Key points
- Not sleeping enough or sleeping too much can affect our mental health.
- On average, adults need 7-9 hours of sleep whereas children need 9-13 hours per night.
- There are various ways to help improve your sleep, including sleep hygiene (e.g. establishing a routine, avoiding caffeine and rigorous exercise before bed), medications, and self-help based on Cognitive Behavioural Therapy.
How does sleep relate to our mental health?
Feeling stressed or worried can make getting enough good quality sleep more difficult. The resulting tiredness can then make it more difficult to cope with daily life. Not coping can make us feel more anxious and low in mood, which in turns make it harder to sleep.
Alternatively, we may sleep more when we are feeling low and this means we miss out on meaningful activities we enjoy and makes it harder to cope with chores and responsibilities. You might become isolated as the sense of a lack of energy might put you off socializing.
You might:
- Find it tricky to fall asleep, stay asleep or wake up early
- Have sleep that’s disturbed e.g. by nightmares
- Find it difficult to wake or get up
- Often feel tired
- Sleep a lot
Did you know?
Everyone needs different amounts of sleep. On average, adults need 7-9 hours of sleep whereas children need 9-13 hours per night.
Sometimes it feels like we haven’t slept when we have, but if you’re constantly tired during the day then you might not be getting enough and it’s worth trying out some of the tips below and/or speaking to a medical professional. If you’re sleeping much more than the average, it’s also worth speaking to a medical professional.
If you have concerns around your sleep, please speak to your GP – they may prescribe you some medication to help with this.
What might help?
Different things can work for different people at different times, so try these out and see what you think. There’s more info on each tip here: Tips to improve your sleep – Mind
- Try to establish a routine.
- Relax before you try to sleep, for example by having a warm bath or shower. Here are some suggestions of relaxation exercises from Mind: Relaxation exercises – Mind.
- Try meditating e.g. using the Headspace app https://www.headspace.com/headspace-meditation-app or finding a course at https://www.oxfordmindfulness.org/.
- Write down your thoughts as a way to let them go.
- Make your sleeping area more comfortable, and if you can separate it from other activities (such as work)
- Think about screen time and device settings.
- Take care of yourself.
- Find support for connected issues e.g. things that are worrying you.
- You could try keeping a sleep diary and discussing it with your keyworker – this will help you notice any patterns and give you ideas for what you could change. Here’s a template for under 18s: https://www.oxfordhealth.nhs.uk/camhs/self-care/sleep/why-sleep-matters/diary/. Here’s a template for adults: https://thesleepcharity.org.uk/information-support/adults/sleep-diary/.
- Cognitive Behavioural Therapy can be used to help improve sleep. Here’s a self-help guide based on this approach that you can try: https://www.nhsinform.scot/illnesses-and-conditions/mental-health/mental-health-self-help-guides/sleep-problems-and-insomnia-self-help-guide/.
Reflection questions
- What do you find challenging about getting enough good quality sleep?
- Are you doing any of the suggested things already? Which ones? How much and when do they help?
- Is there anything you’d like to try out? For how long? How will you know if it’s been helpful? What support do you need to do this?
Resources
The info in this section is based on resources produced by the charity Mind: Sleep and mental health – Mind
- The hearing voices network have produced some suggestions for getting better sleep for voice hearers: https://www.hearing-voices.org/resources/free-downloads/
- Every Minds Matters tips on sleeping better: Fall asleep faster and sleep better – Every Mind Matters – NHS (www.nhs.uk). You can fill in their quick quiz to get your free plan on how to deal with stress, anxiety, improve your sleep, boost your mood and feel more in control: https://www.nhs.uk/every-mind-matters/mental-health-issues/sleep/#quiz.
- Here are some NHS-approved apps to help with sleep: Apps to Help You Sleep – NHS Recommended Sleep Apps (Free & Paid) (livi.co.uk)
- Tips for 11-18 year olds on improving your sleep – Mind
- https://www.nhs.uk/conditions/insomnia/