Inside one night of sleep
A typical adult cycles through four stages of sleep roughly every 90 minutes, completing 4–6 cycles per night. The composition shifts: deep slow-wave sleep dominates early in the night, REM dominates toward morning. Each stage has distinct biological functions — cutting any of them short has consequences.
The four stages of sleep
The brief transition from waking to sleeping. Heart rate slows; muscles relax; you may experience hypnic jerks. Easily woken.
The largest portion of sleep. Body temperature drops, heart rate slows further. Sleep spindles and K-complexes consolidate memory and protect from waking.
The most physically restorative stage. Growth hormone is released, immune memory is forged, and the glymphatic system clears β-amyloid and other metabolic waste from the brain.
Brain activity rivals waking; eyes dart under closed lids; major muscles are paralysed (atonia). The substrate for vivid dreaming, emotional regulation, and creative problem-solving.
How much you need
Nine evidence-based practices
Signs you may have a sleep disorder
- Loud habitual snoring with daytime sleepinessPossible obstructive sleep apnoea (OSA). An untreated independent risk factor for hypertension, atrial fibrillation, stroke, and accidents. Get a sleep study.
- Witnessed pauses in breathing during sleepStop. Get evaluated. CPAP and other treatments dramatically improve quality of life and reduce CV risk.
- Restless legs sensations preventing sleep onsetRestless legs syndrome — often treatable. Check iron (ferritin) levels; avoid caffeine and alcohol in the evening.
- Acting out dreams (kicking, shouting, falling out of bed)REM sleep behaviour disorder — speak with a clinician; can be an early marker of neurodegenerative disease.
- Chronic insomnia (≥3 nights/week for ≥3 months)The first-line treatment is Cognitive Behavioural Therapy for Insomnia (CBT-I), not sleeping pills. Effective and lasting.
- Excessive daytime sleepiness despite adequate sleep timeCould be narcolepsy, OSA, depression, or other causes. Worth investigating.
The seven-day sleep reset
If your sleep is poor, try this for one week before considering anything else:
- Fix the wake-up timeSame time every day, including weekends. The wake-up time anchors your circadian rhythm more reliably than the bedtime.
- Get bright morning light10–30 min of outdoor light within an hour of waking — even on cloudy days. The strongest signal to your internal clock.
- Cut caffeine after noonCaffeine has a 5–6 h half-life. A 3 p.m. coffee is still 25% in your system at midnight.
- Stop alcohol within 3 hours of bedAlcohol sedates but suppresses REM and fragments the second half of the night.
- Dim lights and screens 90 min before bedSwitch to warm, low light. Avoid distressing news and emotionally charged conversations.
- Cool the bedroom (~18°C / 65°F)Body temperature drops at sleep onset; a cool room facilitates that drop.
- If awake more than 20 min — leave the bedDo something calm in dim light until sleepy. Reserves the bed for sleep.