Insomnia and Sleep Disorders

Sleeplessness, racing thoughts and disrupted sleep from causes such as menopause and ADHD, with expert tools like hypnosis to treat them.

20 summaries cover insomnia and sleep disorders, from 2 podcasts. See them all

Get new sleep summaries by email

The Big Picture

These passages name several different things that can disturb sleep: worry about sleep itself, a full bladder, substances that distort the sleep stages, and, in menopause, a body that cannot stay cool [1][2][3]. Huberman pushes back on anxiety about "sleep debt", saying "there isn't an IRS equivalent for sleep", and that worrying about perfect sleep can itself cause insomnia [1]. In his episode on dreams he still treats lost sleep as a real loss: sleep deprivation, he concludes, is not just deprivation of energy or immune function but deprivation of self-induced therapy [2].

The tools on offer range from rest protocols and steadier nights to a cool bedroom, with medication and hormone therapy discussed in the Huberman Lab episode with Matthew Walker [1][2][3]. Mel Robbins' year-end compilation also touches the subject: one of the six guests she brings back is Harvard sleep scientist Dr. Rebecca Robbins, on bedtime routines [4].

Where the Experts Agree

  • In menopause, temperature is central to the sleep problem. Huberman cites Dr. Sarah McKay, who studies menopause and the brain, on research suggesting that many emotional effects of menopause stem from temperature disruptions that disturb sleep rather than directly from hormones [2]. The Walker episode makes a matching point: sleep problems in menopause are largely driven by vasomotor symptoms, the hot flashes that clash with the body's need to stay cool to stay asleep [3].
  • Two of the Huberman Lab conversations offer tools that are not drugs. Huberman recommends non-sleep deep rest protocols such as yoga nidra, and clinically tested hypnosis from Reveri, to teach the nervous system to calm down [1]. The Walker episode gives a cool bedroom and cooling smart mattresses as a non-drug option in menopause, and Walker says he has spoken with Matteo, the CEO of Eight Sleep, who has heard from many menopausal women that the cooling mattress helps [3].
  • Supplements and medications call for care. Huberman says to be cautious with tryptophan and 5-HTP supplements, which raise serotonin and could disrupt the timing of REM and slow wave sleep [2]. The medications described in the Walker episode as showing promise are to be discussed with a physician [3].

Where They Differ

The three Huberman Lab passages do not contradict each other; they differ in emphasis [1][2][3].

  • What to avoid, and what to consider. Huberman's dreams episode stresses what to stay away from: alcohol and THC, and things that increase serotonin or GABA, create pseudo-sleep states that disrupt the depth and sequencing of sleep stages [2]. The Walker episode names medications that show promise: low-dose doxepin (three or six milligrams, including a liquid form), trazodone and the newer DORA class, the dual orexin receptor antagonists [3].
  • Hormones in menopause. The research Huberman cites puts many emotional effects of menopause down to temperature disruptions that disturb sleep rather than directly to hormones [2]. The Walker episode adds the medical side: Walker carefully notes that bioidentical hormone replacement therapy can improve sleep by bringing symptoms under control, points to Peter Attia's views on breast cancer risk, and emphasizes that it is a woman's personal choice [3].
  • Worry or reassurance. Huberman warns that worrying about perfect sleep can itself cause insomnia [1], and he finds relief in knowing that consistently getting about six to six and a half hours is better for him than chasing eight or nine and swinging between five and nine [2]. Walker's reassurance is about dreams: not remembering them does not mean you are not getting REM sleep, and there is no strong link between dream recall and how good the next day feels [3].
  • Depth. The Huberman Lab passages give specific tools and reasons [1][2][3]. The passage from Mel Robbins' compilation says only that Dr. Rebecca Robbins appears on bedtime routines, as one of six guests [4].

Practical Takeaways

  • Ease up on "sleep debt": Huberman says worrying about perfect sleep can itself cause insomnia [1].
  • Try a non-sleep deep rest protocol such as yoga nidra, or clinically tested hypnosis from Reveri; Huberman used one after waking at 3 a.m. and fell back asleep until 6:30 [1].
  • Keep your sleep steady from night to night: for learning, Huberman says limiting night-to-night variation is at least as important as getting more sleep overall, and perhaps more important [2].
  • To avoid disrupting REM, don't drink a lot of fluid right before bed, since a full bladder activates a circuit to the brainstem that wakes you up [2].
  • Be cautious with tryptophan and 5-HTP supplements, and know that alcohol and THC disrupt the depth and sequencing of sleep stages [2].
  • For sleep problems in menopause, a cool bedroom or a cooling mattress is a non-drug option [3].
  • Take any question about low-dose doxepin, trazodone or the DORA class to a physician [3].
  • Don't read anything into forgetting your dreams: Walker says it does not mean you are not getting REM sleep [3].

Sources

  1. How to Defeat Jet Lag, Shift Work & Sleeplessness · Huberman Lab
  2. Understand and Use Dreams to Learn and Forget: Andrew Huberman on REM, Slow Wave Sleep and Emotional Unlearning (Essentials) · Huberman Lab
  3. Dr Matt Walker The Science Of Dreams Nightmares Lucid Dreaming · Huberman Lab
  4. The Top Expert Advice of the Year: The Best of the Mel Robbins Podcast · The Mel Robbins Podcast

See all 20 summaries about insomnia and sleep disorders →

More on Insomnia and Sleep Disorders

The latest summaries about insomnia and sleep disorders.

All 20
Huberman Lab·

How to Defeat Jet Lag, Shift Work and Sleeplessness: Andrew Huberman on Your Temperature Minimum

Andrew Huberman shows how to use your temperature minimum, light, exercise and food to beat jet lag, manage shift work and sleep better at any age.

Sleep
Neuroscience
11 min read
Huberman Lab·

Understand and Use Dreams to Learn and Forget: Andrew Huberman on REM, Slow Wave Sleep and Emotional Unlearning (Essentials)

Andrew Huberman explains how slow wave sleep builds motor skills and REM sleep strips emotion from memories, and how to get more of each.

Sleep
Neuroscience
8 min read
The Mel Robbins Podcast·

The Top Expert Advice of the Year: The Best of the Mel Robbins Podcast

Mel Robbins revisits six favorite experts on manifesting, hard conversations, sleep, boundaries, happiness and money that means something.

Mindset
Relationships
10 min read
Huberman Lab·

Essentials Master Your Sleep Be More Alert When Awake

Huberman explains adenosine and the light-set circadian clock, with tools for timing sunlight, avoiding night light, naps, NSDR and sleep supplements.

Sleep
Focus and Productivity
7 min read
Huberman Lab·

AMA #18: Cold Therapy Advice, Skin Health Tips, Motivation, Learning Strategies & More

Huberman answers listener questions on thinning skin, cold plunge temperatures, self-motivation, REM sleep, school learning and shilajit.

Sleep
Dopamine and Motivation
10 min read
Huberman Lab·

Dr Matt Walker The Science Of Dreams Nightmares Lucid Dreaming

Matthew Walker explains why we dream, how to treat nightmares, whether lucid dreaming is worth it, and answers top sleep questions.

Sleep
Neuroscience
18 min read
Huberman Lab·

Dr. Matt Walker: Improve Sleep to Boost Mood & Emotional Regulation

Dr. Matt Walker explains how REM and deep sleep regulate emotion, anxiety, PTSD, depression and suicide risk, plus tools to sleep better.

Sleep
Mental Health
11 min read
Huberman Lab·

Dr. Matt Walker: Protocols to Improve Your Sleep

Matt Walker's sleep protocols: regularity, darkness, cool rooms, caffeine and alcohol limits, insomnia fixes, and emerging sleep-boosting technology.

Sleep
Habits
14 min read
Huberman Lab·

Dr. Matt Walker: The Biology of Sleep & Your Unique Sleep Needs

Matt Walker explains sleep stages, what poor sleep does to body and brain, and the QQRT framework: quantity, quality, regularity and timing.

Sleep
Neuroscience
13 min read
Huberman Lab·

LIVE EVENT Q&A: Dr. Andrew Huberman Question & Answer in Melbourne, AU

Andrew Huberman answers Melbourne audience questions on protecting the aging brain, building willpower, shift work, NSDR and phone habits.

Neuroscience
Longevity
9 min read
Huberman Lab·

AMA #16: Sleep, Vertigo, TBI, OCD, Tips for Travelers, Gut-Brain Axis & More

Live from Sydney, Andrew Huberman answers questions on travel routines, short sleep, vertigo, brain injury, OCD, fish oil, hormone testing and tongue cleaning.

Sleep
Mental Health
15 min read
Huberman Lab·

LIVE EVENT Q&A: Dr. Andrew Huberman Question & Answer in Chicago, IL

Huberman answers audience questions on aging brains, shift work, hypnosis, psychedelics, NSDR, daylight saving time and learning.

Neuroscience
Sleep
10 min read