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Why You Wake Up at 3 A.M. (and What to Do in the First Ten Minutes)

Waking in the middle of the night is very common, especially after 45. What you do in the next few minutes often decides whether it becomes a long night.

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Photo by Morgan Vander Hart on Unsplash

You fall asleep without trouble. Then, somewhere around 3 a.m., your eyes open. The house is quiet. You are wide awake.

If this sounds familiar, you are in very large company. Waking in the night is one of the most common sleep complaints, and it becomes more common with age and in the years around menopause.

Waking up is normal. Staying awake is the problem.

Everyone wakes up during the night. Sleep moves in cycles of about an hour and a half, and between cycles we come close to the surface. Most of the time we turn over and forget it by morning.

The trouble starts when the brain treats that small wake-up as an alarm. You look at the clock. You count the hours left. You think about tomorrow. Your heart speeds up a little. Now you are not just awake, you are on alert.

Why it often happens around 3 a.m.

Several ordinary things meet in the second half of the night. Sleep becomes lighter. The body's stress hormone, cortisol, starts its slow morning rise. Hot flashes, a full bladder, a snoring partner or a warm room are enough to wake a light sleeper. None of this is dangerous on its own, but together they make that hour an easy time to wake.

The first ten minutes

Here is a simple plan for the moment you wake.

  • Don't look at the clock. Knowing the time only starts the mental maths. Turn the clock away from the bed tonight.
  • Stay still and keep your eyes closed. Lying quietly in the dark is restful, even if you don't fall asleep right away.
  • Slow your out-breath. Breathe in gently through your nose, then breathe out slowly, a little longer than the in-breath. Don't hold your breath. Just let each out-breath be long and soft.
  • Give your mind a small, boring job. Count your out-breaths from one to ten, then start again. If you lose count, start again without judging yourself.
  • If you feel hot, cool down. Uncover your feet or turn your pillow to the cool side.

If you are still awake after a while

If you have been awake for what feels like a long time and you are getting frustrated, it can help to get up. Go to another room with dim light and do something quiet and dull, like folding laundry or reading something easy. Go back to bed when you feel sleepy. This teaches your brain that bed is for sleep, not for worrying.

A gentle word

One bad night is not a disaster. Most people function better than they expect after a broken night. The less the night feels like a test, the easier sleep comes back.

If you wake every night, feel very tired during the day, snore loudly or stop breathing in your sleep, please talk to your doctor. Some sleep problems have medical causes that are worth checking.

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