Sleep is a Habit
Though sleep is one of the necessary bodily functions, we have significant cognitive control over it. Like the blinking of our eyelids, which we can stop or speed up at will, we can and do change how our body performs sleep. As a broad generalization, people with ADD have greater difficulty in getting to sleep and getting up than our companions, the Neuro-Normals. A simple Google search reveals that much of the literature about sleep hygiene shows how one’s behavior affects sleep onset. This means something that I firmly believe is true. That is, regardless of whether or not you have ADD, if you have a difficult time getting up in the morning it is because that is what you taught yourself.
To paraphrase Thomas Brown, our ADD minds become ‘at attention’ when we are excited about what we are doing and ‘impotent’ when we are not. The neurotransmitters of the attention network work differently when we want to be doing what we are doing. I am an ADD coach and I work with most of my clients on this problem of sleep. The eliciting questions that I use to understand their issues around sleep revolve around their behavior at fun activities. ‘Can you get up to go to rugby practice on Saturday morning?’ ‘On the trip to the beach, were you able to get up with everyone else?’ An answer of ‘yes’ to these or similar questions is a good sign. An answer of ‘no’ means either that there is a more serious sleep issue (see note 1) that must be addressed or the level of being spoiled is high.
From working with the majority of my clients who can get themselves up on the days when there is something exciting to do, I have come up with five ideas to help you get up on those other days:
1. Take responsibility for getting up. This is a crucial aspect of getting up. It is not the alarm clock’s fault, it is the fault of the person who set the alarm. Acknowledging the ‘I’ word is important here. ‘I am responsibility for…’ ‘I set the alarm that…’ ‘I did not…’. Going through the effort of performing adequate ‘sleep hygiene’, (see note 2) which is primarily concerned with going to sleep, is part of taking responsibility for getting up.
2. Be allowed to fail at getting up. This is almost a corollary of the first one. Whoever is waking you up, be it one of your parents or a spouse , a roommate or girlfriend, has to stop taking responsibility for your being successful in the morning. This sense of responsibility is one of your primary motivators. If, in the nether world of your half awake mind, you believe someone is going to come and bail you out, you will not do the work of getting up.
3. Want to get up in the morning. You have to decide that you want to get up, something that can be difficult to do in a half awake state. Addressing this can be approached from two completely different paradigms; from a positive place or negative place. From the negative place, it is needing to get up. The results of steps 1 and/or 2 above, are accomplished by increasing your anxiety of failing. If ‘you’ do not do it, you will fail. Failure is a harsh teacher, and an effective one. The other paradigm, wanting to get up, comes from a positive place. It entails changing your view of the morning. Your feelings and beliefs equating ‘getting up’ with ‘going to work/school’ have to change. Learn to do something else first thing in the morning, be it watch a TV show, go out into the garden, or exercise. You need to get up and, first, do something that is fun for you, before going to work. Then, in your half awake state, it will be easier to want to get up.
4. Understand the architecture of sleep. ‘Sleep architecture’ (see note 3) refers to the pattern our brains go through during the night. During sleep our minds move from the ‘REM stage’ of sleep to ‘Stage 4 Beta’ sleep, and back, several times during the night. This cycle, as a generalization, lasts about 90 minutes. This is an important detail to know. It is easy to wake up if you are at, or near, the REM stage of sleep and difficult to wake up if you are at, or near, the Stage 4 Beta stage of sleep. To be able to wake easily when your alarm goes off at 6:30 in the morning, you need to be in the REM stage of sleep. One of the wonderful things about our brain is that if you tell it at 6:00 that you need to wake up in 30 minutes, no matter where it is in the sleep cycle, it will be at REM stage at 6:30. To do this you need to get a two alarm radio alarm clock. Set the first alarm to quietly play your favorite music at 6:00. It should not be loud at all because you do not want to be prompted to turn it off. What you are doing is alerting your mind to your need to get up in 30 minutes. Then your regular alarm should go off at 6:30. If you are consistent in doing this, you will wake up easily at the time you want. (The regular alarm should not be shocking, just unpleasantly loud. Exceptionally loud alarms, crabby parents or angry roommates only train you to sleep deeper. They increase the problem by prompting protective behavior.)
5. Talk to yourself the night before. An important trick that I have found useful is to talk to yourself the night before about getting up the next morning. This is how to do it. Sit on the side of the bed and look at the alarm clock and say to yourself something like ‘It is 1 AM now. I want to get up at 6:30. That is five and a half hours from now. I have to be at work at 7:30. I will get up and go make a pot of coffee at 6:30.’ While doing this, visualize yourself doing the actions of getting up, etc.
Having ADD, and the problems with sleep that comes with it, can not and must not be seen as an excuse for not being able to get yourself up in the morning. We must teach our children, and as adults we must maintain responsibility for getting up in the morning regardless of our neurological problems.
Below is a list of resources for further information.
1. The Sleep Foundation’s website, http://www.sleepfoundation.org/ has many resources about the various sleep disorders.
2. For a well explained sleep hygiene program go to the website http://www.sleepdex.org/tips.htm. This site also has an excellent resource and articles page.
3. For a comprehensive explanation of the neuroscience of sleep, including sleep architecture, go to this site http://faculty.washington.edu/chudler/sleep.html .
Daniel G. Pruitt, Jr., CPCC PCC SCAC
Parkaire Consultants, Inc.
www.teamparkairecoaching.com
dpruitt@teamparkairecoaching.com
