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Why You Can’t Sleep (and How to Fix It) | Dr. Michael Grandner

FoundMyFitnessOctober 6, 20253h 41m
Topics62
Sleep Apnea Prevalence and Consequences0:00Sleep Hygiene, Supplements, and Melatonin0:30Introduction to Dr. Michael Grandner1:03Diagnosing Insomnia Disorder1:31Conditioned Arousal Mechanism4:30CBTI and Stimulus Control10:00Separate Sleep and Wake Signals13:31CBTI Mechanism17:00Handling Middle-of-Night Awakenings21:01Athletes and Effort in Sleep25:00Athletes' Vulnerability to Sleep Control25:37CBT-I: Sleep Restriction Therapy (Restriction of Time in Bed)26:02Bed = Sleep Only28:30Why Sedatives Like Ambien Are Prescribed33:00Insomnia Prevalence37:30Sleep Apnea Prevalence and Physiology39:00Non-Obvious Sleep Apnea Signs42:30When to Test for Sleep Apnea46:00Home Sleep Tests49:02Differentiating Causes of Sleep Apnea50:00Effects of Untreated Sleep Apnea on Sleep Architecture53:00How Sleep Apnea Disrupts Architecture1:06:00Cognitive Impacts1:10:00Sleep Apnea Treatments1:13:02CPAP and Alternative Treatments for Sleep Apnea1:13:54Mouth Taping and Chin Straps1:17:33Assessing Treatment Effectiveness1:19:30Sleep Hygiene vs. Behavioral Sleep Medicine1:22:00Caffeine Timing1:30:30Bedtime vs. Wake Time Strategy1:35:01Consistent Wake-Up Times1:37:45Melatonin: Hormone of Darkness1:43:31Other Supplements1:59:00Nighttime Workout Supplements2:02:05Substances Affecting Sleep: Marijuana, THC, and CBD2:03:32Alcohol as a Sleep Aid2:12:31Caffeine Effects on Sleep2:15:31Late-Night Eating2:19:31Shift Work2:24:31Shift Work and Food Choices2:26:39Jet Lag Strategies2:32:31Sleep Tracking Devices: Accuracy and Interpretation2:41:01Challenges Interpreting Wearable Sleep Data2:51:19Biggest Misconception: Accuracy of Wearables2:52:02Making Wearable Data Actionable2:53:01Using Heart Rate Data2:55:30Interpreting Sleep Stages from Wearables2:57:00Troubleshooting High Nighttime Heart Rate2:58:30Consistent Low Deep or REM Sleep Over Weeks/Months3:00:30Pitfalls: Orthosomnia3:03:30Sleep for Cognitive Performance and Resilience3:08:01Circadian Shifts in Youth3:10:02Shifting Chronotype Strategically3:13:02Most Consistent Sleep Hack for Athletic Performance3:14:54Sleep Banking for Athletes3:17:00Sleep for Recovery and Injury Prevention3:19:30Improving Cognitive Performance with Sleep3:24:30Rapid Fire Audience Questions3:28:01Optimal Sleep Duration3:38:51Aligning Lifestyle with Chronotype3:39:01Guest's Upcoming Publications3:40:01Guest Affiliation and Closing3:40:30
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Video Notes: Why You Can’t Sleep (and How to Fix It) | Dr. Michael Grandner

Sleep apnea is shockingly common. One out of three people in the US has some sort of sleep complaint or problem. Untreated sleep apnea can lead to liver problems, kidney problems, brain problems because every cell that relies on oxygen starts getting stressed.

Tips on advanced sleep hygiene: The enemy of sleep is effort. Sleep is something that happens to you when the situation allows for it.

Supplements for sleep: Top supplement is melatonin. Some people take the wrong dose at the wrong time.

Best evidence-based way to fall asleep and stay asleep.

Dr. Michael Grandner directs the Sleep and Health Research Program at the University of Arizona. His research focuses on sleep science, behavioral medicine, and using sleep as a performance enhancer for athletic and cognitive performance.

When patients report insomnia, distinguish between casual sleep difficulties and insomnia disorder (like lowercase i vs. capital I insomnia, similar to depression).

Criteria for insomnia disorder:

  • Persistent difficulty initiating or maintaining sleep or waking too early.
  • Occurs at least 3 nights per week.
  • Lasts at least 3 months for chronic insomnia.
  • Causes daytime functioning problems.
  • Adequate opportunity for sleep (self-deprivation isn't insomnia).

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