased stress on the body, and cause the body to release more stress hormones, like cortisol.

Deep Abdominal Breathing – Deep abdominal breathing, also known as diaphragmatic breathing, can be a quick and easy way to reduce feelings of stress and anxiety by stimulating the parasympathetic nervous system, or “calm and connect” response.  Do this breathing by inhaling deeply and slowly through the nose into the lower abdomen and exhaling slowly through the mouth.  The belly should rise on the inhalation and collapse on the exhalation. This can decrease heart rate, lower blood pressure, and help bring about a sense of calmness.  Deep abdominal breathing can be combined with meditation for even greater relaxation.

Meditation – Meditation, especially when practiced regularly, can help reduce stress and anxiety by bringing about a sense of peacefulness and balance.  When meditating, try to clear the mind of clutter by focusing on nature sounds, soft music, a soothing voice (guided meditation), or nothing at all.  By taking a break from the information overload that we experience on a daily basis, meditation can help bring more clarity, self-awareness, and reduction in negative thoughts.  Those who do not have much experience with meditation often find it helpful to start by listening to a voice that guides them through a meditation.  Our favorite guided meditation apps include Head Space and Calm.

Dietary Changes – Certain foods can boost calming brain chemicals, like serotonin, and help lower blood pressure.  On the other hand, others can increase stress hormones, like adrenaline and cortisol, and increase blood pressure.  Sometimes, simple dietary modifications can have a significant impact on stress and anxiety levels.  Examples of stress busting foods include whole grains, foods rich in healthy fats (almonds, cashews, avocados, wild salmon), and foods rich in magnesium (spinach and other leafy greens).  Foods to be avoided include foods containing processed sugar (cookies, cakes, ice cream), excessive caffeine, excessive alcohol, and simple carbs (french fries, chips, sweets).

Massage – Like exercise and acupuncture, massage can help the body release endorphins, which can initiate a sense of well-being and relaxation.  It can also increase blood circulation and relax the muscles.  This can in turn reduce pain, lower blood pressure, and decrease heart rate.

 

by Angie Ng, L.Ac.