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  • "Hitting snooze will give you extra meaningful rest."

  • Hitting the snooze bar

  • is one of the worst things you can do.

  • "Sleeping positions don't matter."

  • Now, wrong.

  • Sleeping positions absolutely do matter.

  • "If you snore, you have sleep apnea."

  • This one is critically important to all sleep physicians.

  • Hi, my name is Girardin Jean-Louis.

  • I'm a professor of psychiatry and behavioral sciences,

  • and my work focuses primarily on circadian and sleep health.

  • And I'm Rebecca Robbins.

  • I'm an instructor in medicine at Harvard Medical School

  • and associate scientist at the Brigham and Women's Hospital.

  • In my research, I design behavioral interventions

  • to give individuals the tools

  • to improve their sleep and their health.

  • And today, we're making an effort

  • to debunk some common myths about sleep.

  • "It's better to be a morning person than a night owl."

  • So, one isn't better than the other.

  • We do have in our society both night owls and larks.

  • There's no question about that.

  • Both of them do very well

  • in terms of their own personal livelihood.

  • The difference is that, for personal happiness,

  • to be a morning person,

  • because of the way society is structured,

  • they tend to do much better.

  • Robbins: We have sayings like

  • "the early bird gets the worm,"

  • and unfortunately that's to the detriment, often,

  • of evening people.

  • They really live in a morning person's world

  • and often are forced to work on a morning person's schedule.

  • So, what we hope to see happen

  • is that people become aware of the kind of person they are.

  • If you happen to be a morning person,

  • do know that your performance

  • is going to be much better in the morning.

  • If you're an evening person,

  • your performance is going to be much better

  • during the evening hours.

  • "Sleeping positions don't matter."

  • Now, wrong. Sleeping positions absolutely do matter.

  • We all, believe it or not,

  • spend most of our time in one of three positions.

  • Most people are side sleepers.

  • The next most common is your back,

  • and the least common is sleeping on your stomach.

  • The key thing when it comes to sleeping positions

  • is to make sure that your spinal column is aligned

  • and you are supported

  • over the course of your sleep at night

  • in your preferred position.

  • I would only add that if you happen to be somebody

  • who has positional sleep apnea,

  • the position at which you sleep does matter,

  • because if you are sleeping in a supine position,

  • it's more difficult for you to breathe,

  • therefore you snore a little louder,

  • and your bed partner may not really appreciate that.

  • Now, pregnancy is a time

  • where your sleeping positions also really matter.

  • During pregnancy, you want to make sure

  • you're comfortable and ideally on your side,

  • so that the belly isn't compressing down on top of you

  • and that the baby's protected.

  • But the key thing for pregnant people

  • is you want to be comfortable.

  • In whatever position you take,

  • make sure that you are supported with lots of cozy pillows.

  • "The cure for jet lag is not sleeping all night."

  • Robbins: One of the common things that we hear

  • people say is often,

  • "I'll just stay up all night, and I'll cure jet lag."

  • And, of course, that's not a cure for jet lag.

  • You're just sleep-depriving yourself so significantly

  • that of course you will fall asleep

  • at any time the next day.

  • There really is no cure for jet lag,

  • but you can cope with some of the consequences

  • by making sure to walk outside in your new time zone

  • as much as possible, get natural light exposure.

  • Jean-Louis: If you're traveling east,

  • do not wait until you get there

  • and try to sleep-deprive yourself.

  • You can start to prepare ahead of time.

  • So if you're going to be going to Paris,

  • you know it's about five hours away.

  • So what do you do?

  • You begin to shift your schedule progressively,

  • maybe four or five days before,

  • so that by the time you get to Paris,

  • you are already in the Paris time zone.

  • And try to avoid alcohol.

  • Sometimes that can interfere

  • with your ability to get healthy sleep.

  • Jean-Louis: Avoid any type of stimulant.

  • Give yourself a few days. You will adjust naturally.

  • "Hitting snooze will give you extra meaningful rest."

  • This is actually a myth.

  • Hitting the snooze bar

  • is one of the worst things you can do,

  • because what you're doing is you're robbing yourself

  • of some of the best sleep.

  • In the second half of the night

  • is when we have most of our rapid-eye-movement sleep,

  • and that's where we get a lot of the benefits

  • cognitively of our sleep.

  • So if you're hitting your snooze bar

  • one or two or three or, worse, more times,

  • you're interrupting some of that really valuable sleep

  • when it comes to the standpoint of our cognition.

  • Sleep fragmentation is really not good,

  • because it leads to all kinds of psychological problem

  • as well as physical problem.

  • If you are sleep-fragmented, then you are more likely

  • to have cardio-metabolic dysfunctions,

  • and your mood is not as positive as it should be.

  • Robbins: Instead of hitting the snooze bar,

  • the best thing is to sleep as late as you possibly can.

  • If you have to go to the office at 8 o'clock

  • and it takes you an hour to get ready,

  • set your alarm clock for 7 o'clock

  • and commit to not snoozing.

  • Get up at 7 o'clock and go about your day.

  • So if you find yourself having to hit the snooze button,

  • it tells you you really need to have

  • a much longer period of sleep.

  • So you may have to think about your lifestyle

  • and see how can you incorporate more sleep

  • in your daily routine.

  • "Napping makes up for lack of sleep at night."

  • Napping is an interesting concept in our field.

  • It does have its merit. It also has some of its drawbacks.

  • Robbins: The ideal duration for a nap

  • is actually about 20 minutes, so it's quite short.

  • So make sure to set an alarm, so you don't sleep too long,

  • which will cause you to wake up groggy

  • and might affect your sleep that night.

  • Jean-Louis: If you've already had your seven hours,

  • which is your core sleep needs,

  • there's no point trying to do more.

  • In fact, if you're trying to do more,

  • you could develop insomnia because of that.

  • "Taking melatonin will make you fall asleep immediately."

  • It's not going to be something

  • that knocks you out right away.

  • Melatonin, we call it a neurotransmitter.

  • It's secreted in the brain.

  • It's associated with the transition to darkness

  • in our environment.

  • And ideally, melatonin is a naturally occurring process,

  • but melatonin can also be taken exogenously

  • or as a supplement.

  • Jean-Louis: If you're taking short-acting

  • melatonin substances,

  • it's highly recommended you do that

  • about two to four hours before bedtime,

  • certainly not right before you go to bed.

  • It takes a while before it becomes effective.

  • Most of the melatonin that's available over the counter

  • isn't highly regulated,

  • so unfortunately we don't know its purity.

  • The other key thing is many people take far too much.

  • So often you go to the drugstore

  • and you see 10 milligrams, 20 milligrams of melatonin.

  • That's far, far too much.

  • Much smaller doses are important.

  • You will want to talk to your physician

  • to make sure that you pick the right type of melatonin

  • for the problem that you're having.

  • "If you pull an all-nighter, sleep as soon as possible."

  • Now, hopefully you're not pulling all-nighters,

  • because, again, sleep is so important

  • night in and night out.

  • But if you did get a night

  • of either very insufficient sleep

  • or maybe no sleep at all, this is a myth, in some ways,

  • because we don't want to just binge-sleep

  • as soon as you're absolutely able to.

  • What you want to do is actually get back

  • to your normal routine as fast as possible.

  • So that means maybe trying to push through the day

  • and wait until your regular bedtime,

  • maybe taking a nap in the afternoon if you're tired,

  • but trying to get back on your normal schedule

  • as soon as possible,

  • not necessarily sleep as soon as possible.

  • That's an excellent point.

  • I would only add that, if you happen to be a young person,

  • that's really true,

  • a couple of days before you're back on schedule.

  • But if you happen to be an older person in your 60s and 70s,

  • it could take you up to a week to recover.

  • So you have to think about, what am I doing?

  • Do I have to do that?

  • Because there's a price to pay,

  • particularly if you happen to be an older person.

  • "Dreams only last for a few seconds."

  • Now, dreams don't only last for a couple seconds.

  • They can be a couple seconds,

  • they can be a couple minutes, and they can be longer.

  • We all dream four to five times a night.

  • And it happens predominantly in rapid-eye-movement sleep.

  • We believe about 80% of dreaming takes place then.

  • You could have a dream episode

  • that lasts about five seconds,

  • and when you are recounting

  • what actually took place during the night,

  • you feel as if you had this dream

  • for, like, two, three hours.

  • You could also have a dream that lasted 10 minutes,

  • and then you feel it

  • really should have been about five seconds.

  • It has to do with the emotional content of the dream.

  • And, in fact, most people remember their dreams

  • because of the thing that they see.

  • If you see a loved one die in a car accident,

  • you're going to remember this.

  • There is no precise duration of dreams.

  • We know less about their quantity and length.

  • But what we do encourage is to have fun with your dreams.

  • Talk to a loved one. Maybe keep a dream journal.

  • "If you snore, you have sleep apnea."

  • Now, snoring is one of the most common symptoms

  • of a condition called obstructive sleep apnea,

  • which is life-threatening,

  • but the snoring doesn't necessarily mean

  • that you absolutely have this condition.

  • Many people snore and are completely healthy.

  • Essentially, snoring or sleep apnea

  • is really a mechanical problem.

  • That is, because of the excess weight on the upper airway,

  • you put too much pressure on your throat,

  • therefore the airway collapses either fully or partially.

  • That's what snoring really is.

  • It's you making an effort

  • trying to keep the upper airway open.

  • But if that snoring is coupled

  • with excessive daytime sleepiness

  • or if you've ever been told

  • that you wake up over the course of the night

  • or stop breathing or gasp for air,

  • those could be signs of sleep apnea.

  • Sleep apnea is a very serious problem.

  • Some people can actually die in their sleep.

  • This one is critically important to all sleep physicians.

  • We do not want one more person to die of a heart attack

  • or a stroke because of a problem they could have fixed.

  • So you really have to understand,

  • if that cardinal symptom of snoring shows up,

  • talk to a physician to make sure

  • that you don't have sleep apnea.

  • And if you do, we can actually help you

  • breathe better, sleep better,

  • therefore have a very productive and long life.

  • "Insomnia means you can't fall asleep."

  • It's partly true, partly not so true.

  • If you happen to be somebody

  • who can't fall asleep fast enough,

  • then you have what we call sleep-onset insomnia,

  • which is true.

  • But you also have the other one,

  • which is that you fall asleep OK

  • but you wake up multiple times throughout the night

  • and you cannot go back to sleep.

  • That's sleep-maintenance insomnia.

  • Now, insomnia is best treated with a healthcare provider,

  • and there are pharmacological treatments,

  • but there are actually behavioral treatments

  • that are incredibly effective,

  • and that's called cognitive behavioral therapy for insomnia.

  • So if you are not sure what to do,

  • we could contact your sleep physician.

  • They'll be able to guide you.

  • "If you can fall asleep anywhere and at any time,

  • it means you're a 'good sleeper.'"

  • Now, this most definitely is a myth.

  • Believe it or not, it actually takes time to fall asleep.

  • The hallmark of a healthy sleeper

  • is actually what we call sleep latency,

  • or the time it takes you to fall asleep

  • of about 15 or 20 minutes.

  • If you're falling asleep right away,

  • it generally is a sign that you're not getting enough sleep.

  • A good sleeper really is a person

  • who can function throughout the day,

  • not fall asleep at inappropriate circumstances.

  • Most people need about seven to eight hours

  • to function optimally.

  • But the fact that somebody

  • might be a short sleeper, five, six hours,

  • if they're functioning optimally during the day,

  • they can go home and spend time with the family,

  • walk the dog, play with the cat,

  • then that person is a good sleeper.

  • But if you find that you're sleeping five hours,

  • when you're at work you're falling asleep,

  • you can't function properly,

  • your mood is not what it's supposed to be,

  • then you need to get a bit more sleep.

  • "More sleep is always better."

  • Now, this is a myth.

  • More sleep is not always better,

  • because in addition to getting sufficient duration,

  • when it comes to sleep, consistency is critical.

  • So if you look at maybe sleeping in

  • or extending your regular sleep times

  • well beyond what you typically keep,

  • then that's going to throw your internal biological

  • or circadian rhythm completely out of whack.

  • So instead of sleeping in on the weekends

  • or maybe binge-sleeping, the ideal thing

  • is to get onto a schedule and try to keep it

  • as close to Monday through Monday as possible.

  • What we don't want people to do

  • is to feel, "I have to sleep eight hours."

  • If you're physiological for seven,

  • then that's perfectly fine.

  • If it's six, that's perfectly fine.

  • The question is, is it optimal for you?

  • "Nightmares and night terrors are the same."

  • Now, these two things are distinct.

  • A nightmare is, of course, a disturbing dream,

  • and a night terror is actually something

  • that we call a parasomnia,

  • which refers to abnormal behavior that occurs during sleep.

  • But it largely happens in children

  • and does generally go away around puberty.

  • Now, there are similarities with these two things,

  • but the one difference is

  • that a night terror can be very disturbing

  • for the person who isn't sleeping to observe in a sleeper.

  • Anyone experiencing night terrors

  • is thrashing about violently,

  • and so it can be a little bit disturbing to watch.

  • Nightmares tend to be a resultant of things

  • you have been exposed to during the day.

  • If you had watched a horror movie,

  • some of those mentations can carry on

  • during the night episode.

  • If you happen to be under significant stress,

  • you're not doing so well at work,

  • all of those can cause nightmares.

  • One exception is the environment.

  • We find experimentally, when we manipulate the temperature,

  • so we put sleepers under a heat blanket

  • so we can make sure that they're nice and toasty,

  • we actually see that their sleep fragmentation increases

  • and the reports of nightmares as well.

  • So make sure that your bedroom is on the cooler side.

  • We generally recommend about 68 degrees Fahrenheit

  • for an optimal sleeping temperature.

  • Those sleep myths we talked about, maybe there are more,

  • but at least for now we know these are the ones

  • that are counterproductive to our health and well-being.

  • Let's all have a good night's sleep.

  • Are we ready?

  • Go ahead. Yeah, yeah.

  • All right. [rips paper]

  • You've got to throw it up.

  • Should we both?

  • Do you want some of these?

  • No, you do it. You throw it.

  • There we go. [Robbins laughs]

"Hitting snooze will give you extra meaningful rest."

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