How to Fall Back Asleep After Waking in the Night

Deep Breathing

Experts recommend using slow, deep breathing to fall back asleep. This type of breathing may activate the parasympathetic nervous system, which is involved in relaxation and sleep. One such breathing technique is called the 4-7-8 method which involves four seconds of inhalation through the nose, holding the breath for seven seconds, and then exhaling through the mouth for eight seconds.

Mindfulness Meditation

Mindfulness meditation may also help improve sleep quality. Mindfulness meditation involves purposefully focusing on the present moment and paying attention to what occurs from a place of curiosity rather than judgment. A variety of techniques exist, including meditation that incorporates specific breathing patterns. People interested in trying mindfulness meditation can seek out courses or listen to recorded guidance Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source using a smartphone or another device.

Box Breathing

To engage in box breathing, breathe in for four seconds, hold the breath for four seconds, exhale for four seconds, and hold the breath again for four seconds. You may find it helps to imagine working your way around a square box as you breathe. Keep repeating this pattern of inhaling, holding, exhaling, and holding the breath again. If four seconds is not the ideal length of time for you, you can adjust it up or down.

Guided Imagery

A recording can help guide you as you practice visualizing somewhere peaceful, like a beach. As you visualize the setting, try to imagine what you would be experiencing through all five senses. For example, try to see, hear, smell, taste, and feel the sensations you would if you were in the setting you are imagining.

Progressive Muscle Relaxation (PMR)

This technique involves progressively tensing and then relaxing each muscle in the body. You can start with your feet, then move up to your head one muscle group at a time, or vice-versa. After you tense a muscle, try to keep it contracted for at least five seconds, then slowly release it. Guided recordings are widely available to talk you through progressive muscle relaxation.

Non-Sleep Deep Rest

Non-sleep deep rest (NSDR) is controlled relaxation without letting your body slip into the first stage of sleep. While the technique is intended for daytime restoration as an alternative to napping, NSDR can be used for sleep.

Similar to yoga nidra, NSDR helps you enter a conscious state of calm. Focus on a specific thought that helps your mind and body relax. Keep this thought at the forefront of your mind and allow the stress and tension in your body to release. Try NSDR on your own or through an audio guide.

Calming Music or ASMR

Research shows that listening to music or white noise can help people fall asleep faster and wake up less during the night. Music and white noise likely promote sleep by blocking out background noise or prompting a relaxation response.

Other sounds can also promote sleep through an autonomous sensory meridian response (ASMR), a response that involves a tingling sensation across the scalp and spine. This response can be triggered by particular sounds or videos, which often involve whispering, slow movements, personal attention, and crisp sounds. Studies suggest that even when a person does not experience a full ASMR response, watching or listening to ASMR material can still improve mood and reduce pain.

What to Avoid Doing When You Wake Up During the Night

Certain activities are best avoided when you wake up during the night, because they can interfere with your ability to fall back asleep:

• Watching the Clock: Studies suggest that clock-watching Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source , which involves closely monitoring what time it is, can make falling asleep more difficult for people with insomnia. While clock-watching, a person might become frustrated that they have not fallen asleep yet, which can increase stress and make sleep even less likely.
• Looking at Electronics and Turning on Lights: Although you might feel tempted to reach for your smartphone, e-reader, or the lamp on your nightstand after waking up during the night, try to resist. Light exposure stops the production of melatonin, a hormone that promotes sleep.
• Staying in Bed Too Long: If you wake up during the night and cannot fall back asleep, experts recommend getting out of bed after 15 to 30 minutes. To help your brain associate your bed with sleeping rather than with being awake, you want to avoid lying awake in bed for too long. Instead, do something relaxing elsewhere, like meditating or reading a book. Then, come back to bed when you feel tired.

Why Do I Wake Up in the Middle of the Night?

Many factors cause people to wake up during the night, such as disruptions in the environment, lifestyle factors, health issues, and aging. We explore the possibilities of what might be waking you up at night.

Environment Factors

Sleep hygiene tips often include the advice to maintain a quiet, dark, cool bedroom, as sensory disturbances can wake a person up during the night. Research suggests that background sounds, such as traffic noises from vehicles on a nearby street, can cause sleep disturbances. In addition to waking people up, these sounds can also prompt the release of the stress hormones adrenaline and cortisol, increase heart rate, and affect digestion.

A study of adults found that even exposure to very dim light Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source during the night can negatively impact sleep. Not only can dim light exposure increase nighttime awakenings, but it can also change how much time a person spends in certain stages of sleep. Similarly, environmental factors like room temperature, Trusted Source National Center for Biotechnology Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source air quality, and odors Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source can negatively impact sleep.

Health Changes

Although many people think of insomnia as trouble falling asleep, it can also involve waking in the middle of the night or early morning and having difficulty falling back asleep. Many health issues cause or exacerbate insomnia. Addressing the underlying health issue or sleep disorder is an important step toward regaining better sleep.

Research shows that as people grow older Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source they tend to spend less time in deep sleep and more time in light sleep. Also, they tend to have circadian rhythm changes that can lead to falling asleep earlier and waking up earlier than they would wish. For many adults over 60, health conditions and sleep disorders such as sleep apnea can further contribute to nighttime awakenings.

If you are currently undergoing hormonal changes, they could be responsible for your nighttime awakenings. Studies have found that people tend to experience a reduction in sleep quality during pregnancy Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source and menopause. Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source

Lifestyle Choice

Multiple lifestyle factors can disrupt a person’s sleep:

• Alcohol: Although alcohol may relax you and even seem to help you fall asleep, studies suggest drinking can reduce your sleep quality.
• Stimulants: Caffeine and nicotine are stimulants associated with waking up during the night. 
• Certain Medications: Certain prescription medications, including psychotherapeutic medications, beta blockers, opioids, and stimulants, may interfere with staying asleep.
• Evening Digital Device Usage: Studies have shown that devices like smartphones and e-readers that emit blue light can disrupt sleep when used near bedtime.
• Lack of Physical Activity: Exercising regularly can lead to better-quality sleep, while time spent being sedentary Trusted Source National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source may increase sleep disruption.

When to See a Doctor

Many of the causes of sleep disruption can be easily remedied through changes to the sleep environment or improved sleep hygiene. However, sometimes waking up at night and being unable to fall back asleep indicates a person has a sleep disorder or underlying health problem. If you continue to experience sleep disruption after improving your sleep habits, talk to your doctor. They can ask questions about your situation and refer you to a sleep specialist, if necessary.

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