Sleeping and Dreaming in the Time of Covid-19

Since the pandemic began, many people seem to have been having trouble sleeping, from not getting enough to getting too much to having vivid and often scary dreams. It’s been well documented – scientifically and anecdotally via social media. I’ve had problems with fatigue for years but over the last several months, my struggles in the sleep department have dramatically increased and so I thought I’d do a bit of research into the subject and see how my experiences compare to those of others.


SLEEP

We all know that sleep is massively important to our wellbeing. It’s vital to the functioning of our immune systems, the health of our organs (especially our brains), and the maintenance of our mental health to name a few. The ideal amount of sleep ranges from person to person but most adults need seven to nine hours in order to perform at their best, with children and teenagers requiring even more. But during the pandemic, most people are getting far less than the amount they need, making it even more difficult to handle the stress and uncertainty that have become the norm over the last several months. Personally, I’ve spent much of the pandemic and lockdown either getting less than five hours sleep or getting nine hours but waking continuously and struggling to get back to sleep.

It’s not surprising that the pandemic has had this effect. The loss of time anchors like scheduled work hours, anxiety over you or your loved ones getting sick, economic instability, isolation, and increased screen time are all factors that are contributing to this surge in disturbed sleep and continuing lack of sleep can cause real problems. In the short term, it can become difficult to concentrate and make decisions and can contribute to mental health issues such as anxiety and depression. I’ve definitely experienced these effects (despite already struggling with anxiety and depression, they’ve both become much more significant and life altering since the pandemic began). In the long term, it can put you at risk for dramatic and dangerous health problems.

Fortunately, there has been a lot of research into sleep and the factors that affect it…


ADVICE ON IMPROVING YOUR SLEEP

  • Keeping a routine – Setting times to get up and go to bed (and sticking to them) helps you to programme your brain and internal body clock, making it easier to get to sleep and wake up at normal times. Building other factors into your routine, such as relaxation techniques and turning off screens (ideally) ninety minutes before bed, can also aid with this.
  • Reserve your bed for sleep only – With so many of us working or studying from home, it’s tempting to be comfortable and settle on our beds but that then makes it much harder to settle down and sleep because our brains have associated the space with thinking and processing rather than relaxing.
  • Consistent exposure to natural light – Natural light is one of the triggers for our circadian rhythms (our sleep wake patterns) so making sure we get plenty of natural light helps our bodies to better regulate our sleep.
  • Avoid naps if possible – We all know that naps make it harder to get to sleep at night because we’re less tired when it comes to bedtime but it’s very tempting when we’re having trouble sleeping. Of course, the problem then perpetuates itself. So avoiding naps altogether (or as much as possible) is the obvious solution to this. As someone who has struggled with energy, I know that sometimes naps do become unavoidable but it’s important to keep them short where possible and to avoid allowing it to become habit.
  • Exercise – While many of our exercise habits have been disrupted, it’s still important to exercise and burn energy, something we all know helps us to unwind and sleep. There are lots of alternatives to going to the gym, from walking to home exercises (there are SO MANY on YouTube) to just doing physical jobs around the house. However, the closures of gyms have been problematic for those requiring specific types of exercise due to injuries or illnesses that affect movement. For example, weight bearing exercise is often very painful for me and so I have desperately missed being able to swim, my main form of exercise pre-lockdown.
  • Reduce alcohol and caffeine – Both of these have been proven to disrupt our sleep and therefore many doctors and scientists are recommending avoiding these during this time when our sleep is already disrupted.
  • Meditation or relaxation techniques – Many people have found these to be helpful when it comes to reducing stress and getting to sleep, before the pandemic and during. Apps like Calm are highly recommended with guided meditations and breathing exercises to aid with relaxation, mindfulness, and better sleep.
  • Practice kindness and connection – Human connection (whether in the flesh or via technology) and positive actions have been proven to reduce stress and therefore aid relaxation and sleep. We all need space and alone time but it’s so important to avoid isolating ourselves, something that’s very easy to do when there are literal isolation procedures in place. Spending time with animals is also good here, especially if making conversation feels too overwhelming.

STRANGE DREAMS AND NIGHTMARES

Along with difficulty sleeping, a significant number of people have reported struggling with nightmares, or more nightmares than usual, and I’ve definitely experienced this phenomena. Here’s a few examples of the dreams I’ve been having:

  • Walking on a deserted, desert-like planet (not dissimilar to pictures of the surface of Mars).
  • My Mum having only one day left to live and the panic of having so little time left with her.
  • Losing my dog, Lucky, in the London Underground and never being able to catch up to him as much as I shout for him.
  • Being trapped in a packed London Underground tunnel, people pressing in on all sides (this is a recurring one).
  • Various post apocalyptic scenarios.
  • Walking about destroyed cities.
  • Very vivid experiences of self harming.
  • England being invaded and bombed and the house exploding around me.
  • Breaking precious and fragile possessions.
  • Trying to walk one way down a hugely busy street with endless amounts of unmasked people walking the other way, rushing past and bumping into me (another recurring one).

I also often wake up feeling unsettled and anxious, sweating from dreams that are already fading, disappearing before I can figure out what had happened in them.

There are multiple theories for why we dream but the most common seems to be that, while we’re sleeping and our consciousness is resting, our subconsciousness is processing the events of our day, the big events in our lives, our emotions, our stresses and anxieties, and so on. We’re all obviously dealing with elevated levels of stress and intense emotions during this time so it’s not surprising that our brains are working overtime trying to make sense of it all, producing vivid and often weird or disturbing dreams. Our brains are trying to process something that it has no context for.

While the exact cause and content of these dreams is still being debated, there’s a lot more research into why we feel like we’re dreaming more in the last several months. On average, we dream four to six times a night but most of the time, we simply don’t remember them; but due to the disturbed sleep that many of us are experiencing (caused by stress, massive changes to lifestyle, and social isolation to name a few), we’re waking up during our dreams and that’s why we’re remembering them. Therefore, it seems as though we’re having more dreams when really, we’re just remembering more of them.

If you’re interested in sharing your experiences of these types of dreams or learning about the dreams of others, a website, I Dream of Covid, has been set up to do just that. You can submit your own dreams and read through the dreams of others. It’s really fascinating.

Here is a fascinating interview with Dr. Deirdre Barrett, the assistant professor of psychology in the Department of Psychiatry at Harvard Medical School, about pandemic dreams. She obviously has a much greater understanding of dreaming and of these dreams and offers some valuable thoughts and advice. She’s also running a research study into these dreams that involves an open survey where you can share your experience of pandemic dreams, adding to her data if you feel comfortable doing so and want to help.


TIPS FOR MANAGING QUARANTINE DREAMS

Considering the fact that these dreams are most likely helping our brains (and therefore our entire beings) cope with this incredibly stressful, uncertain period of time, it’s not necessarily in our best interests to try and prevent or reduce these dreams. But, having said that, I’m pretty sure we’d all rather not have to experience them, remember them, or have them hang over us. So that leaves us with the option of attempting to avoid remembering them. Here are some tips that will hopefully help in that endeavour:

  • Try to get better sleep – If you can sleep for longer periods without waking up, you’ll be less likely to remember the dreams you’re having. Hopefully the tips in the above section are helpful in regards to this.
  • Do something positive or relaxing before going to bed – Going to bed with a positive and relaxed mindset before trying to sleep has been proven to improve our quality of sleep, so creating a nighttime routine including things that help put you in a good mental space is worth investing in. These things will differ for everyone: some people like to have a bath; some people like to take time to read; some people like to meditate or journal. I personally enjoy watching a favourite TV show with my family or going for a swim (whether this is currently possible is still uncertain).
  • Avoid the news and social media before bed – Filling your head with scary images and upsetting information is obviously not going to help you relax. The  resulting anxiety is likely to continue the cycle of sleep disruption and remembering the dreams you’re having, the exact opposite of what we’re trying to achieve here. It’s hard to ignore the compulsion to feel like you’re up to date but it’s a good habit to establish, in general as well as during the pandemic.
  • Talk through your nightmares with someone you trust – These dreams can feel very disturbing and so talking them through with someone you trust can lessen the anxiety they cause or even dissipate the dream itself (if you can work through whatever it is that’s causing that specific dream). But even if that doesn’t happen, sharing what you’re going through can at least prevent you from feeling isolated by the experience because, as we’ve seen, many of us are having a very similar experience.
  • Reach out to sleep experts or therapists – I don’t want to offer something I’m not qualified to comment on but many sleep experts and therapists specialising in sleep have been sharing resources online or offering consultations online. If you’re really struggling, professional help might be the most productive way to get your sleep back on track.

So here is what I’ve experienced and learned about sleeping and dreaming during the pandemic and subsequent lockdown. It’s been a really interesting blog post to put together. I hope it’s helpful and/or interesting and I wish you all sweet sleep and sweet dreams.

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SOURCES

  1. https://www.sleepfoundation.org/sleep-guidelines-covid-19-isolation
  2. https://thesleepdoctor.com/sleep-pandemic/
  3. https://www.helpguide.org/articles/sleep/sleep-needs-get-the-sleep-you-need.htm
  4. https://www.nhs.uk/live-well/sleep-and-tiredness/why-lack-of-sleep-is-bad-for-your-health/
  5. https://www.nhs.uk/live-well/sleep-and-tiredness/how-to-get-to-sleep/
  6. https://thesleepdoctor.com/2020/05/12/quarendreaming-why-your-pandemic-dreams-and-nightmares-are-so-weird-and-intense-and-what-to-do-about-it/
  7. https://www.independent.co.uk/life-style/lockdown-coronavirus-dreams-vivid-strange-sleep-emotional-state-a9486206.html
  8. https://www.sleep.org/articles/how-often-dreams/
  9. https://www.cnbc.com/2020/04/03/why-youre-having-pandemic-related-nightmares-and-how-to-sleep-better.html
  10. https://www.nbcnews.com/health/mental-health/why-so-many-people-are-experiencing-weird-pandemic-dreams-n1188901
  11. https://news.harvard.edu/gazette/story/2020/05/harvard-researcher-says-dreams-indicative-of-virus-fears/
  12. https://www.cnet.com/news/is-the-coronavirus-pandemic-giving-you-bad-dreams-heres-why-and-how-to-cope/

I Rediscovered Swimming

One of the most common pieces of advice with anything mental health or mental illness related is to exercise. And while that’s not bad advice, it’s not necessarily good advice in the practical sense. It’s about as helpful as saying, ‘eat healthy’ or ‘get enough sleep.’ It’s something that has to be tailored to you. Specific types of exercise will help where others may make you feel worse. So you need to find the one for you.

For example, I hate running. I would love to love it but I hate it. I find it at best uncomfortable and at worst painful: it’s like my bones are rattling inside my body. I’ve heard this from others with Autism but I don’t know if it’s specific to that or whether it’s a coincidence. But anyway, running is not the thing for me. Swimming however…

I have always loved to swim. I love the feeling of moving through water and when I was a kid, I loved the silence that comes from being underwater. I would’ve given anything to be able to breathe underwater so that I could stay in that silence. That’s pretty ironic given that I would grow up to develop anxiety that is triggered by a lack of noise and distraction.

I got back into swimming a couple of months ago. At the beginning, my anxiety was so bad that I couldn’t even swim: the lack of stimulation for my brain meant that I just spiralled and my anxiety became completely overwhelming. So me and my Mum would walk and talk, planning the day or talking through whatever thing was on my mind that morning. Eventually my anxiety mutated into a different state and I was able to swim. It’s had such an impact on my life so I really wanted to write about it.

Swimming pools have the potential to be very difficult for me, from a sensory perspective. When it’s busy, the sound bounces around and around, making it one big fog of noise, which makes me very anxious. And the fact that I’m so short sighted I can barely see without my glasses makes that anxiety even worse: I can’t see anything and the sound feels like it’s coming from everywhere and that causes me paralyzing anxiety. It’s how I imagine it would feel to be on a carousel but if the carousel was going at ten times the normal speed. It’s scary. The best times to get in a quiet swim seem to be first thing in the morning and last thing at night. I’ve been sticking to the morning; it makes for a more productive day for me.

Knowing that this is the time that allows for the best swimming experience, I’ve been getting up early and getting to the gym for about seven forty five (sometimes I even get the pool to myself, which is glorious). And knowing that I have to get up that early, I’m going to bed at a sensible time, rather than accidentally staying up until three in the morning. So a routine sort of formed by accident and that has been so good for me. My relationship with sleep has never been so good.

Exercise has always been difficult for me given my historic struggle with energy but also because ‘weight bearing’ exercise often feels very jarring. As I’ve already said, it makes me feel like my bones are rattling inside my body and each impact makes it worse. Sometimes it’s not that bad and I can be distracted by whatever I’m doing but sometimes it can actually be painful. So swimming is perfect. It takes that whole aspect out of the equation and makes exercise actually enjoyable. It reminds me of my arthritic dog: he goes for hydrotherapy and as soon as he’s in the water, chasing tennis balls, he’s like a puppy again. He loves it and I can totally relate.

The best thing about swimming is that it’s something that makes sense and that’s something I really need at the moment. The world feels hard and unfair and this is something that I can control. The more I swim, the stronger I get. I can see the results. I’ve been swimming most days for the last three months and I see my own progress: I’m swimming further; I’m swimming faster; I can see my body changing. It makes sense. That grounds me.

The one thing I do have to be careful of is my tendency to obsess: about the number of laps, getting to the next ten, getting to a hundred… Once it’s in my head that I ‘have’ to get to a particular number, there’s not much I can do to change my own mind and it causes me serious anxiety if I don’t reach the number I’ve ‘decided on.’ So I have to be aware of that. Sometimes I can avoid it by distracting myself or by deciding on exactly how long I’m going to spend in the pool but sometimes I just have to manage it. Sometimes that’s all you can do.

But overall, rediscovering swimming has been one of the major highlights of this year. It’s helped my physical health and my mental health, as well as my day to day life. So I feel very grateful to have found it again.

And since I can’t take my phone into the pool with me, here’s a photo of my dog, enjoying his fortnightly swim.

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So I Wrote A Thing For World Mental Health Day

(Trigger warning for self harm.)

Today is World Mental Health Day.

If I’m honest, I’m not really sure what to say. I’m in the middle of the worst depression I’ve ever experienced and I’m very aware that my perspective, my opinions, my hopes are distorted by that. If this was a video, I might just sit and cry. But this day is important so I’m trying to pull myself together and put something out into the world that is (hopefully) positive (and maybe helpful).

This year’s theme is the mental health of young people. When it comes to things like this, I’ve never felt comfortable talking about anyone’s experience but my own. So that’s what I’m going to do. I hope that’s okay with you guys.

My experience at secondary school was a very mixed one. I spent the first three years dealing with some complicated health problems but by the time I reached Years 10 and 11 (ages fifteen and sixteen for those of you who don’t know the education system in England), I felt really settled. I loved learning, particularly English, Maths, History, Psychology, and Philosophy (real shout out to my teachers in all of those subjects). I got real satisfaction from working hard and that was reflected in my grades. I came out of secondary school with not unimpressive grades, especially when you consider I missed most of the first three years. So I felt pretty good about going into Sixth Form (A Levels/ages seventeen and eighteen).

But that was when it all started to unravel. I really, really struggled. I’d gone from completing the work with ease to barely scraping by. I couldn’t understand it: I was trying so hard and it didn’t seem to make any difference. And I couldn’t see it at the time, but my anxiety was getting worse and worse and what I now know to be depression was creeping in. But I didn’t know it was happening so I just kept pushing forwards. I spoke to a couple of people about the high anxiety I was experiencing but each one told me that anxiety is normal and that was the end of the conversation.

It all came to a head when I failed an exam, something that had never happened before. I’d been told I was all set for an A* and I came out with a U. I was absolutely devastated. I know now that our worth as human beings has nothing to do with grades but I was eighteen years old: I had only ever been valued based on my grades. It’s no one person’s fault but that’s how the education system in this country works. It needs changing.

But back to this little story. I don’t remember much after I opened the envelope and saw that U but I ended up in one of the less used college toilets, self harming repeatedly with a broken paperclip. I don’t know how long I was there (long enough that the automatic lights went off and I was plunged into a very appropriate darkness) but at some point, my friends tracked me down and coaxed me out of the stall. I still remember seeing my reflection: my make up all down my face, my hands shaking, and the scratches barely hidden by my long sleeves. One friend took me to a nearby café, bought me a hot chocolate, and just talked to me. And eventually I told her what I’d done. Her kindness and gentleness was so healing, not for the whole problem but for that very difficult day. I will never forget it and I don’t think I’ll ever be able to repay it.

After that, I dropped out of that course and clawed my way out with two A Levels and an Extended Project, far less than I and everyone had expected of me. I went straight into a music course but had to drop out two days in because my anxiety was so bad that I just couldn’t cope. I spent a year grappling with the anxiety and depression, trying the first of many antidepressants (so many) and trying to retake some of the exams in the hope that I could improve my A Levels (I didn’t end up opening the results of those until after I finished my degree, three years later, but that’s another story). During that year, I tried desperately to get help from the NHS to no avail: my anxiety was so bad that talking to people I didn’t know was practically impossible and they refused to help me if I wouldn’t talk. Eventually we were forced to go private, something that I’m endlessly, endlessly grateful has been possible. And I only managed to get my diagnoses when my university said they weren’t able to help me if I didn’t have an official diagnosis.

It still upsets me to talk about. I asked and asked and asked for help but no one either seemed able or willing to help me. I would not be as twisted up now had that not been the case. The information and support was not available to me, it wasn’t available to my family, and it wasn’t available or deemed important enough (I’m not sure which is worse) to the medical professionals I saw. That has to change. It is not acceptable.

Now that I’ve told my story, I want to include some other important, relevant stuff.

The first thing is that I want to link you to Hannah Jane Parkinson’s recent article in The Guardian. She makes the very important distinction between mental health and mental illness. And this is where, I think, physical health and mental health are most comparable: your mental health is something you take care of (or don’t) everyday, by eating and sleeping well, exercising, talking through your emotions, and so on. Mental illnesses, similarly to physical illnesses, can be caused by not taking care of your mental health but there can also be genetic factors, environmental factors, and just hard stuff going on in your life.

WAYS TO HELP YOUR MENTAL HEALTH:

  • Talk – Talk through your feelings with someone you trust.
  • Keep a journal – This way you can air your thoughts and feelings in private.
  • Keep in contact with friends – It’s really easy to get busy and fall out of touch but spending time with people you love and feeling connected to other people is so important.
  • Exercise – This doesn’t mean every or any kind of exercise will help. On a personal level some types of exercise can potentially hurt your mental health. You just need to find the one that does help and then it will really help. I always recommend swimming because it’s non-weightbearing and therefore causes less strain on your body when you’re potentially already struggling with physical symptoms, like fatigue.
  • Eat well/drink sensibly – Everything we put into our bodies affects our minds.
  • Be mindful of your commitments – Yes, social interaction can be really helpful but if you’re taking on too much, it will take more from you than it gives you. And then you won’t be able to cope as well with whatever else is thrown at you.
  • Ask for help if you start to feel mentally and emotionally overwhelmed – Fortunately it’s starting to become easier to access support and counselling but even if it’s a struggle, it is a struggle worth going through.
  • Spend time with animals – It’s scientifically proven that being with animals is good for your health!

WAYS TO HELP YOUR MENTAL ILLNESS:

  • Work with a medical professional/therapist that respects and understands what you’re struggling with – Finding one can be the mission of a lifetime but having that presence in your life whose sole purpose is to help you through your struggles is incredible.
  • Medication – If you’re prescribed medication, take it diligently.
  • Try to keep track of your triggers – Knowing what they are doesn’t always prevent them from sending you into a complete spiral but even one spiral avoided is progress.
  • Create a support system – This isn’t something you can necessarily do without help but, over time and with the help of people who care about you, building a circle of trusted people who will support you through whatever it is you’re going through is so special and helpful.
  • Take time off if you need it – This is one I think we all struggle with. It’s a learning curve for a lot of us but it is important and can prevent small problems from becoming big problems.
  • Find a stress reliever – Whether it’s reading, or watching every episode of your favourite TV show, or doing something artsy like watercolouring, taking a break from all the stuff in your head is well worth doing.
  • Create a safe space for yourself – Living with a mental illness is exhausting and so having somewhere where you can just exist without thinking or masking is so important.

And of course, there is overlap between these two lists.

Where we go from here, I’m not sure. The information about mental health and mental illness is spreading and spreading and more and more people are speaking up. Now we need the right systems to support it: doctors, treatment, government officials who advocate for positive change. For now, that’s all I know. For now, I’m just trying to manage one day at a time.

(And a gentle reminder, my debut single, ‘Invisible,’ which I wrote about my experiences with my mental health is available on iTunes and Spotify and all those places and all proceeds go to Young Minds, a charity that supports young people in their mental health.)