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The Secret To A Good Nights Sleep with Stephanie Romiszewski | E64

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The Secret To A Good Nights Sleep with Stephanie Romiszewski | E64

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1866 segments

0:00

They just don't have the education. So

0:01

our own doctors do not have enough

0:03

education is something that we do a

0:04

third of our lives. If you are waking up

0:06

in the middle of the night and it's been

0:07

happen to you over and over again to

0:10

resolve the habit, you're going to have

0:11

to

0:13

[Music]

0:19

sleep. It's a thing that we all do every

0:21

day, but for some reason in our society,

0:23

it's still a little bit of a mystery.

0:25

How many hours should we be sleeping?

0:27

What is sleep debt? Is there a perfect

0:30

sleep routine? Should I wake up at a

0:32

certain time? Why do I get sleep

0:33

paralysis, insomnia? Why do I have these

0:36

dreams? My next guest, Stephanie

0:39

Ramoski, worked with NASA and Harvard

0:41

Medical School to understand these

0:44

questions. Stephanie currently works as

0:46

a sleep physiologist, helping people

0:48

cure and understand their insomnia and

0:50

sleep disorders. So, without further

0:52

ado, my name is Steven Bartlett and this

0:54

is the Diary of a CEO. I hope nobody is

0:56

listening, but if you are, then please

0:58

keep this to yourself.

1:01

[Music]

1:07

Stephanie,

1:08

the first question I wanted to ask you,

1:10

and I've got millions and millions of

1:12

questions to ask you because this is a a

1:14

topic which I, as I said before we

1:16

started chatting on air, um has really

1:20

piqu an interest over the last three

1:21

years. I've never had so many of my

1:23

friends in my sort of close circle ask

1:25

me questions about sleep, send me

1:27

articles about sleep. And I don't know

1:29

what's happened, but as a nation and as

1:31

a as a species, I think we've got really

1:33

really curious about this idea of sleep

1:35

and also its importance. The first

1:36

question I wanted to ask you was how

1:39

important sleep is. But I think a better

1:41

way to understand that and the answer is

1:44

to actually look at the consequences

1:47

you've seen in your line of work um for

1:50

people that have bad sleep or that have

1:54

insomnia. Um so could you speak to that

1:56

a little bit?

1:57

I can. That's a big big question. Um,

2:01

what I have seen over the last 16 years

2:04

of my career is not people coming in

2:06

dying because they aren't sleeping or uh

2:10

with really really significant

2:11

illnesses. I've seen people very

2:14

anxious, very stressed, very low because

2:16

their sleep is poor and they are

2:18

extremely worried about it. And I've

2:21

seen people who are, you know, at the

2:23

top of their game and doing really well

2:25

in life but are completely crippled by

2:28

these sleep problems. But it is the fear

2:31

of bad things, worse things happening to

2:33

them that is keeping them as stressed

2:35

and upset as they are. So it's quite

2:38

interesting because I think the the

2:40

things that bring people to me to get

2:42

their sleep treated are exactly that

2:46

that fear is actually what I'm trying to

2:48

alleviate rather than um fixing their

2:51

sleep because I think they're going to

2:52

get so sick that something terrible is

2:53

going to happen to them.

2:54

Um so it's a really interesting question

2:56

to ask. How does sleep affect us? The

2:59

reality is we actually we or why do we

3:02

sleep? We don't know actually why we

3:05

sleep. We know what happens when we

3:06

don't sleep. But I think we're getting

3:09

very very confused between those of us

3:11

that struggle with sleep and those that

3:14

are actively depriving themselves of

3:16

sleep like the CEO who says, "I'll sleep

3:19

when I'm dead," for example.

3:20

Sure. Um, but you know, those of us who

3:23

are actively trying to sleep when we

3:26

can't and we will do anything and we we

3:28

we make our sleep opportunities larger

3:31

and we still can't get sleep. We're not

3:33

depriving ourselves of sleep. We're

3:35

doing anything we can to get sleep. So,

3:37

I I worry about the amounts out there

3:41

about sleep at the moment and the way

3:43

that it's the information is being

3:44

disseminated because I think that's

3:46

where we're going a bit wrong and all

3:48

the tracking of sleep and all the tech

3:50

that comes out. I'm not saying it's it's

3:53

a bad thing. I'm just saying that it's

3:54

almost like we haven't quite caught up

3:56

with all the information that we have

3:59

and we can't cope with it quite the way

4:01

we need to. So you you speak about the

4:04

tech that we have now, Apple watches,

4:06

all these little, you know, smart

4:08

devices that are telling us how many

4:09

hours a day we're sleeping. And also,

4:11

there's, you know, books. There's

4:12

probably a couple books on the shelf

4:13

behind me about the perfect night's

4:15

sleep or the perfect morning routine or

4:17

the perfect time to wake up. Where is

4:18

the [ __ ]

4:20

Oh my god. Again, another massive

4:23

question. Um, there is so much of it.

4:25

It's it's all it's so nuanced. you're

4:28

going to have to ask me some specifics

4:29

because there is so much there that

4:32

actually is I mean well the first thing

4:35

the biggest thing I would say is you

4:37

know going to bed at exactly the same

4:38

time every night dictating your bedtime

4:41

is probably the worst piece of advice

4:43

I've ever heard and sends people off on

4:45

all sorts of different tangents which

4:47

does not help if anything it makes their

4:49

insomnia worse because they go to bed in

4:51

the dark not able to sleep getting more

4:54

anxious heart rate going up

4:56

what should they do instead

4:58

stay up until they're sleepy. Don't

4:59

worry about it. Enjoy yourself. Relax.

5:02

Do the things that you probably don't

5:03

get time to do because you're busy doing

5:05

all the other things during the day.

5:07

Is the problem I have with that

5:08

approach, which is the approach that I

5:10

think I've adopted maybe a little bit

5:11

too much or incorrectly is if I stayed

5:15

up doing the things that I want to do.

5:17

What happens is I'll stay up till 7 a.m.

5:19

just looking at YouTube videos and

5:20

learning about rockets and looking at

5:22

like stocks to invest in and stuff.

5:24

That's that's me to a tea. At some point

5:26

I have to put my laptop down and be like

5:27

Steve just you're going to feel awful

5:29

tomorrow if you carry on looking at this

5:30

investment fund that you think is

5:32

interesting.

5:32

Yeah absolutely to to a degree you can I

5:35

mean we can manipulate our bodies to do

5:36

anything in a lab I could manipulate

5:38

your body to sleep when I wanted it to

5:40

sleep. Um but that's taking away all the

5:43

environmental factors all the behavioral

5:44

factors of your life.

5:46

Um and what you're doing now you know

5:47

what it's not the end of the world. You

5:49

know you're obviously coping with it and

5:50

you're healthy. Um the problem is you

5:53

probably won't be able to sustain that

5:54

and unfortunately we are built in such a

5:56

way that kind of goes with the the light

5:59

dark cycles on this planet. Um and so to

6:02

a degree you are sort of going against

6:03

that and unfortunately we've got lots of

6:05

other we've got lots of research showing

6:07

that after a while you just can't do

6:08

that forever without implication.

6:11

Um so it's not I mean if you think about

6:14

it insomnia is just a different pattern

6:16

of sleep. You've just trained your brain

6:18

to sleep differently and you're still

6:20

surviving with it. It's just that most

6:22

of us don't like that because it's not

6:23

the rest of society in the way that

6:25

they're sleeping. Um, and our friends

6:27

are sleeping and and and it feels like

6:29

we're the only ones awake in the night.

6:31

I bet if you didn't have all those

6:32

things to do and you weren't the way you

6:34

were and you were up at night and

6:36

everybody else around you is asleep, it

6:38

would start to feel like a very lonely

6:40

um, anxious place. We're not very

6:41

rational at night. We're not really made

6:43

to think in the middle of the night. So,

6:45

we're not incredibly rational. So, I

6:47

don't think it's the end of the world

6:48

what you're doing. But at the same time,

6:50

put it this way, I treat a lot of

6:52

entrepreneurs when they've retired and

6:55

they're still fairly young but not in a

6:57

good place because they have not

7:00

followed anything that was fairly going

7:04

along with what our physiological

7:05

processes want to do. Our bodies are all

7:06

about regulation. We have clocks in

7:08

every cell in every part of our body.

7:11

Um, and they like regulation. They like

7:13

time. They like the timing of things to

7:15

be ready. um and and regular. And when

7:18

we keep changing those goalposts, it

7:20

might seem like we're being uber

7:21

flexible, but actually the reality the

7:24

reality is is that later on down the

7:26

line, you'll probably find that you

7:28

won't be able to cope with it as much.

7:30

And how how how does that manifest

7:32

itself for me? So

7:33

So for you, if you just carried on the

7:35

way you were, then unfortunately, yeah,

7:36

we probably would see that um maybe you

7:38

were getting less sleep than you needed.

7:40

Um it probably would be harder for you

7:43

maybe when you settled into a routine

7:45

where you were working at around the

7:47

same hours every day. Say you got a

7:49

certain kind of uh role that you had to

7:52

do which made you know you had to have a

7:54

certain schedule. You might find it

7:55

quite difficult after a while to stick

7:58

to that schedule. Um you might find that

8:01

you aren't able to sleep as much as you

8:03

want. The duration and the quality will

8:05

be impaired. And so you might start all

8:08

the research around sleep and and how

8:10

important it is for you. You might start

8:12

noticing things like your cognitive

8:14

abilities are less. So your memory,

8:16

things like that. Um your ability to uh

8:20

produce cytoines, so the proteins that

8:22

help us with um uh keeping ourselves

8:24

healthy and uh keeping uh inflammation

8:27

at bay and things like that, all those

8:29

kind of things will be reduced. your

8:30

healing. So when you go and weight

8:32

training or something like that or you

8:33

go to the gym and you want your muscles

8:35

to repair, they're not going to be able

8:36

to do that so well. And of course that

8:39

over time, short term, it's not a

8:41

problem. Over time, long term, that's

8:44

when we start worrying about more

8:46

significant illnesses and um disorders

8:49

that are happening as we get older. And

8:52

so that's why we see lots of research

8:53

showing that as we get older, maybe some

8:56

of these things like Alzheimer's might

8:59

be related to how we treated our sleep

9:00

when we were younger. However, I hate

9:03

it. I hate mentioning things like that

9:04

because I think it frightens people. And

9:07

the problem is with frightening people

9:08

is that they go into what they think is

9:10

most logical things to do. So, they

9:12

might go away after this podcast and

9:13

think, "Oh my god, I've just got to go

9:15

away and get my 8 hours because the rest

9:17

of the information is telling them out

9:19

there that they've got to get this 8

9:21

hours of sleep every night." Um, and of

9:23

course, they can't just get that. You

9:24

can't dictate to your body how it

9:26

sleeps. There is a process. It follows

9:29

it. And so, unfortunately, you can never

9:31

force yourself to sleep. You can force

9:32

yourself not to sleep. And that is

9:34

partly how you fix a sleep problem, but

9:36

you can never force yourself to sleep.

9:38

But you can induce anxiety and stress

9:40

and depression through that and lack of

9:43

sleep. So yeah,

9:45

in um well if you're an expert in this

9:48

field so you must as you kind of spoke

9:49

to there you must get pretty I can feel

9:52

it when you're speaking get pretty

9:53

pissed off when you see unhelpful

9:56

information um being pushed on I don't

9:58

know social media or online or through

9:59

books these sort of simplified

10:01

narratives. What are some of the most um

10:03

common misconceptions that you speak to

10:06

your patients about? You mentioned one

10:08

there about this like eight hours of

10:09

sleep being the optimal. Yeah. And even

10:11

when I put out on my Instagram earlier,

10:13

what are the key questions you want to

10:14

ask? Um I'm speaking to a sleep

10:16

therapist expert today. Um I'd say the

10:19

vast majority or at least the medium

10:21

question was uh do I need to get exactly

10:24

seven or eight hours sleep

10:26

every single night? Um yeah, so that is

10:28

definitely the biggest one we get. Um

10:30

you do not that perfection is the enemy

10:32

of the good. Have you ever heard that

10:34

term? Because at the end of the day it's

10:35

true. Yes, your body loves consistency

10:38

and regulation, but that does not mean

10:40

you have to get 8 hours of sleep every

10:42

night. Think about it differently. Think

10:44

about it over a month, for example. We

10:46

love this idea of the way the way we

10:48

look at time is slightly different to

10:50

the way your body looks at time. And

10:52

over a month, you might actually be all

10:54

right. So maybe one night you get six

10:56

and a half hours, the next night you get

10:58

seven and a half, and then the next

10:59

night you might get slightly different.

11:01

As long as it's fairly consistent and

11:02

maybe 80% of the time you're doing

11:04

fairly well and you're you're giving

11:06

yourself the right opportunity to sleep,

11:08

that's okay. Your body's going to do,

11:10

you know, it will do what it needs to

11:11

do. And and with that, a caveat to that

11:14

is this understanding of sleep debt. So,

11:16

we don't understand sleep debt properly.

11:18

People think it's an eye for an eye. I

11:20

lose 4 hours, I must gain 4 hours. Well,

11:22

what happens when your body being as

11:24

efficient as it is doesn't actually need

11:26

you to gain an extra 4 hours of sleep to

11:28

recover you? your expectation is that it

11:31

should. And when your expectation

11:32

doesn't get met, you get upset about it

11:34

and you change your behavior. And that's

11:37

when you start getting sleep problems.

11:38

When the reality is your brain is so

11:40

smart that even in the certain amount of

11:43

hours that you get normally at night, it

11:45

can recover you from that sleep

11:46

deprivation by just improving or

11:48

increasing the sleep stage that it

11:50

thinks you missed the most, for example.

11:52

But because we have a lack of education,

11:54

we believe we don't get some sleep, we

11:56

need to regain that sleep. And when we

11:58

don't regain that sleep, that's when the

12:00

anxieties and the stresses over not

12:01

sleeping start. So that's a big one, the

12:03

sleep debt one. The other one is this

12:05

idea that fatigue and sleepiness are the

12:07

same things. So yes, when we don't sleep

12:09

well, we get a lot of fatigue. So

12:11

fatigue is anything from feeling like

12:14

your body needs to rest to needing to

12:16

shut your eyes to pain to your brain

12:20

buzzing because you've been working so

12:22

hard for like 48 hours straight and you

12:24

don't know what to do with yourself. But

12:26

the only definition of sleepiness is the

12:28

ability to shut your eyes and within a

12:30

few minutes you're falling asleep. So if

12:32

you were saying to me right now, Steph,

12:33

I am so so sleepy. I'd probably say to

12:36

you, well, you don't look it

12:37

because right now you don't look tired

12:39

in the way that I would expect you to be

12:41

falling asleep. I mean, you wouldn't be

12:42

able to sit still. You you would be sort

12:45

of probably your eyes would be shutting

12:46

all the time, dozing off, having little

12:48

micro sleeps. That's sleepiness. And

12:51

that's what we should really be

12:52

understanding as a cue to sleep. So in

12:56

the evenings, if you're not feeling

12:57

that, then don't be don't be worried.

13:00

Give yourself permission to stay up

13:02

later because you can't dictate what

13:04

happens to you during the day. And there

13:06

are so many variables that affect your

13:07

sleep. You are never going to be able to

13:09

control of them. Having good sleep

13:11

hygiene. How many good sleepers do you

13:13

know have it? So good sleep hygiene is

13:15

all these things that we get told we

13:17

should do. So, the 10 top things that

13:18

you should do, have a warm bath, never

13:21

drink coffee ever again, um never have

13:23

alcohol, you know, all these things that

13:25

you're supposed to do. But if you look

13:27

at good sleepers, are they following all

13:28

those things? No, they're not. And

13:30

they're still sleeping really well. And

13:32

that's to show that most of the time

13:34

sleeping poorly comes down to brain

13:37

training and the patterns we get

13:39

ourselves into. you start going to bed

13:41

early, you might be able to get to sleep

13:43

earlier, but you're probably not going

13:44

to be able to uh have that sleep all the

13:47

way through the night because at some

13:49

point or another, your body's going to

13:50

be like, "Well, you've had enough now."

13:52

But your expectation is you should be

13:53

able to sleep till 7 and why didn't I

13:55

sleep till 7:00? Or if you lie in, you

13:57

keep changing the goalpost of your wake

13:59

up time, which is the most important

14:01

thing that you should be looking at, not

14:03

your bedtime. Um, if you keep changing

14:05

that goalpost, your body doesn't know

14:06

when to feed you. It doesn't know when

14:08

to make you feel alert because you

14:09

you've changed everything. And so, of

14:11

course, you're not going to be sleepy at

14:13

the right time in

14:14

the time you wake up is the the a much

14:17

more important time to be focused on.

14:19

Yes. The things your morning routine is

14:21

going to be way more important than your

14:23

evening routine when it comes to your

14:25

sleep at night. But be-c because people

14:27

see that as a far away time compared to

14:30

when you go to sleep, they don't really

14:32

focus on it. In fact, haven't we been

14:34

taught in this society that lying in is

14:36

a luxury? I can't believe that we have

14:38

made it okay at the weekend to lie in so

14:41

much, but during the week, one of the

14:43

only things that gets us up is work. It

14:46

makes absolutely no sense to me. I'm not

14:48

saying it's the worst thing in the

14:50

world. I'm not saying I never lie in,

14:52

but I don't use it as a compensatory

14:53

method for a bad night's sleep because

14:55

that's when you're going to get into

14:56

trouble

14:58

cuz that's kind of throwing your your

14:59

your schedule off. Is that what you're

15:02

saying? Yeah. So if you lie in on the

15:03

weekends and you're going to pay for it

15:05

at some other point, right?

15:06

Yeah. Why are we not looking, you know,

15:07

if you have to lie in so significantly

15:09

every single weekend, why are we not

15:12

looking at during the week and thinking,

15:13

why am I doing this to myself at the

15:15

time when I need it the most, I will

15:18

choose to get less sleep and then at the

15:20

weekend I'll just compensate.

15:21

And people and you much of the

15:23

conversation around sleep in society

15:25

talks about the amount of hours and it's

15:27

almost like the amount of hours that I

15:30

was in the bed. M

15:31

um what what's your sort of rebuttal to

15:34

that? Cuz

15:35

quality over quantity every single time.

15:38

Every single time. And if you have good

15:40

quality and you need longer, your body

15:43

will tell you and you will get more

15:45

sleep. But people are so obsessed with

15:48

duration. And I I think people don't

15:51

understand what I mean by sleep

15:52

opportunity. I mean every single night,

15:55

most of the time, so about 80% of the

15:57

time, I will give myself a 7 to eight

16:00

hour sleep opportunity, sleep window.

16:03

But I do not mean that if I'm not

16:05

sleepy, I take myself into a dark room

16:07

and shut myself down. I just know that

16:10

it's there. I've got a bedroom, a place

16:12

I really want to be to sleep that is

16:14

available to me during those hours and I

16:16

will not sleep outside those hours. And

16:19

that's the that is the big thing is you

16:22

can dictate to your body when you don't

16:24

sleep but you cannot dictate when you

16:26

do. And by doing that you will force

16:28

your body to be in a nice regular cycle.

16:31

It's actually really really simple once

16:33

you know how to do it. And every time I

16:35

fix someone of their insomnia there and

16:37

honestly 50 60 years of insomnia they

16:40

often turn around to me they're like I

16:42

don't know why I wasn't taught this um

16:44

when I was younger. And I do believe if

16:46

we taught everyone how to sleep

16:47

properly, give them a proper sleep

16:48

education when they're little, I

16:51

wouldn't exist. Insomnia wouldn't exist.

16:53

You talked there when you referenced

16:54

your own bedroom. I think you you spoke

16:57

about it quite lovingly. Should I have

16:59

this place I like to sleep? How

17:00

important is that? How important is it

17:02

to sleep in the same place and for that

17:04

space to be is there a certain way I

17:06

should be designing my bedroom? Is there

17:08

like a bed that's good or like a pillow?

17:10

You know, because there's lots of fads

17:11

around.

17:11

Yeah. Yeah. Yeah. There's a lot of fads

17:12

around. I think your environment is

17:14

important, but I can't dictate to you

17:16

what that is because we're all so

17:18

different. Um, yes, it's true. You don't

17:21

need loads of technology in your bedroom

17:23

to sleep. I'm not saying technology

17:25

can't aid our sleep because I think in

17:27

the future we're going to come up with

17:28

some crazy cool things that are going to

17:30

really help us. I just think right now

17:31

we're not quite there.

17:33

I think the least you have in your

17:34

bedroom that remind you of the day is

17:36

really important. So obviously screens

17:39

and light uh is very important when it

17:41

comes to sleep. But I think people miss

17:43

are missing a trick when when we say

17:45

don't look at your phones. We're not

17:47

just saying don't look at your phones

17:48

because of the light exposure. We're

17:50

saying it because it's reminding your

17:52

brain of something that you did during

17:53

the day. And so your brain being the

17:55

smart thing that it is is thinking okay

17:58

well I'll um I'll I'll I'll increase

18:00

your cortisol and I'll reduce your

18:02

melatonin which is your stress and your

18:05

sleepy hormone uh hormones. um and I'm

18:08

going to help you be more alert because

18:10

you clearly want to be alert right now.

18:12

And so your brain thinks it's helping

18:13

you. And then you're thinking, hang on a

18:15

minute, I just looked at my phone for

18:16

like 3 seconds and now I'm buzzing. Why?

18:19

And it's just because your brain is your

18:21

your behavior is so much more

18:23

influential on your physiology than you

18:26

realize.

18:27

What do you think about the snooze

18:28

button?

18:30

Um I think if you have to use it on a

18:32

regular basis, you need to start

18:33

questioning why you always need to

18:35

snooze. Unfortunately, the research

18:37

shows that snoozing does not benefit us

18:39

at all. And actually, if you think about

18:41

it, if if if you are a snoozer, you

18:44

know, how many times does it actually

18:45

make us feel better?

18:47

Doesn't

18:47

Exactly.

18:48

delays.

18:48

Sorry.

18:50

No, I I think it's nonsense as well. I

18:51

did I one of my modules when I was doing

18:53

psychology in school was about sleep and

18:56

um understanding the different phases of

18:58

sleep made me realize that the snooze

18:59

button is I think totally pointless

19:01

because it's you have to be in a certain

19:04

phase of sleep for you to get real

19:05

benefits and

19:06

within 15 minutes it's get to that phase

19:09

right

19:09

absolutely

19:10

um a lot of people when they you know

19:12

when they knew that I was speaking to

19:14

you today um they want to know how they

19:16

can sleep better in the short term

19:18

tonight

19:19

they're looking for some kind of quick

19:20

fix to the to a problem they've had for

19:22

a long time.

19:24

What would you say to those people?

19:25

Okay, so the first thing I'd say is that

19:27

you're never going to find that reactive

19:30

very quick method. It's never going to

19:32

happen. And even if you find it, I

19:33

promise you it won't work in the long

19:35

term. It might control your condition in

19:37

the short term, but not in the long

19:38

term. I can teach you how to re to

19:40

sleep, but it's going to take you a few

19:43

weeks, not a night. Um, but in the

19:46

meantime, don't worry. It's okay. like

19:48

part part of this is I just there is a

19:51

solution. So what I do is called

19:52

cognitive behavioral therapy for

19:54

insomnia. It is not the same as CBT for

19:56

depression or anxiety or anything else.

19:58

Um and it is just about retraining

20:00

yourself to sleep and building up that

20:02

strong sleep drive. You have to do that

20:03

over time. Um but in the short term I

20:06

usually tell people that they do not

20:08

need to worry. Nothing bad is going to

20:10

happen to you. And the reality is that

20:13

it's more your mood that will affect

20:15

your day when you wake up in the morning

20:17

than the bad night's sleep you just had.

20:19

So I know we've got evidence to show

20:20

that when you have a bad night's sleep,

20:22

your cognitive abilities, etc. are going

20:24

to be um reduced. However, if you think

20:28

about how you generalize that, you're

20:29

not you're not going to lose your job.

20:31

You're not going to perform horrifically

20:32

in that meeting because you didn't get a

20:34

good night's sleep. It would be far

20:35

better for you to go to bed later and

20:38

make sure you're lovely and sleepy and

20:40

only get four hours than to go to bed 8

20:42

hours before that meeting and toss and

20:44

turn and be fidgety and stressed and

20:47

anxious all night. That's what I do. I

20:48

still get nervous when I have to do like

20:51

a lecture in front of 500 people. Of

20:53

course, I get nervous, but instead of,

20:55

you know, focusing on my notes just

20:57

before I go to bed, I'll put everything

20:58

aside. I'll go and enjoy myself, do

21:01

something I really love to do. I'll get

21:02

ready for bed a bit earlier than usual,

21:04

just so that I do not have to think

21:06

about anything when I get sleepy. And

21:08

when I am sleepy, even if it's 2 3 4

21:10

hours later than usual, I know that I'll

21:13

go and have a really lovely 3 or 4 hours

21:16

sleep. And then I'll wake up and I'll be

21:17

like, great. I know I'm going to be a

21:18

bit sleepy today, but that's only going

21:20

to help me sleep tonight

21:22

and I'm going to have an epic day. I

21:23

don't care that I'm a bit sleepy.

21:25

Sleepiness is amazing. Sleepiness is

21:27

such a good thing for you. Why are we

21:28

teaching people that sleepiness is a bad

21:30

thing? You need sleepiness to sleep.

21:33

I've got two questions there. The first

21:35

I'm sure is it feels like a very um

21:38

related sort of question to what you've

21:39

just been talking about there, which is

21:41

do you sleep well? I'm sure you get

21:43

asked this all the time at every party,

21:45

every time you It's like asking a

21:46

comedian to tell a joke, right?

21:48

It's like, how is your sleep?

21:50

Okay, so most of the time my sleep is

21:52

fairly good because I've been lucky

21:54

enough to be educating myself through

21:56

this for the last 16 years. But it's not

21:59

good all the time because it's totally

22:01

normal after some kind of life stressor,

22:04

new illness, some dramatic change in our

22:08

society like we're seeing right now

22:11

for your sleep to change and for it to

22:14

be poor. Okay, it is totally normal to

22:16

have sleep problems. We will all get

22:18

them. You will never find someone who

22:20

does not have a sleep problem at some

22:22

point in their lives. But there is a

22:24

difference between somebody who has a

22:25

short-term sleep problem. And when the

22:27

initial issue resolves itself, the sleep

22:29

problem goes away and the person who has

22:31

now unfortunately got a long-term sleep

22:34

problem.

22:35

The difference is the behavior. It is

22:38

not the person. It is not some trait

22:40

that you have over someone. It's not

22:41

something genetic. There are there are

22:44

all of those things that do feed into,

22:46

for example, insomnia. But the reality

22:48

is the thing that seems to perpetuate

22:51

sleep problems is not usually the

22:53

original trigger. So we cannot blame the

22:55

divorce. For example, 20 years ago, I'm

22:57

not divorced, but I'm just making an

22:59

example. So 20 years ago, we get

23:01

divorced and it's a really stressful

23:03

situation and it stops you sleeping for

23:05

a month. Okay? But now you're remarried

23:08

and you're perfectly happy, but you've

23:09

got a 20 year insomnia problem. We

23:11

cannot blame the divorce for that

23:13

anymore. And also somebody else who's

23:15

gone through the same situation, same

23:17

illness or divorce or new medication

23:20

would not have had that sleep problem 20

23:22

years later. So what is it? And I

23:24

believe and we know that most of it is

23:27

your behavior. After a few weeks of a

23:29

sleep problem, most people will freak

23:30

out and they'll start changing their

23:32

behavior. So they might start lying in,

23:34

they might start going to bed early.

23:36

that's trying desperately to improve

23:38

their sleep opportunity because they

23:40

believe the mere act of lying in a bed

23:42

for longer is going to miraculously give

23:44

them a stronger sleep drive and make

23:46

them get through whatever it is they

23:47

need to get through when the reality is

23:49

and this is usually how we treat

23:51

insomnia or one of the ways we actually

23:53

deprive you of your sleep opportunity.

23:56

So we don't deprive you of sleep but we

23:57

do deprive you of your sleep

23:58

opportunity. So we only allow you to be

24:00

in bed for a certain amount of time and

24:02

that fixes it. That's frightening

24:03

because with teaching people that sleep

24:05

is so bad or not sorry not sleep is so

24:08

bad but sleepiness is so bad that they

24:10

don't feel that they can build up that

24:12

strong sleep drive without something

24:13

terrible happening to them. So the way

24:15

we are disseminating knowledge right now

24:17

is not working and we have got to find a

24:20

way to change that.

24:21

You talked about the the type of therapy

24:23

you offer cognitive behavioral therapy

24:25

for insomnia. One of the elements you've

24:27

described is this sleep deprivation

24:30

which is in essence you're stopping

24:32

people sleeping I'm guessing throughout

24:34

the day to focus them on their sleep

24:37

opportunity.

24:38

Um yes so it's less about restricting

24:41

their sleep and more about restricting

24:42

their bedtime. So often when you come

24:44

across somebody who's had a sleep

24:45

problem for a fair while enough to come

24:47

to see me they're usually spending more

24:49

time in bed than they are sleeping. So

24:51

for example, they might be in bed for

24:53

around 10 hours, but they're only

24:55

sleeping for say 6 hours. And so what I

24:57

would do is I would restrict them in the

24:59

first instance only. So it's only mildly

25:02

to 6 hours in bed because or 5 hours in

25:04

bed, whatever they're sleeping for. I

25:06

would we would we would never really go

25:08

lower than 5 hours because at the end of

25:10

the day, we're only um uh sort of guess

25:12

it's all a bit of guess work here. Um

25:14

and that's important that it's like that

25:16

and we're not overtracking sleep because

25:18

that's has its own issues. Um, and then

25:20

for a week or so, I'll keep them on that

25:22

schedule and try and get them to

25:24

strictly stick to it, which is quite

25:25

scary for somebody who thinks the total

25:28

opposite way is going to fix them. Even

25:30

though they've got no evidence that it

25:32

works, it doesn't matter. They've been

25:33

doing it for a long time. So, it's quite

25:35

hard to get someone to do this. And then

25:37

once we can get them to sleep for around

25:39

90% of that five or six hours, whatever

25:42

they spend in bed, then we can start

25:44

increasing their sleep time out very,

25:46

very slowly. But people sort of get very

25:49

overeager about this. It's called sleep

25:51

restriction therapy. Um or there's lots

25:54

of different ways of calling it. Um

25:55

people get over excited about it and

25:57

they're obsessed with reaching that 90%

25:59

efficiency so they can move on and add

26:02

time. But I try to always explain to

26:04

people and indeed I do online courses in

26:06

sleep that they can do themselves. And

26:08

I'm always trying to explain to them

26:09

it's not about adding more time. Imagine

26:12

if you are getting to 5 or 6 hours sleep

26:15

efficient every every night for 7 days

26:18

as an average. That's really good.

26:20

That's so much better than the broken

26:22

sleep you were getting before. Think

26:24

about the new quality that you have

26:25

built. How amazing is that? When's the

26:27

last time you went for a week and you

26:29

had that consistent sleep? And when they

26:31

start thinking about it that way,

26:32

they're like, "Oh my god, yes, this is

26:33

so much better. And I'm even able to add

26:36

more time now." And we slowly

26:37

incrementally start adding sleep out.

26:40

And that's how you fix it. I mean it's

26:41

not everything because you've got to

26:42

work on the mindset. You've got to work

26:44

on the re-educating people.

26:45

What are those other pieces of the

26:47

therapy? So mindset.

26:48

Yeah. You got to So first

26:50

one is the the sort of sleep restriction

26:52

as you called it.

26:53

Yeah. One area is you we need to you've

26:56

got to be re-educated on sleep much like

26:58

we've been chitchatting away today.

27:00

That's how I will talk to someone and I

27:02

will try to help them understand um I'll

27:04

try and pick out a lot of the things

27:06

that they talk to me about. Um, but it's

27:08

trying to help them understand where the

27:09

myths are and where the facts are with

27:11

sleep because a lot of their ideologies

27:13

around sleep will be directly

27:15

influencing their behavior. And so as

27:17

soon as you can change that and it it's

27:19

not as simple as just saying that's

27:20

right and that's wrong, you got to keep

27:22

doing it and they need to trust you and

27:23

and you've got to find a way and the

27:25

right language to speak to that person.

27:27

Once you've done that, you can start

27:29

with the sleep restriction. And then of

27:31

course, whilst there is no evidence that

27:34

relaxation or anxiety reduction is going

27:36

to directly and reactively fix a

27:38

long-term sleep disorder, after you've

27:42

started improving your sleep drive and

27:44

using the sleep restriction therapy to

27:45

do that, then yes, we do need to start

27:48

looking at how do you bring yourself

27:50

back to balance during the day. Is it

27:52

stress and anxiety that got you here in

27:54

the first place because you're working

27:55

too much and you got yourself into the

27:56

wrong patterns? How are you going to

27:59

process more during the day? How are you

28:00

going to balance more during the day? We

28:02

need to look at those things, but we

28:03

need to look at them with the right

28:05

expectations, which is that they are not

28:06

going to make you sleep because once

28:08

that expectation is not met, you feel

28:10

really inadequate and then you feel like

28:12

nothing can help you and then you get

28:13

hopeless and out of control and lonely

28:15

about your problem. So all this lots of

28:18

different sort of elements like a

28:20

pyramid to try and help someone with

28:22

their sleep

28:22

and you know people um c caffeine has

28:25

become a huge part of our you know we

28:27

live in a society where people take

28:28

caffeine to wake them up and then quite

28:30

often they'll take certain supplements

28:31

to shut them down again like sleep

28:33

supplements or um various nol I think is

28:36

one of them right I don't know

28:38

um what's your take on all of all of

28:40

these chemicals we're using to kind of

28:43

regulate our alertness and then our

28:45

tiredness

28:46

they they can't work over time. So, all

28:48

the research shows that eventually you

28:50

either get used to them, they stop

28:51

working, they make you feel really

28:53

uncomfortable. I don't think there's

28:55

anything wrong with, for example,

28:56

sleeping pills or using caffeine in the

28:58

short term, things like that. Um, but

29:01

starting to use them long term, they

29:03

have their own all of them have their

29:04

own side effects and over a long time of

29:07

use um aren't very good for the body.

29:10

Um, but in general, they're just not

29:11

going to they're not going to suddenly

29:13

miraculously reset your sleep button or

29:16

anything that people seem to think

29:17

they're going to do. So, I don't think

29:18

relying on these things in the short

29:20

term is a bad thing every now and again.

29:22

But, if you're relying on them every

29:24

single time you have a sleep problem,

29:25

you're effectively making it worse

29:27

because your brain isn't learning

29:29

anything. It is literally just being

29:31

giving a cheap method like a fake sleep

29:35

almost. And that is what you get from a

29:37

lot of sedatives is seditive sleep which

29:38

is not the same as the cycles that you

29:40

go through usually to sleep well. So

29:42

you're not getting but psychologically

29:45

we believe that sleep is better than no

29:46

sleep. And actually I don't necessarily

29:49

agree with that. In a way I'd rather get

29:51

no sleep than a really rubbish sleep

29:54

knowing that my body will like build up

29:56

a really strong sleep drive and help me

29:57

later. But people are so terrified of

29:59

that that they that psychologically they

30:01

just need to feel like they've slept.

30:03

But if they had a bit of better

30:04

education around sleep and they

30:05

understood how it worked more, then I

30:08

don't think people would be trying to

30:10

grab all these things all the time. But

30:12

we live in a reactive society. We're not

30:14

very proactive as creatures. We want we

30:16

want it now and we want it done

30:18

yesterday.

30:18

What about caffeine? That's such a huge

30:20

part of everybody's well pretty much

30:22

everybody's daily routine. People they

30:25

you know they'll say, "I have to have

30:26

this coffee to wake myself up.

30:29

I have three or four of them a day." And

30:31

then what impact does that end up having

30:32

on sleep?

30:33

So caffeine is very interesting because

30:36

genetically we are all either sensitive

30:38

or not sensitive or somewhere in between

30:40

with caffeine. So it's very hard to say

30:43

nobody should be drinking caffeine after

30:45

this time. Yes, it does have a very sort

30:47

of it's a it has a big afterlife. So it

30:49

it definitely or halflife. So what we

30:52

mean by that is that um you know it's

30:54

going to have an effect on you hours and

30:56

hours after you've had it. But depending

30:58

on how sensitive you to your to it you

31:00

are, you know, but at the same time,

31:02

there's so much more you can do. If you

31:04

started waking up at the same time every

31:05

day, you would start to feel refreshed.

31:07

You would be one of those people who

31:08

wakes up and is like, "Yeah, I'm ready

31:10

to start the day." Imagine if you just

31:12

used your body the way it was designed

31:14

to be used. I'm not saying caffeine is

31:16

bad. I definitely wouldn't say you can't

31:18

drink caffeine, but if you're starting

31:21

to use it, anything in life in anything

31:23

chemical in a in a compensatory method

31:26

because something is wrong, that's when

31:27

you need to start questioning it. But in

31:29

general, having caffeine in the morning,

31:31

I don't think there's anything wrong

31:32

with that. If you enjoy it, great. But

31:35

then there's lots of research that shows

31:36

that even your performance isn't

31:38

significantly improved by having

31:40

caffeine. You might feel like you're

31:42

able to buzz around everything more, but

31:44

your actual efficiency isn't necessarily

31:47

improved. I I I wonder, you know,

31:49

because I think I was looking at some

31:50

stats around insomnia and sleep sleep

31:53

disorders, and the stats are pretty

31:54

staggering, and

31:58

I don't know how to say this, but I just

31:59

don't tend to believe that humans after

32:02

all these thousands of years of

32:05

evolution have been born with quite an

32:09

apparent or seemingly apparent um

32:12

problem with sleep. So it makes me

32:14

think, okay, so what is it in our social

32:17

environment and society that's making us

32:20

struggle with sleep? Is it our over

32:24

obsession with the perfect sleep? That

32:26

might be one element. And this, you

32:28

know, and all the fear and anxiety

32:30

around not sleeping perfectly as you've

32:31

described and we're actually doing

32:32

pretty good,

32:34

right? And labeling ourselves as

32:35

insomnia, you know, cuz that word I'm an

32:37

insomniac or I've got insomnia is thrown

32:39

around pretty easily.

32:40

Absolutely. Or is it the, you know, the

32:42

tech in our lives? Is it the the the

32:44

over stimulation of the, you know, the

32:46

technology we have? Is it overwork?

32:49

What's your take on that? Cuz I I feel

32:50

the same about depression and anxiety as

32:52

well. I I look at the stats growing over

32:56

time um in with various sort of mental

32:59

um illnesses. And I think surely we

33:02

weren't born um with chemical imbalances

33:06

as is um said in um yeah

33:10

I love them.

33:11

Yeah. I so it's a hard question to

33:14

answer. I think that there is element

33:17

there's lots of different elements. I

33:18

don't believe that the stats are as

33:20

accurate as they probably seem. for

33:23

example, I believe that before, you

33:26

know, the industrial revolution, for

33:27

example, we had um sleep problems. I I

33:31

mean I no, I do I believe we did. It's

33:33

just that I believe we're recording

33:35

things now more. So, there's that aspect

33:37

of it. There is this aspect of we over

33:39

worry about things and you know, at the

33:41

end of the day, whilst someone keep you

33:43

know, lots of people out there keep

33:44

telling us that actually um you know, if

33:47

you sleep less than 6 hours, you will

33:48

die early, but actually we're not

33:50

actually seeing that.

33:51

Someone asked me that today. They said,

33:53

How much am I reducing my life

33:55

expectancy with my poor sleep?

33:56

The thing is, okay, so if you know

33:58

you've got poor sleep, you need to

34:00

improve it, but hopefully it's not going

34:02

to be long term. You can actually get

34:04

some support for that and get it sorted.

34:06

If you're actively keeping yourself at 5

34:08

hours when you know you're a 7-hour

34:10

sleeper, then yeah, you're going to

34:11

reduce your life expectancy. But if

34:13

you're naturally a 5hour sleeper and

34:15

they do exist then that does not mean

34:17

the same thing that you're going to be

34:18

reducing your life expectancy when they

34:20

genetically you can't you know that's

34:22

for you. Um it's really difficult to

34:26

understand. I think um you know

34:27

electricity has a big part to play. So

34:30

again I talked a little bit briefly at

34:31

the beginning about the light dark

34:33

cycles of this planet and the way that

34:34

we are designed well not designed but

34:36

you know we're built on this planet. We

34:39

we seem to have evolved that way. Um,

34:42

and so we we we definitely do need to be

34:45

in general not uh working and resting

34:48

more at night and we we work better. Our

34:51

metabolisms, our brains function, we're

34:53

more rational during the day. Um, and so

34:57

with electricity has become many

34:59

problems. I definitely think the

35:01

scareongering and the fear and the

35:03

tracking of sleep has definitely caused

35:05

in the last few years a boom in sleep

35:07

problems or at least how many people are

35:10

coming to us for help

35:11

and with the the pandemic. What impact

35:13

has that had on people's sleep? Hu let's

35:16

talk about hu for a second. I've spent a

35:18

lot of time on this podcast talking

35:19

about the ready to drink Hu bottles

35:21

which are my favorite for convenience

35:22

reasons. It means I don't have to mix

35:24

anything. But this week, as my goals in

35:27

gym and in my health and in my physique

35:29

have started to evolve, I've started

35:31

using a new product that I wanted to

35:33

tell you about. And the reason why I've

35:34

started using this product, which is

35:36

called Hule, the Black Edition, is

35:38

because there's 50% less carbs, 33% more

35:42

protein, um, zero artificial sweeteners,

35:46

and it's of course gluten-free. I wish I

35:48

had something like this to be honest

35:49

when I was a student because it's

35:52

literally £147

35:55

per meal. I think you get about 17 or 18

35:57

meals out of one bag. And if you're

35:59

someone like me that's in this phase of

36:01

my life that's trying to build a bit of

36:02

muscle, get a little bit more lean

36:04

whilst also, you know, reducing the

36:06

carbs a little bit, then give Black

36:08

Edition Hule a try and try the vanilla

36:11

flavor if you do get a chance cuz that's

36:13

um for me is the the tastiest flavor of

36:15

them all. And do you know what I'm gonna

36:17

do next week in the podcast? I'm gonna

36:19

take my top off. Okay? So, I'm gonna um

36:22

show you the impact that uh all of this

36:25

being a hu has had for me. You're going

36:26

to have to tune in next week and you're

36:28

going to have to watch it on YouTube to

36:29

see that. But um I'm going to show you

36:30

the the before and after of using Hule

36:33

and uh uh and before I used Hule. Okay.

36:36

So, that's something to look forward to.

36:39

Or maybe not. With the the pandemic,

36:41

what impact has that had on people's

36:43

sleep?

36:44

It's had a huge impact. So um in various

36:46

different ways. So the first way is that

36:48

everybody's routine changed um because

36:50

we couldn't go outside and move as much

36:52

as we once did. We couldn't get as much

36:54

light exposure as we once did. We didn't

36:56

get as much stimulation, social

36:58

stimulation. So our brains weren't being

37:00

used in the same way. Plus we all had

37:03

this sort of uh thing to look at on the

37:05

news all the time. So we're actively

37:07

sort of looking at something that is

37:08

stressing us out and making us anxious.

37:10

So various different components. No

37:12

wonder sleep changed. But it would have

37:14

been totally normal for that to happen.

37:16

Your sleep is adapting to your new

37:18

environment. And so when people start

37:21

worrying about this, I try to get them

37:22

to calm down about it because actually

37:24

if your sleep wasn't working properly,

37:26

you just wouldn't be here. Okay? So to a

37:29

degree, our sleep is doing a bloody good

37:31

job for us. Um and we need to be better

37:34

about it. We blame sleep for everything.

37:36

Um and actually there's so many other

37:38

variables that we can control in our

37:40

lives that will have an effect on us.

37:41

But yes, during the pandemic, we saw um

37:44

or we still see there's plenty more

37:46

problems with people struggling to get

37:48

to sleep. Maybe they're feeling really

37:49

buzzy and they can't get to sleep,

37:51

maintaining that sleep. So, people

37:53

waking up in the middle of the night and

37:54

they're just like, "Gh, what? Why am I

37:56

waking up?" Sometimes they they've got a

37:58

million thoughts a minute or um

38:00

sometimes they're just thinking of

38:01

nothing and they don't know why that's

38:02

happening. We've seen more dream recall,

38:05

very graphic dreams. Um, and we believe

38:07

that's because obviously when your

38:09

routine changes and you don't have to

38:10

work, and ironically I always say to

38:13

insomniacs that actually when they're

38:15

working and when they've got busy lives,

38:16

it's a lot easier to treat them than

38:19

when they don't have a routine because

38:21

routine is everything to our bodies. I

38:23

wish we understood more how much our

38:26

bodies love to be regulated. And going

38:28

to work and doing exercise and going to

38:31

see our friends and going to the gym and

38:33

eating at regular intervals is telling

38:35

your brain so many signals. The light

38:38

exposure you get is telling your brain

38:40

about how much melatonin to re release

38:43

for you. It's fascinating, but we do

38:45

need regulation. And the biggest thing

38:47

that changed during this pandemic was

38:49

our routines. Mhm. People people have a

38:52

real desire as well. You you mentioned

38:54

the the fact that the pandemic had

38:56

caused very like vivid dreams. People

38:59

have asked me so many times if they can

39:01

control their dreams or how do they stop

39:02

themselves dreaming so vividly or um and

39:05

some people having, you know, recurring

39:07

nightmares and things like that. What

39:08

what is your answer to that? What

39:09

control do we have on our dreams?

39:11

So you can you can learn to that's what

39:13

we call lucid dreaming. So you can learn

39:15

to lucid dream. The problem is it's

39:16

probably not very good for your sleep in

39:18

general. Um, so effectively when we

39:21

remember our dreams, it's because we

39:23

have been woken out of REM sleep. So REM

39:25

is actually a very active stage of

39:27

sleep. It's not your deep sleep. It's

39:29

actually quite a light stage of sleep.

39:31

Some might argue that's even a different

39:33

state of consciousness than not sleep at

39:34

all. So REM is a really strange time.

39:37

It's when we believe that more of our

39:39

memory and our psychological restoration

39:42

is happening and consolidation and

39:43

things like that. And part of REM, we

39:46

tend to have more uh graphic dreams, but

39:48

it's it's you being interrupted from

39:50

that state, which you may not remember

39:52

in the night. It could just be a van

39:53

driving past in your REM sleep, and it

39:56

wakes you into a lighter stage of sleep,

39:58

like stage one or two sleep. And so in

40:00

the morning, you think, "Oh my god, I

40:01

really remember my dreams." Or maybe

40:03

your alarm woke you up in the middle of

40:04

REM sleep, and you're like, "Oh my god,

40:06

I can really remember my dreams." As

40:07

opposed to the times when you're like,

40:08

"I didn't dream at all last night."

40:10

Well, of course you did dream. It's just

40:11

that your REM wasn't interrupted. So

40:14

that's why you're remembering your

40:15

dreams. When we try to control our

40:18

dreams, usually you have to kind of

40:19

control that interruption a bit. And so

40:22

um I haven't looked into it properly in

40:24

terms of lucid dreaming because it

40:25

doesn't really help me do my job. I

40:26

don't really want people to learn to

40:28

lucid dream because then one they're

40:30

going to be remembering their dreams

40:31

more. Um and if they're remembering

40:32

their dreams more, then their sleep is

40:34

more interrupted and that's not good for

40:35

your sleep. We want you to go through

40:36

the cycles of sleep as as uh you know as

40:39

comfortably as we can and so that you

40:41

get all the right percentages and all

40:43

the right restoration and and healing

40:45

and everything that you need from your

40:46

sleep. Um so yeah uh it's an interesting

40:49

concept. I don't think it's very helpful

40:51

to healthy sleep. Um but every now and

40:54

again especially kids I find when I'm

40:56

talking to children they seem to be able

40:58

to control their dreams a little bit

41:00

better like flying for example they

41:02

concentrate more on it that's why. So

41:04

they have more time and they concentrate

41:05

on it. Uh which is quite a fun thing.

41:08

Maybe we should all be doing more of

41:10

that daydreaming and stuff. It's

41:11

actually really good for problem

41:12

solving. Um so yeah, it's fascinating

41:15

and and and there's a lot of famous

41:17

people. I think Einstein though, don't I

41:19

mean I don't know if I'm right about

41:21

this, but Einstein and various other

41:23

geniuses would do things like hold a um

41:26

egg or or a spoon or something. Um so

41:30

that if and when they fell asleep that

41:32

spoon would drop and then they would

41:34

wake up because they felt they had all

41:36

their best ideas. I can see you looking

41:38

at me and thinking about doing this to

41:40

get better tonight and dropping it off

41:42

my bed.

41:43

But it's not very good for sleep to keep

41:44

interrupting it like that. Um, so you

41:46

can, yes, you've got the power to

41:48

manipulate sleep however you want, but

41:49

at the end of the day, if the goal here

41:51

is to keep you alive for longer and to

41:53

feel refreshed in the day and to have

41:55

your best ideas consistently and to be

41:58

healthy consistently, then you probably

42:00

want to do sleep right the way it was

42:02

designed.

42:03

And what about what I eat before I go to

42:05

bed? A lot of people talk about that.

42:06

That's another uh thing. You know, if I

42:09

order food really late, someone will

42:10

turn to me in the room and go, "Oh, you

42:11

shouldn't be eating at this time." You

42:13

know what I mean? What do I say to that?

42:15

Okay, you I've said it before, a good

42:17

sleeper does all the wrong things and

42:19

they seem to be okay, but they're

42:21

probably not doing all the wrong things

42:22

all the time. So, yes, the the later you

42:25

eat, you're basically asking your body

42:27

to metabolize and asking it to sleep and

42:29

it does not like doing both and so one

42:32

of them will be um compromised. Um in

42:35

terms of um anything that you can eat

42:38

that will have a significant effect on

42:40

your sleep, there's no real research. Um

42:43

there is research to show things like

42:44

you know if you if you eat enough

42:46

cherries or you have enough milk or

42:48

enough turkey it's going to give you

42:50

some kind of sedatory effect but at the

42:52

end of the day

42:54

it's you'd have to have a stupid amount

42:56

of those kind of foods to have any kind

42:58

of effect. It's not going to help you

43:00

sleep healthily from day to day. That's

43:02

not going to suddenly boost the quality

43:04

of your sleep um significantly. Um, so I

43:08

would argue that unless you have some

43:10

kind of deficiency in a vitamin or

43:11

mineral that is affecting your sleep,

43:13

then you probably don't need to be

43:15

looking at the food you eat. In general,

43:18

as I'm sure a lot of people will say,

43:20

but in general, eating a healthy

43:22

balanced diet where you have what you

43:24

would call naughty foods and good foods

43:26

in in balance, all that stuff is really

43:28

good for you. And probably the only

43:30

piece of advice I'd give around eating

43:32

is again regulating how you eat. So, if

43:35

it's breakfast, lunch, and dinner you

43:36

like to do, trying to do that at

43:38

consistent times every single day is

43:40

going to help your body understand when

43:42

you want to be awake and metabolizing

43:43

and when you want to be sleeping. And

43:45

then not sleeping too late at night just

43:46

so that you can make sure that your body

43:49

metabolizes well and sleeps well.

43:52

And can I sleep too much? Is that such a

43:54

people people there's this myth again in

43:55

society where people think that they

43:57

overslept and now they're knackered,

44:00

right?

44:00

Yeah. So you can it usually when people

44:03

say they've overslept if we actually

44:04

looked at them in a sleep study and

44:06

they've overslept for the amount that

44:07

they usually sleep and they didn't need

44:09

it probably the quality of their entire

44:12

sleep wouldn't be amazing. Um and that's

44:15

why they were able to have this dribble

44:16

drabby longer sleep and and and it's not

44:19

it's not going to be very helpful.

44:21

Usually when we're talking about that

44:22

research that shows that longer sleepers

44:24

actually can get sicker um is because

44:27

the quality of their sleep is impaired

44:29

by something like sleep apnnea or

44:31

another sleep disorder which is

44:33

impairing the quality of their sleep. So

44:34

which is poor quality.

44:35

Yeah. So poor quality sleep. You're

44:37

going to sleep longer. It's kind of the

44:39

same as having insomnia because you're

44:40

not really sleeping and so therefore you

44:43

feel you need to sleep longer and you

44:45

wake up and you still don't feel like

44:47

you've slept as much as you needed to.

44:49

If you're sleeping really well from

44:51

night to night, you don't need to sleep

44:53

more. So, your body won't really let

44:54

you. So, if the quality is good and

44:56

you've reached that optimal time, you'll

44:59

notice that if you do try to sleep

45:01

longer, it's quite if I looked at that

45:04

sleep for you in a polyomnography study.

45:06

So, I looked at your brain activity, the

45:07

quality of it is just like a snooze is

45:09

probably not going to be the same. It's

45:11

not going to be But it's very rare you

45:13

find someone like usually they're

45:14

deprived of something or other or they

45:16

haven't been sleeping properly and then

45:17

they sleep a bit longer. you you hear a

45:19

lot of um a lot of successful people I

45:22

think it's it's part of bragging you

45:24

know bragging about how little they

45:26

sleep they'll say I know you sleep 3

45:27

four hours a day and and I think it's

45:29

pushed this idea into society that in

45:31

order to be successful you've got to

45:33

sleep for you know just 2 or 3 hours or

45:35

4 hours or whatever but then on the

45:37

other side you have this total

45:38

contradiction which is in order to be

45:41

successful you need to wake up at 6 a.m.

45:42

and drink green juice and do yoga and

45:44

like sleep for exactly seven hours. Um,

45:47

and it and it I guess this kind of

45:49

speaks to the original point which was

45:51

um that there's so much

45:53

overgeneralization

45:55

and uh through an attempt to sell you

45:59

something whether it's a book or

46:01

um my authority or to get you to follow

46:04

me, I kind of preach this secret which

46:06

can be quite easily replicated for all

46:09

of you, right? that's causing us to be

46:13

like uh be smack like smacked with these

46:17

contradicting narratives around sleep.

46:19

Um which is making everyone a little bit

46:21

confused.

46:22

Um what's your sort of take on all of

46:24

that? Cuz you know, as when I was

46:25

growing up, I thought, you know, if I

46:27

want to be successful, I've got to just

46:28

sleep less. And I I I think, if I'm

46:30

being completely honest with myself,

46:32

I think I used to be proud of how little

46:34

I sleepd. I thought it was like more

46:36

like a badge of honor, you know?

46:37

Yeah. Yeah. Yeah. Absolutely.

46:39

Yeah. Yeah, but now I think I'm getting

46:40

a little bit older and I'm I don't

46:41

really give a [ __ ] what people think.

46:44

Good. Good for you. Um uh so yeah, I I

46:47

definitely have seen a change around in

46:49

this recently, but yeah, there has this

46:50

been this thing about like clean

46:52

sleeping. It's a bit like the whole

46:53

clean eating thing. It's it's everything

46:56

that you've effectively just said. Um

46:58

but people trying to say you need to do

47:00

this that and that to have the perfect

47:02

night's sleep. Actually, that doesn't

47:04

really exist. Once you know how much

47:06

sleep you need around, make sure you

47:08

have that opportunity most nights that

47:10

you

47:11

How do I know though?

47:12

Um, so I guess

47:13

you referenced genetics. You said there

47:15

are 5 hour genetics.

47:16

Yeah. Yeah. Yeah. So I guess um a more

47:20

relaxed way of looking at it is when you

47:21

go on holiday after the 3 4 days of

47:24

recovery from you know work life um what

47:27

happens you know left to your own

47:29

devices what happens? Um that's a pretty

47:31

good way of looking at it. If you're

47:33

looking at a really scientific way, then

47:34

sleep restriction therapy. So, what we

47:36

would put a insomniac through also will

47:39

show you how much of a duration that you

47:41

need right now because there'll be a

47:43

point where you can't keep adding time.

47:45

Your body won't get you to 90% efficient

47:47

and that's where you know, okay, maybe

47:49

this is around the right time for me.

47:52

And sleep and mental health, I feel like

47:54

it's I don't know, my guess would be

47:55

that it's somewhat kind of a a cycle,

47:58

right? I think poor sleep might lead to

47:59

poor mental health and then poor mental

48:01

health might lead to poor sleep. Is that

48:03

accurate?

48:04

You're absolutely right. But it doesn't

48:05

matter what came first, the chicken or

48:06

the egg. The main issue is, especially

48:08

in medicine, and I've just done a piece

48:10

of research um that shows that

48:12

undergraduate um medical degrees only

48:15

teach a median of an hour and a half of

48:17

sleep. So this is why this next thing

48:19

happens a lot because they just don't

48:21

have the education. So our own doctors

48:22

do not have enough education in

48:24

something that we do a third of our

48:25

lives. So historically or traditionally

48:28

when you go to your GP and you say I've

48:30

got a sleep problem, they'll tell you

48:31

you've got depression and insomniacs

48:33

will be able to relate to this and it is

48:35

because in general we look at sleep or

48:38

poor sleep as a symptom of another

48:40

condition. Now even if it is even if you

48:43

do have a significant mental health

48:45

problem and it is causing you to have

48:46

sleep issues if it's been longer than 3

48:48

months you now have a entrained sleep

48:51

disorder and you need to be treating the

48:53

sleep problem as a primary condition of

48:56

in itself and the one that I would treat

48:58

first is whichever one is most

49:00

prevalent. So whichever symptoms seem to

49:02

be more distressing for you at the time

49:05

is where I would start. But I would be

49:06

fixing for example the depression and

49:09

the insomnia separately. And the results

49:13

show that when you treat insomnia you

49:15

have less relapse of depression because

49:17

you have actually resolved one of these

49:19

things that unfortunately was

49:20

perpetuating everything. So it doesn't

49:23

really matter where sleep comes into it

49:25

but you've got to give it its own

49:27

podium. It needs to be it is a pillar of

49:30

health and you need to treat it that

49:32

way.

49:33

Mhm. You reference like good sleeper and

49:34

bad sleeper. What's the uh what were the

49:36

characteristics of each?

49:38

So everyone always thinks I'm going to

49:39

say well a good sleeper does this and a

49:41

good sleeper does that. But actually the

49:43

only difference I have seen over however

49:45

long doing this is that a good sleeper

49:47

is somebody who just doesn't worry that

49:50

much about their sleep. They are very

49:52

grateful for their sleep and they're

49:53

very you know you know they they give

49:55

themselves a fair opportunity. They

49:58

don't always sleep well. They don't, you

50:00

know, sometimes they have sleep

50:01

problems, but they don't get overly

50:03

bothered by it. And they notice that

50:05

their sleep when left to its own devices

50:07

will go back to whatever it needs to be.

50:09

About 10% of insomniacs we never see

50:11

because they don't perceive themselves

50:13

to be having a problem and they're not

50:15

sick and dying. Isn't this somewhat uh I

50:18

guess a metaphor for the for the rest of

50:20

our lives as well where typically much

50:23

of the problem is people thinking that

50:25

they have a problem or their own

50:26

perception of their reality because I'll

50:29

be honest um everyone around me doesn't

50:32

think I sleep very well. But I've always

50:34

thought that I slept really really well.

50:36

And I've just I think refused to buy

50:38

into the idea that I'm a bad sleeper.

50:39

They think that because I'm up at

50:40

strange times. Sometimes I'm traveling

50:42

at strange time. But I I I've never

50:44

worried about my sleep. When I go into

50:45

my room, eventually I'll fall asleep and

50:47

at some point I'll wake up. But I guess

50:48

the point I'm trying to make there is as

50:50

well, if you look at what's happening in

50:51

the world, um with the pandemic and you

50:54

know, people feeling certain um feeling

50:57

like they should be a certain way is

51:00

actually making them that way. People

51:02

feeling like they should feel self-pity

51:04

is making them feel self-pity. And um as

51:08

someone that's been to Rio de Janeiro

51:10

and seen the um the fllas there and

51:13

spent time in the fllas, but also I've

51:15

been to India and spent some time in the

51:17

Dharavia I think they call it which is

51:19

you know known as the slums which I

51:21

think is a derogatory term.

51:22

Um I've seen people in the in the slums

51:25

in India who were significantly happier

51:29

um than people that I know that are very

51:32

you know relatively cushy. And I know

51:35

it's all subjective living in the UK and

51:37

it just but people hate when we talk

51:40

about these the these these things

51:41

because it gets the mirror of blame and

51:44

responsibility and it just turns it back

51:46

on themselves and says maybe you're the

51:48

problem.

51:49

Maybe the way you're thinking

51:51

is the problem and maybe you can do

51:52

something about it.

51:53

Yeah, absolutely. You've hit the nail on

51:55

the head. Um, like I said, about 10% of

51:58

insomniacs we we never see. And

52:01

actually, if you think about it,

52:02

insomnia is just another pattern of

52:05

sleep. And you have a certain pattern of

52:07

sleep right now. And if it's not broken,

52:09

do not fix it. I firmly believe that.

52:11

And if you ever have a problem, well,

52:13

you know where I am. Um, but hopefully

52:15

you never will because you'll follow

52:17

your gut, follow what you feel is right.

52:20

Um, if that turns you, then fair enough.

52:23

Um, get some support. But actually you

52:25

you really have hit the nail on the head

52:27

and I really do believe with a bit more

52:29

of understanding and education around

52:30

sleep and that it's not night to your

52:33

your sleep doesn't work like that. I get

52:35

yes we do need to most of the time sleep

52:39

night to night but it can survive

52:40

without doing that. Um it is in it's

52:44

incredible. If we spent more time

52:46

understanding how amazing sleep was

52:48

rather than fearing when it doesn't

52:49

happen and then blaming it for

52:51

absolutely everything,

52:52

we would be in a much better position.

52:54

We would cherish it more and we would um

52:57

you know love it more but not overly put

52:59

pressure on it which is ridiculous.

53:01

Sleep cannot force you to lose your job.

53:04

Sleep can't do though or lack of it. It

53:06

just can't. Um but our belief that it

53:09

does is making this problem worse. So

53:12

yes, it is 100% a mindset. I spend most

53:14

of my time not training people to sleep

53:17

again, but actually trying to help

53:19

resolve that mindset. One of the last

53:21

things I do when I finished with a

53:23

client is I have to go through and help

53:25

them understand that sleep is not the be

53:27

all and end all because actually even to

53:29

treat their sleep, I have to get them to

53:31

focus on it.

53:32

And actually, I need to take the focus

53:33

away now.

53:34

And one of the exercises I do is I tell

53:36

them, look, I now want you to think that

53:39

we're in a world where sleep doesn't

53:40

exist. And when I do that, people are

53:41

like, "Oh my god, that would be awful

53:43

because it would just be one long

53:44

perpetual day. We'd never finish our

53:46

day." Just philosophically and

53:48

psychologically, how would we deal with

53:49

that? And actually, I'm like, "Yes,

53:51

that's how you should be thinking about

53:52

it because that time, even when you're

53:54

not sleeping, is beautiful and we should

53:56

cherish it." Um, and also, if you didn't

53:59

sleep, what would be all the other

54:01

variables that would affect you? And I

54:02

start getting them to think about the

54:03

rest of their lives and all these other

54:05

things like exercise and eating right.

54:07

And they're just the basics. um who you

54:09

interact with, when you watch the news,

54:11

the bills you paid that day, whether you

54:12

walked the dog, um all sorts of things,

54:15

pain, um noisy neighbors, uh your

54:18

commute to work. How many of those

54:20

things actually have a properly

54:21

significant impact on you, but you'll

54:23

still blame it on your sleep,

54:25

and then it's a perpetual cycle because

54:26

then you start compensating, well, I'm

54:28

not going to do this anymore. I'm not

54:29

going to go to the gym. I'm not going to

54:30

see my friends. I'm terrified that it's

54:32

going to do something that affects my

54:33

sleep. And then your sleep is worse

54:35

because your body's now thinking, "Oh,

54:37

so she doesn't need to get good sleep at

54:39

night because she's not doing anything

54:40

in the day anymore." And so you make it

54:42

worse and worse and worse. And that is

54:44

one of the biggest things I see in a

54:46

long-term insomniac is somebody who's

54:48

literally stopped living in order to fix

54:51

the problem. Why do we think that's

54:53

going to fix the problem? It doesn't.

54:54

What about a bad sleeper then? So we

54:56

talked a little bit about the prof like

54:57

the profile of the characteristics of a

54:58

good sleeper. What's a bad sleeper? So a

55:00

bad sleeper is somebody who really does

55:02

um they get bad sleep and suddenly they

55:04

start worrying about the lack of sleep

55:06

and then what they'll do is they'll look

55:08

up how do I fix my sleep? They'll come

55:09

up with 10 regimented rules and they'll

55:12

start becoming obsessive and ritualistic

55:14

about those rules. They'll stop going

55:15

out in the evening and they'll start

55:17

having the hot warm bath, the the herbal

55:19

tea and every single thing that they

55:21

have um they think and they know it

55:24

doesn't work, but they're so terrified

55:26

of not doing them because that's all

55:27

they've got to hold on to now that they

55:30

are um you know they they they they

55:32

can't go away from it. And actually

55:34

trying to take teach those people to

55:36

sleep better is is harder than somebody

55:38

who's a bit more relaxed around their

55:40

routine because they've built these

55:42

things up so hard. Do you know what's

55:43

really funny is um what you've described

55:46

there is a person who is so

55:49

keen to solve a problem that probably

55:51

isn't that much of a problem that they

55:53

they're they're in search of these

55:54

techniques and tips and secrets and

55:56

shortcuts and whatever. Probably a lot

55:58

of the people that felt compelled to

55:59

click on this podcast today to listen to

56:01

it and you see the same within

56:04

uh success and ambition. you see this

56:07

like this certain group of people that

56:09

I'm going to be honest, okay, are almost

56:12

never really successful,

56:14

but spend the most time trying to be.

56:17

And when I when I think about my

56:18

success, so when I read these books

56:19

about, oh, the the perfect way to be

56:21

successful, here's 13 tips that all

56:24

successful people share, I think this is

56:26

total [ __ ] nonsense because my sleep

56:28

is I sleep whenever I feel tired, as you

56:30

say. I eat blah blah blah, you know? I

56:33

don't do yoga. I don't like meditate

56:35

every day. I don't I don't follow any

56:37

script or blueprint. I just kind of go

56:39

with the flow and do my best every

56:40

single day and show up and try and be

56:42

better tomorrow. Like if that that's as

56:44

far as it goes for me. There's no

56:45

looking in the mirror and saying,

56:46

"Steve, you're going to be a

56:47

millionaire. Steve, you're going to be,"

56:48

you know what I mean? All of that feels

56:50

like nonsense to me. But the people that

56:52

seem to um do those things, the

56:55

visualizations in the mirror, the mood

56:57

boarding my future, like they are never

57:00

the successful ones. All of my

57:01

successful friends don't do that. Yeah.

57:03

Yeah.

57:04

And I I I maybe I think what I'm saying

57:06

is it sounds like the same applies to

57:07

sleep.

57:08

Yeah.

57:08

Where like the the people that get

57:10

addicted on techniques and tips and

57:12

tricks end up having the worst sleep

57:14

overall.

57:15

Yeah.

57:15

What have we missed? I'm asking you this

57:17

question because there's so many unknown

57:19

unknowns. I don't I don't know a ton

57:21

about sleep again because I've never

57:22

really cared that much about it. Right.

57:24

So,

57:25

is there anything that you think we've

57:26

missed? any specific topics or

57:28

I think I would love it if people came

57:30

away from this podcast and gave their

57:32

sleep a little bit of a break and in the

57:35

same sort of with the same idea I'm sure

57:38

there'll be people out there thinking

57:40

yes but when I wake up tonight in the

57:42

middle of the night what do I do about

57:43

it so I guess this is one thing we

57:45

haven't covered to understand that if

57:47

you are waking up in the middle of the

57:48

night and it's been happening to you

57:50

over and over again this has become a

57:52

habit and therefore to resolve the habit

57:55

you're going to have to do something

57:56

consistently ly you're not going to be

57:57

able to solve it in one night. It's just

57:59

not going to happen. However, if you're

58:01

waking up and you're getting stressed

58:02

and anxious, do not lie in bed. It's not

58:05

going to help you. You've got a

58:07

different problem now. You've made

58:08

yourself anxious and stressed and you

58:09

need to alleviate it. Leave the bedroom.

58:12

Go and enjoy yourself. It is not going

58:14

to wake you up. You are already awake.

58:15

Your sleep drive clearly isn't there to

58:17

take you back to sleep. So, go do

58:19

something else. Make sure you get up in

58:20

the morning. Do not lie in. Go and have

58:23

the epic day. Enjoy yourself. Go and see

58:26

your friends or talk to them over Zoom

58:28

or go and do some exercise. Get outside.

58:31

Get some light exposure. Be happy and

58:33

content in your life. Focus on other

58:35

things and go to bed when you're really,

58:37

really sleepy. And when it happens again

58:39

the next night, do the same thing. And I

58:41

promise you eventually you will be able

58:43

to get out of it. But if you lie there

58:44

and you get anxious and stressed and you

58:46

try and force yourself to sleep, you

58:49

already know this doesn't work. You're

58:50

trying it over and over again. So don't

58:53

do it. So, that's the thing that I would

58:54

say. I I hope that when people listen to

58:56

this, they come away and they're like,

58:57

"Do you know what? I'm not as worried as

58:59

I was about my sleep. I'm actually going

59:01

to chill out and I'm I'm going to be all

59:03

right about it.

59:04

But if I do want to improve the quality,

59:06

I've listened to what she said. There's

59:07

some key things there. I'm going to I'm

59:08

going to try do those few things." But

59:10

it's about the little things. So, it's

59:12

not about doing 20 different things. It

59:15

is just about literally get up at the

59:16

same time every morning. Stop

59:17

overcompensating. Stop diluting your

59:19

sleep opportunity when you don't get

59:20

good sleep. Make it smaller. build that

59:23

sleepiness. It's actually good for you.

59:25

Don't freak out. Nothing bad's going to

59:26

happen.

59:27

And you talked one particular point I

59:29

wanted to come back on there because I I

59:31

when I asked my audience about the

59:32

questions they had for you again about I

59:34

say 15 20% of them were all about

59:37

I keep waking up in the middle of the

59:38

night. What to do? So you're saying get

59:40

out of bed.

59:40

Get out of bed and go and do something

59:42

that you love. Do not Yeah. Do not

59:45

go and do something like clean the

59:47

bathroom or do something boring. Go and

59:49

do something that is going to be

59:50

distracting. For God's sake, we're

59:52

always going on about how little time we

59:54

have. You've got more time now. So, go

59:56

and use it. Go and do something fun. I'm

59:58

not saying get up and go to work. I'm

60:00

not saying that because I still think

60:02

this is your sleep opportunity. And if

60:03

you want to retrain your brain to sleep

60:05

during this time, then you've got to

60:07

sort of do things that are I'm not

60:09

saying you need to relax, relax, relax,

60:11

because I think people get stressed at

60:12

that term and they're like, I can't

60:13

relax. I don't know how to relax. Don't

60:14

make me do this.

60:15

So, I think what makes you happy? Do

60:17

some things that just make you happy.

60:18

Whether that's looking at old photos or

60:21

just doing something that you love, it

60:22

is okay. Okay? It's not going to be

60:25

forever. Like I said, you cannot force

60:27

yourself to sleep. But you can dictate

60:30

when you don't sleep. So, as long as

60:31

you're not overcompensating by lying in

60:33

or going to bed early because you're so

60:35

worried about the sleep that you've

60:36

lost, forget it. It's gone. There's

60:38

nothing you can do about it. So, just

60:40

move on and do the right things. And I

60:43

promise you, you will start sleeping

60:44

better. But the more you freak out and

60:46

you're worried about what is going to

60:48

happen to you if you don't sleep another

60:49

night in a row, the more you won't be

60:51

able to fix the problem.

60:52

Great. Where can people find you?

60:55

Uh, so I'm at sleepyheadcl clinic.co.uk.

60:58

It's gone pretty international now

61:00

because of the co is literally I'm

61:02

online now. Um, and

61:04

sleepyheadprogram.com.

61:05

If you have no time to speak to me or

61:08

you just want to do it yourself, um I

61:10

have set up this online course that you

61:12

can do, uh which I'm very excited about

61:14

with two awesome business partners who

61:16

are just as crazy and passionate about

61:19

sleep as I am. And hopefully we can

61:22

start seeing more people um and and and

61:24

build on it and make it an even better

61:26

experience. So yeah,

61:28

listen, thank you so much for your time

61:30

today. Um, sleep is a a thing that I

61:32

think has been, as I said at the start

61:33

of the podcast, has been in in increased

61:36

in relevance um, in our society and in

61:39

my personal conversations online,

61:41

through Instagram, through books that

61:42

aren't, as you say, necessarily very

61:44

helpful. So, it's been um very

61:47

refreshing to to hear a almost a

61:50

counternarrative to the kind of very

61:52

binary specific um quick um secret

61:58

orientated like hacks that people push

62:01

online and that's uh I think will do a

62:03

ton of people a lot of good. So, thank

62:05

you so much for coming.

62:06

Thank you so much for having me.

62:07

Thank you. Thanks.

62:09

[Music]

62:11

Heat. Heat. N.

62:17

[Music]

62:22

[Music]

Interactive Summary

The video features sleep physiologist Stephanie Ramoski, who discusses the misconceptions surrounding sleep, the dangers of common 'sleep hygiene' advice, and the importance of mindset in treating insomnia. She emphasizes that sleep quality is more important than quantity, warns against the pressure of needing a perfect eight-hour sleep, and explains how to address sleep problems like insomnia through behavioral changes rather than quick fixes or supplements.

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