October 19, 2024

7 Ways to Overcome Sleep Problems in Early Recovery

These 7 tips can help you understand why sleep problems in early recovery occur and provide guidance on where to start to overcome them.

Frame 1077241737Medically Reviewed by Dr. Fayz Yar Khan, MD FACP

overcoming sleep problems in early recovery

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Julie Miller

Recovery Writer and Advocate

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Last Update on October 22, 2024

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Sleep problems in early recovery are common and can significantly impact your overall health and well-being.

Insomnia, restless sleep, and vivid dreams are just some of the challenges many people face during this time.

In this article, we’ll explore why these sleep problems occur and how they affect your recovery journey.

We’ll also discuss practical tips and strategies to help you improve your sleep so you can enhance both your physical and emotional healing for a more successful recovery.

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1. Common Sleep Problems in Early Recovery

During the early stages of recovery, many individuals experience sleep problems that can affect their overall health and well-being.

These sleep disturbances are often linked to anxiety, cravings, withdrawal symptoms, and the body’s adjustment to sobriety.

Below are some of the most common sleep issues faced in early recovery:

  • Insomnia: Difficulty falling or staying asleep due to anxiety, cravings, or physical discomfort.
  • Nightmares: Vivid dreams or nightmares related to trauma or withdrawal, which disrupt sleep.
  • Frequent Waking: Waking multiple times throughout the night due to anxiety or discomfort.
  • Fatigue Despite Sleep: Feeling tired despite getting a full night’s sleep as the body adjusts to sobriety.
  • Restless Sleep: Experiencing frequent tossing and turning, which prevents deep, restorative sleep.
  • Oversleeping: Sleeping excessively or feeling the need to sleep longer than usual, often due to emotional exhaustion or the body’s attempt to heal.
  • Early Morning Awakening: Waking up too early and being unable to fall back asleep can contribute to fatigue during the day.

2. Causes of Sleep Problems in Early Recovery

Sleep disturbances are common in early recovery due to the significant physical and mental changes that occur as the body and mind adjust to sobriety.

These changes can disrupt sleep patterns and make it challenging to get restful sleep.

Below are some of the main causes of sleep problems in early recovery:

  • Substance Withdrawal: The body’s response to the absence of substances can lead to disrupted sleep patterns as it adjusts to functioning without them.
  • Mental Health Issues: Anxiety, depression, and trauma are often heightened during early recovery, contributing to difficulty falling or staying asleep.
  • Chemical Imbalance: Disruption in the production of dopamine and serotonin, which are essential for regulating mood and sleep, can occur during withdrawal.
  • Rebound Effects: Certain substances can have a rebound effect, where the withdrawal causes the opposite of what the substance initially provided, like heightened anxiety or restlessness.
  • Physical Discomfort: Withdrawal symptoms like muscle aches, sweating, or restless leg syndrome can prevent a restful night’s sleep.
  • Emotional Stress: Feelings of guilt, shame, or worry about the future can lead to an overactive mind, making it hard to relax and fall asleep.

3. How Sleep Problems Affect Recovery

Poor sleep can significantly hinder the recovery process, impacting both mental and physical well-being.

Addressing sleep issues early on is crucial to building a stable foundation for long-term sobriety.

Here are some of the key ways that sleep problems can affect recovery:

  • Increased Risk of Relapse: Sleep deprivation can lead to heightened irritability, cravings, and a weakened ability to resist temptation, making it more likely to relapse.1
  • Impaired Cognitive Function: Lack of sleep affects decision-making, memory, and concentration, which are essential skills needed to maintain focus on recovery.
  • Negative Impact on Mood: Poor sleep worsens anxiety, depression, and mood swings, making it harder to stay positive and manage emotions effectively.
  • Physical Health Decline: Chronic sleep issues can lead to a weakened immune system, increased inflammation, and higher stress levels, impacting overall recovery progress.
  • Reduced Motivation and Energy: Persistent fatigue from poor sleep can make it difficult to engage in daily activities, including attending therapy sessions, exercising, or following through on recovery goals.

Quick Tip: Establish a Bedtime Routine for Better Sleep

Creating a consistent bedtime routine is key to improving sleep in early recovery. Aim to go to bed and wake up at the same time each day, even on weekends. Wind down with relaxing activities like reading, deep breathing, or gentle stretching to signal to your body that it’s time to rest. Consistency and relaxation can help regulate your sleep patterns over time.

4. Tips for Managing Sleep Problems in Early Recovery

Improving sleep during early recovery is crucial for overall well-being.

Here are some practical tips that can help you establish healthier sleep habits:

  • Create a Sleep Routine: Go to bed and wake up at the same time every day, even on weekends, to regulate your body’s internal clock.2
  • Limit Caffeine and Sugar: Avoid consuming caffeine or sugary foods in the late afternoon or evening, as they can interfere with your ability to fall asleep.
  • Mindfulness and Relaxation: Practice mindfulness meditation, deep breathing, or gentle stretching before bed to help calm your mind and reduce anxiety.
  • Stay Active During the Day: Engage in regular physical activity, such as walking or light exercise, to promote better sleep at night.
  • Therapy for Anxiety/Trauma: Consider working with a therapist to address any underlying anxiety or trauma that may be affecting your sleep patterns. Professional support can be key to managing these challenges effectively.

5. Using Natural Sleep Aids for Better Rest

In early recovery, using natural, non-addictive sleep aids can be an effective way to regulate sleep patterns without the risks of dependency.3

Here are some common natural options to consider:

  • Melatonin Supplements: Melatonin can help regulate your sleep-wake cycle. It’s a non-addictive supplement, but it’s essential to use it under the guidance of a healthcare provider, especially during recovery, to prevent interactions with medications or overuse.
  • Herbal Teas and Natural Remedies: Herbal teas such as chamomile or valerian root can promote relaxation and prepare your body for rest. These teas offer a gentle, natural approach to easing into sleep without the risks of stronger medications.
  • Medical Supervision in Recovery: While natural sleep aids are generally safe, consulting with a healthcare provider is still important. Natural remedies can interact with medications or have unintended effects, so professional oversight ensures your safety and well-being.

6. Treatment Options for Sleep Problems in Recovery

Managing sleep issues in recovery often requires a combination of medical and therapeutic approaches.

Here are some effective treatment options to consider:

  • Cognitive Behavioral Therapy for Insomnia (CBT-I): CBT-I is an evidence-based approach that helps individuals change unhealthy thoughts and behaviors around sleep. It’s especially valuable in recovery because it avoids medication and offers long-term improvements in sleep quality.
  • Medication: In certain cases, short-term use of sleep aids might be necessary. It’s essential to consult with a healthcare provider to explore non-habit-forming options that are safer in recovery and to avoid dependency risks.
  • Therapeutic Approaches: Addressing underlying mental health challenges, such as anxiety, depression, or trauma, through therapy can lead to better sleep. Techniques like counseling, group therapy, or mindfulness-based stress reduction (MBSR) can help regulate both mental health and sleep patterns.

Residential Treatment Programs for Severe Cases

For individuals facing severe or persistent sleep disturbances in recovery, residential treatment programs can offer the comprehensive support needed to address these challenges.

These programs provide a holistic approach, offering 24/7 care to manage both sleep disorders and the underlying mental health issues that often accompany recovery.

With a structured daily routine, consistent medical supervision, and therapeutic interventions, residential programs create a stable environment that can be particularly beneficial for those struggling to establish healthy sleep patterns on their own.

This level of care helps individuals regain control over their sleep and overall well-being, fostering long-term recovery.

7. Understanding When Sleep Problems Improve in Recovery

Sleep issues can vary greatly in recovery, with some individuals experiencing improvements early on while others may face longer-lasting disturbances.

Establishing consistent sleep routines, prioritizing mental health management, and maintaining healthy habits are key to achieving long-term improvement.

Short-Term vs. Long-Term Recovery

Short- and long-term recovery from sleep issues in early sobriety can look a bit different, each phase offering different results. Here’s what you may experience:

Short-Term Recovery (First Few Weeks to Months)

  • Sleep Onset Issues: Difficulty falling asleep is common due to lingering anxiety, cravings, or physical discomfort.
  • Nightmares and Vivid Dreams: The brain processes trauma or withdrawal, leading to disruptive and intense dreams.
  • Frequent Waking: Many people wake up multiple times during the night as they navigate early recovery stressors.
  • Fatigue Despite Sleep: It’s normal to feel tired or unrefreshed, even after a full night’s sleep, as the body adjusts to sobriety.
  • Restlessness: Withdrawal symptoms can lead to difficulty staying still or feeling agitated at night.

Long-Term Recovery (Several Months to Years)

  • Restored Sleep Patterns: With time and consistency, regular sleep schedules become more established.
  • Improved Sleep Quality: As mental health and physical well-being improve, sleep becomes deeper and more restorative.
  • Reduced Nightmares: The vivid dreams and nightmares often diminish over time.
  • Stable Mental Health: Ongoing therapy and effective mental health management contribute to better overall sleep.
  • Healthy Sleep Habits: Continuing to prioritize a regular sleep routine, managing stress, and focusing on well-being lead to long-term sleep improvement.

Frequently Asked Questions

What causes sleep problems in early recovery?

During early recovery, the body and brain are adjusting to being substance-free. Withdrawal symptoms, anxiety, and changes in chemical production (dopamine and serotonin) can all cause insomnia, nightmares, and other sleep disturbances.

Natural sleep aids like melatonin and herbal teas can help regulate sleep without the risk of addiction. Practicing mindfulness techniques, sticking to a sleep schedule, and avoiding caffeine before bed can further assist in getting quality sleep each night. 

If your sleep problems persist for weeks or get worse, it may be time to seek help. Therapies like Cognitive Behavioral Therapy for Insomnia (CBT-I) or talking to a healthcare provider about non-habit-forming sleep aids can offer the extra support you need to streamline your recovery and sleep.

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Key Takeaways

Taking the Next Step Toward Better Sleep and Recovery

Sleep problems are a common challenge in early recovery, but they don’t have to derail your journey to wellness.

By incorporating natural remedies, establishing consistent routines, and exploring therapeutic options like Cognitive Behavioral Therapy for Insomnia (CBT-I), you can significantly improve your sleep and overall well-being.

Addressing sleep issues early on is crucial to maintaining long-term recovery and avoiding potential setbacks like relapse or mood disturbances.

If you’re struggling with sleep or mental health challenges during recovery, Cornerstone Healing Center offers a range of services tailored to support you.

From outpatient programs to comprehensive residential care for more severe cases, we’re here to help you navigate these obstacles.

Don’t hesitate—reach out to explore the treatment options that best fit your needs and take the next step toward healing.

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Author & Reviewers

lionel estrada lisac clinical director
CLINICAL DIRECTOR & REVIEWER

Lionel is the Clinical Director of Cornerstone’s Scottsdale treatment facilities. He has had over 4 years at Cornerstone. He is personally in recovery and passionate about helping others overcome substance abuse and mental health challenges; he is trained as an EMDR, adopting a trauma-informed approach to treat the underlying issues.

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