Jillian had tried everything. She had struggled with insomnia for years, often lying awake at night staring at the ceiling. In sessions, we tried cognitive behavioral therapy, mindfulness, and journaling. When those proved to be ineffective, I gave her a referral to a psychiatrist who tried medication adjustments. And while that helped somewhat, she longed for natural ways to calm down. Her symptoms of ADHD and anxiety often combined in a cruel, one-sided joke at night, keeping her wide awake after the slightest noise or discomfort, or even just a thought. "It feels merciless!" she often cried. And I understood all too well.

As a therapist who works with clients with trauma history, as well as a survivor myself, I find that there is a common overlap between trauma history and struggling with sleep difficulties later in life. When insomnia hits me, it can feel hopeless and all-encompassing. As dramatic as this may sound to those who do not suffer from this ailment, it feels like I will never get to sleep again. I have tried different sleep positions, white noise, pink noise—I learned about the different types of noise—and even varied my exercise and food intake. My partner, who can fall asleep at the drop of a hat, often says "Just try to relax," as if this thought never crossed my mind.

In my own therapy, sleep difficulties were often something I brought into session. While I have learned some ways to manage it, I do not believe that a predisposition to sleep difficulties ever really goes away, as research has shown there is a link between ADHD, anxiety, and struggling with symptoms of insomnia (Manzar and colleagues, 2021; Surman and Walsh, 2021).

To learn more, I spoke with a few professionals who spend their days supporting clients with anxiety and insomnia. All recommended something sensory stimulating. Here are tips for each of the five senses.

Sight: Betsie Little, LMSW, specializes in working with trauma survivors and those with anxiety and depression. These symptoms can often make it difficult for people to relax and prepare for sleep. They recommend reading a book or watching a TV show that brings comfort and joy. "Many of my clients will get into self-help books, which is great, but I will remind them to read or watch something fun to give the mind a break." "Choosing something positive from your youth, such as a favorite book or television show can help activate that inner child and bring about safe memories."

Smell: Shawn Adams, LCSW, uses scented oil and aromatherapy in his practice. "When working with trauma survivors, I find that some scents can provoke anxiety, especially if they are unexpected. We usually talk about what scents they find soothing and if they prefer them in a diffuser, a body lotion, or another method." Interestingly, sometimes even the suggestion that a specific scent will evoke feelings of calmness is enough to provoke cognitive changes in the brain leading to stress reduction (Chamine and Oken, 2015).

Taste: Little also recommends using the sense of taste to promote a grounding feeling that reduces anxiety. "Flavors that have that sharp bitterness can create a grounding effect." Lemons, dark chocolate, mint, and other similar things can help activate the polyvagal nerve, which is crucial for self-regulation. Betsie also adds an important tip: "Taste can also be, asking ourselves: Did I eat today? Did I take my medicine today? These things can help the client check in with their anxiety levels."

Sound: Like many who specialize in working with trauma survivors, Adams finds that incorporating light sounds as a form of mindfulness is crucial for his clients. Studies have shown that mindfulness can be effective for clients with ADHD and anxiety, as well as those with a trauma history (Badia-Aguarón and colleagues, 2024). "Ultimately, I focus on the individual's symptoms and less on trying to fit them into a specific diagnosis," he shares. I think many clinicians would agree with that last statement.

Touch: "Touch can do wonders in helping those with PTSD or depression," says Mikey Goldman, who spent years trying to combat the symptoms of sensory processing disorder that impacted his sleep. He recommends using a weighted object such as a weighted pillow to help calm anxiety and stress. "Deep pressure stimulation can benefit highly anxious individuals. It can lower one’s heart rate and stress levels. It also can help you focus by calming you down." He reports that using touch, especially light pressure, can help improve focus and promote feelings of calm.

Deep pressure stimulation increases hormones that boost mood and help you sleep. It also reduces cortisol, the stress hormone. Research shows that having weighted objects such as a weighted pillow can help with insomnia (Ekholm, 2020).

I brought these tips to Jillian, and to many of my other clients who suffer from insomnia as a result of their mental health symptoms. Her favorites were the weighted pillow suggestion and strong flavors as a form of grounding.

If you are struggling with insomnia as a result of anxiety and depression, therapy can help. Use the Psychology Today Directory to find someone licensed near you.

References

Surman CBH, Walsh DM. (2021). Managing Sleep in Adults with ADHD: From Science to Pragmatic Approaches. Brain Sci.

Manzar MD, Salahuddin M, Pandi-Perumal SR, Bahammam AS. (2021) Insomnia May Mediate the Relationship Between Stress and Anxiety: A Cross-Sectional Study in University Students. Nat Sci Sleep. 2021;13:31-38.

Ekholm B, Spulber S, Adler M. (2020) A randomized controlled study of weighted chain blankets for insomnia in psychiatric disorders. J Clin Sleep Med.

Chamine I, Oken BS. (2015) Expectancy of stress-reducing aromatherapy effect and performance on a stress-sensitive cognitive task. Evid Based Complement Alternat Med.

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The Five Senses May Calm Your Anxiety

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28.02.2024

Jillian had tried everything. She had struggled with insomnia for years, often lying awake at night staring at the ceiling. In sessions, we tried cognitive behavioral therapy, mindfulness, and journaling. When those proved to be ineffective, I gave her a referral to a psychiatrist who tried medication adjustments. And while that helped somewhat, she longed for natural ways to calm down. Her symptoms of ADHD and anxiety often combined in a cruel, one-sided joke at night, keeping her wide awake after the slightest noise or discomfort, or even just a thought. "It feels merciless!" she often cried. And I understood all too well.

As a therapist who works with clients with trauma history, as well as a survivor myself, I find that there is a common overlap between trauma history and struggling with sleep difficulties later in life. When insomnia hits me, it can feel hopeless and all-encompassing. As dramatic as this may sound to those who do not suffer from this ailment, it feels like I will never get to sleep again. I have tried different sleep positions, white noise, pink noise—I learned about the different types of noise—and even varied my exercise and food intake. My partner, who can fall asleep at the drop of a hat, often says "Just try to relax," as if this thought never crossed my mind.

In my own therapy, sleep difficulties were often something I brought into session. While I have learned some........

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