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  • Set Goals 2

    SleepWell® Program

    Week 2

    Image of wood blocks with letters spelling "smart."

    View sleep improvement as a long-term project, especially if you have had poor sleep for a long time. First, define small steps you want to take. Continue to reflect on your efforts.

    Small Steps

    Think of the actions you take on a daily basis as small steps towards your bigger goal. This guide has already given you many ideas for small steps. Examples are limiting caffeine and dimming the lights one hour before bedtime. Identify your next change and use the following guidelines to improve your goal. All goals should be:

    Chart on S.M.A.R.T.

    Stay motivated with the small successes you achieve along the way. Use your SleepWell® Tracker every day for feedback on the effect your actions have on your sleep.

    Reminder:If your sleep issues are chronic (last longer than three weeks), your primary goal should be to schedule an appointment with your doctor or a sleep specialist.

    Practice Goal-Setting

    Strengthen your goal using the S.M.A.R.T. tool. Start with a simple statement about what you want to accomplish. Next, write how your goal will be specific, measurable, attainable, relevant, and timely.

    Barriers to Change

    As you think more about your goal, roadblocks may appear. You may need tools or skills to achieve your goal. Identify what is making it difficult for you to change. Barriers do not mean you can’t make the change. Identify challenges that must be overcome to succeed.

    © American Institute for Preventive Medicine

  • Sensory Factors

    SleepWell® Program

    Week 2

    Image of women drinking hot tea.

    Bed

    1. Have a Comfortable Bed

    *  To soften the mattress, use a mattress topper that adds a layer of cushion or support for less than the cost of a mattress.

    *  To firm the mattress, add a board between the box springs and mattress for a firmer support layer.

    *  Rotate or flip the mattress every few months.

    _____ Yes, this is an area I need to make changes.

    2. Use Clean Sheets & Pillowcases

    *  Wash sheets, mattress covers, pillows, and comforters regularly to reduce dust and mold that can make breathing more difficult.

    *  Use hypoallergenic linens if allergies are a problem for you.

    _____ Yes, this is an area I need to make changes.

    3. Choose the Right Pillow

    *  Different pillows are designed for different types of sleepers. Test pillows to find one that is best suited for your needs.

    *  You may need more than one pillow to sleep comfortably.

    *  If you are a side sleeper, put a pillow between your legs to help keep your back aligned.

    *  Use a pillow to divide bed space between you and your bed partner if your bed partner’s movement wakes you during sleep.

    _____ Yes, this is an area I need to make changes.

    4. Decrease Clutter

    *  Clear the floor and bedside tables of clutter.

    *  Keep work materials, laptops, and a TV out of the bedroom.

    _____ Yes, this is an area I need to make changes.

    5. Make the Bed

    *  Make the bed when you get out of bed to start your day. This helps to create a more welcoming space when you return for bedtime.

    _____ Yes, this is an area I need to make changes.

    6. Turn the Clock Face Away

    *  Set an alarm, but turn the bright clock face or digital numbers away from your view.

    _____ Yes, this is an area I need to make changes.

    Sound

    Some people like complete silence while others find nature or traffic sounds soothing. Try different background sounds to find out how you sleep the best.  A quiet room is most commonly advised for sleep.

    A sound machine with white noise or nature sounds may help to muffle noises in the environment. A fan set on low can also create a rhythmic, soothing sound.

    If you are trying to sleep when others are awake, a sound machine may be helpful. Close your door and add a “Do Not Disturb” sign. Wear ear plugs to reduce sounds.

    Temperature

    Keep the room at a temperature that is not too warm or too cool. Keep a window slightly open or turn a fan on low to help lower the temperature. Use lighter bedding in the summer and warmer bedding in the winter months. A slightly cool room is most helpful for sleep.

    Smell

    The room should smell fresh and free of odors. Try aromatherapy, such as lavender, that promotes sleep. Keep dirty clothes in a closet, a closed laundry bin, or another room. Keep carpets vacuumed to reduce dust and other odors. Consider having your carpets cleaned periodically. Shower, bathe, or sponge bath your body before sleep to remove any dirt, perfume, or other odors.

    Light

    Keep your bedroom dark to alert your body that it is time to rest. Your circadian rhythm uses light and dark to signal certain hormones in your body. Dim the lights in the house an hour or two before you go to bed. This helps to let your body know that you will be going to sleep soon.

    If you are sleeping during daytime hours, cover the windows in the room you are sleeping with dark fabric, garbage bags, or other light-blocking materials. Wear an eye mask to block light from your eyes. An eye mask gives your body a sense of darkness. If you must keep a light on for safety reasons or prefer a night light, wear an eye mask to block the light when you are in bed.

    © American Institute for Preventive Medicine

  • Self-Assessment Of Sleep Quality

    SleepWell® Program

    Week 2

    Image of women writing.

    There are probably many reasons for your poor sleep. This guide will take you through factors that you can modify to improve the likelihood of getting quality sleep. Even if you have a medical issue or take medication that impairs your sleep, addressing these lifestyle factors may help improve your sleep.

    Download the pdf file to the left to take the Self-Assessment. These questions are designed to get you thinking about factors that may impact your sleep. Be honest with yourself. Each part of this survey will be discussed throughout the guide. If you are working with a coach, these questions can help guide your coach and help him or her tailor the SleepWell®program to your specific needs and goals.

    This assessment is not intended to diagnose a serious sleep problem and does not take the place of expert medical assessment or treatment. This is a guide to determine if poor sleep may be a problem for you and if addressing lifestyle factors and certain behaviors could improve your quality of sleep. If you have insomnia for three weeks or longer, consult your health care provider.

    © American Institute for Preventive Medicine

  • Seek Downtime Daily 2

    SleepWell® Program

    Week 4

    Image of man sitting on couch.

    Downtime is idle time between activities. Examples are the moments you have waiting at a red light, the time spent riding in an elevator, and the extra time during a lunch break.

    Idle time allows your brain to rest and process and store information (how you learn and form memories). If you’ve ever had a great idea come to you in the shower, you know how creative your mind is during this time.

    Often, multi-tasking steals this time away. The resulting “addiction to activity” does not let your mind rest during the day. The result can be a feeling of being busy all the time. You may feel like you need “time to think.” If you go all day without downtime, it can be harder to quiet your mind at night and go to sleep.

    Practice letting your mind rest every day. If you are used to filling your time with multiple tasks at once, the following exercise may be eye-opening!

    Try this: Sit in a room for 15 minutes and do nothing. Don’t look at your phone or seek any other distractions. Let thoughts enter your mind.

    Reflect:

    How did you feel at the end of 15 minutes?

    Natural Ways to Include Downtime Daily

    *  Turn off notifications on your phone. Set aside time for social media during the day-and avoid it at other times.

    *  Listen to music instead of the news or talk radio while driving. Or, sit in silence and let your mind wander.

    *  Set an alarm on your phone to remind you to take five minutes of “blank space” time in your day.

    © American Institute for Preventive Medicine

  • Restrict Time In Bed

    SleepWell® Program

    Week 3

    Image of man reading the newspaper in bed.

    Wait, I thought I am trying to sleep more? Yes-and this is going to help you. Sleep restriction means that you limit your time in bed only to when you are sleeping. This strategy can increase sleep drive (pressure to sleep) by creating a temporary state of sleep deprivation. You may feel extra sleepy the first few days. If you feel very sleepy, avoid driving or activities that require you to be alert.

    Keep using your SleepWell® Tracker. You will not always need to restrict your time in bed or track your sleep. Remember, you are re-setting your body’s natural sleep drive. Your body can manage sleep when natural processes work properly.

    Set Regular Sleep and Wake Times

    Going to sleep and waking up at different times each day creates an artificial “jet lag” feeling in your body. A regular wake time helps the body maintain a regular circadian rhythm and strengthens sleep drive. Remember, both of these forces help you sleep well.

    1. Choose a Time to Wake Up Every Day. Pick a time that you can maintain for all seven days of the week. It needs to be a realistic time for your work and personal life. Wake up at the same time even on days off and weekends. Wake up at the same time even if you did not sleep well or went to bed late.

    2. Calculate Your Total Sleep Time. Average sleep per night subtract the average amount of time you woke up and got out of bed during the night. This will equal your total sleep time. * If your total sleep time is less than 5 hours, use 5 hours (do not go below this number).

    3. Set Your Bedtime. Subtract your total sleep time from your wake time (go backwards from wake time). Add 30 minutes to this time. This allows for a normal time to fall asleep and brief awakenings. Calculate the bedtime you will follow for the next week. Your goal is to limit your time in bed to actual sleep time.

    Whoa! I can’t stay up that late!

    Your planned bedtime may seem very late to you. Remember, sleep restriction strengthens your natural sleep drive. Follow this bedtime for at least a week. Your ability to fall asleep at that time and to stay asleep should improve.

    Increasing the time you are awake during the day will also increase your natural sleep drive. As your sleep improves, your bedtime will shift. You will eventually be in bed longer and sleep more restfully.

    © American Institute for Preventive Medicine

  • Reinforce Healthy Habits

    SleepWell® Program

    Week 6

    Image of a vase of flowers.

    Tune into changes in your mood and alertness. Use your SleepWell® Tracker to get daily feedback.

    Anytime you are given a reward for something you do, chances are you will do it again. For example, if someone handed you a $100 bill each time you walked around the block, you would take a lot of walks. The $100 bill was a “reward” that reinforced your behavior.

    Self-Reward. Give yourself a reward for working hard to improve your sleep.

    *  Buy or pick flowers.

    *  Picnic in the park.

    *  Buy a magazine.

    *  Call an old friend.

    *  Watch your favorite movie.

    Recognize Intrinsic Rewards. Many rewards are not things you can touch. Check the rewards you have received so far during the program.

    *  I feel a sense of accomplishment.

    *  I feel pride that I am following through on something I started.

    *  I feel more refreshed and alert upon waking.

    *  I think more clearly.

    *  I react quicker.

    *  I perform better at work.

    *  I find it easier to make decisions.

    *  I do not feel drowsy when I drive.

    © American Institute for Preventive Medicine

  • Reap The Benefits Of Sleep

    Sleep Well

    Blue eye mask, alarm clock and glass of water.

    Getting enough quality sleep is as vital to good heath and long life as are healthy eating and regular exercise. You need sleep to:

    *  Help your immune system fight infections.

    *  Help prevent and deal with anxiety and depression.

    *  Help prevent and control weight gain, diabetes, heart disease, and high blood pressure.

    *  Have energy, think clearly, and react quickly.

    Reap the Benefits of Sleep

    *  Plan to wake up at the same time every day, even on weekends. When you wake up, get exposure to bright light.

    *  Get sunlight every day, especially in the early part of the day.

    *  Do regular exercise daily, but not within a few hours of bedtime.

    *  Avoid caffeine for six hours before bed. Limit caffeine to 300 milligrams a day.

    *  Don’t have more than one alcoholic drink with or after dinner.

    *  Dim the lights in the house an hour or two before you go to bed.

    *  Write down your worries and fears to clear your mind of them so you can focus on sleep.

    *  Follow a bedtime routine. Take a warm bath or read a book.

    *  Keep the room cool, dark, and quiet. Or, try using a low rhythmic sound, such as a fan set on low.

    *  Sleep on a mattress and pillow that feel right for you.

    © American Institute for Preventive Medicine

  • Promote Sleep: Eating & Exercise

    SleepWell® Program

    Week 2

    Image of smiley face made out of vegetables.

    Eating Tips

    What you eat and when you eat impact how drowsy or alert you are. Healthy foods give you energy, stabilize mood, and help your body function normally.

    Eating to Stay Alert

    Choose meals and snacks with foods high in protein and fiber-rich carbohydrates. Eating these at the same time provides you with sustained energy. Fiber also helps slow digestion and stabilizes blood sugar.

    Foods High in Protein:

    * Dairy (low and non-fat cheese, yogurt, milk)

    * Meat, poultry, seafood, eggs, nuts and seeds

    * Soy (edamame, soy milk, tofu)

    Foods High in Fiber-Rich Carbohydrates:

    * Fresh fruits and vegetables

    * Legumes, beans and lentils

    * Whole-grain cereals, bread and pasta

    Avoid meals and snacks high in sugar or large amounts of carbohydrates. These foods cause a sharp increase in blood sugar, but then a drop. When your blood sugar is low, you feel tired, cranky, and hungry.

    Have a healthy snack when you feel hungry or need a natural energy boost. Place healthy foods where you can easily see them in the fridge, pantry, office snack drawer, or on the kitchen counter or table.

    Healthy Snack Ideas

    *  Cut-up veggies with hummus, salsa, or nut butters

    *  Pita bread with hummus

    *  Granola bar (with less than 5 g sugar)

    *  Raw nuts (low-salt or no-salt)

    *  Fresh fruit and veggies

    *  Natural peanut butter on  low-sodium crackers or celery sticks

    *  Mini whole-wheat bagel with natural peanut butter or cream cheese

    *  Hard cooked eggs

    *  Trail mix with nuts, dried fruit, and seeds

    *  Yogurt with berries and nuts (with less than 10 g sugar)

    *  String cheese and low-sodium crackers

    *  Smoothie with fruit, protein powder, and milk. Try adding avocado, or leafy greens.

    Avoid Big Meals

    Your body must work extra hard to digest a large meal. Oxygen-rich blood is sent to your stomach and intestines for extra digestion power. When your brain does not receive as much oxygen, you feel drowsy.

    A dip in energy or feeling sleepy an hour or two after a meal may be due to a meal high in sugar or refined carbohydrates. In the afternoon, your circadian rhythm may also cause a dip in energy. Your body naturally feels the most tired at 2 a.m. and 2 p.m., according to the National Sleep Foundation.

    Plan. Write two examples you will try this week for a meal or snack.

    Starting the Day

    Follow a regular daily schedule for meals and snacks. Start the day with a healthy breakfast that includes a food with protein. If your day starts in the evening, plan on eating something when you wake up. You will be less likely to feel hungry later in the day or to crave sweets.

    Tip: Choose larger meals at breakfast and lunch than at dinner. Your last meal of the day should be the smallest.

    Healthy Breakfast Ideas

    *  Leftovers from the day before

    *  Scrambled eggs with spinach, tomatoes, peppers, or salsa

    *  Cereal with milk

    *  Tortilla with beans, eggs, salsa and cheese (breakfast burrito)

    *  Handful of nuts or a  spoonful of peanut butter

    *  Fruit or fruit smoothie (pair with protein)

    *  String cheese or cheese slices with whole-grain crackers

    Eating Before Bed

    Before you go to bed, have a small snack rich in the amino acid L-tryptophan or foods with carbohydrates (cereal, bread, fruit). These foods may help promote sleep.

    Tryptophan:Tryptophan is found in most protein-rich foods: milk, cheese, turkey, chicken, red meat, fish, oatmeal, beans, lentils, nuts, and eggs.

    Tryptophan is broken down in the brain and liver to make serotonin.

    Serotonin:Serotonin is a “feel good” brain chemical that helps you feel satisfied. Serotonin is turned into melatonin in the brain.

    Melatonin:Melatonin is a hormone in the brain that helps you feel sleepy.

    Pair a tryptophan-rich food with a carbohydrate to enhance this sleepy effect. When you consume carbohydrates, your pancreas produces insulin to process the carbohydrates. Insulin helps move other amino acids (not tryptophan) into the muscles. The remaining tryptophan is more concentrated and has an easier time getting into the brain.

    Avoidfoods high in sugar or refined carbohydrates just before bed. The rise in blood sugar can provide a burst of energy that keeps you alert and makes it difficult to go to sleep.

    Avoidfoods that are likely to cause acid reflux (heartburn), gas, cramping, or indigestion if you are prone to these problems. Fatty or spicy foods, beans, garlic, peanuts, and dairy may cause discomfort for some people.

    Other Nutrition Tips for Sleep

    B-Vitamins

    Not having enough can impair sleep. Good sources of B-vitamins include:

    *  Animal products: fish, poultry, meat, eggs, or dairy

    *  Beans and lentils

    *  Fruits and vegetables, especially dark leafy greens, papayas, oranges, and cantaloupe

    *  Fortified breakfast cereals and enriched soy or   rice milk

    Calcium & Magnesium

    Not having enough of these minerals can make sleep more difficult. These minerals have a calming effect on the brain. They help manage anxiety during the day and support relaxation at bedtime.

    Good Sources of Calcium

    * Milk, yogurt and cheese

    * Tofu and soy products

    * Dark leafy greens

    * Salmon and sardines

    * Beans

    * Calcium-enriched foods

    Good Sources of Magnesium

    *  Dark leafy greens

    *  Nuts, seeds and dried fruit

    *  Beans and lentils

    *  Whole grains

    *  Avocados and bananas

    *  Dark chocolate

    *  Yogurt

    *  Fish

    If you think you are not getting enough vitamins or minerals from foods, talk to your doctor or a dietitian. Ask about taking vitamin and/or mineral supplements. When possible, try to consume nutrients from food.

    Avoid Fluids an Hour before Bed

    Drink your last beverage at least an hour before you plan to fall asleep. Your body processes slow when you are sleeping. The kidneys concentrate urine and you should not have an urge to urinate until you wake up. If you drink fluids right before you go to bed, you may need to use the bathroom during sleep time.

    Make sure to avoid alcohol and beverages with caffeine or a lot of sugar (including juice) before going to bed. Chances are you will need to wake up to use the bathroom.

    Sleep & Weight Management

    Sleep has an important role in metabolism. Not getting enough sleep can affect your appetite and make it harder to manage your blood sugar.

    More insulin is needed in sleep-deprived people to have a normal blood sugar level. Overuse of insulin in the body can lead to insulin resistance and diabetes.

    Being sleep deprived also triggers ghrelin-a hunger hormone. Ghrelin increases appetite, especially for sweets, salty foods, and starches. Another hormone, leptin, decreases when you are sleep-deprived. Leptin helps your body know when you are full.

    Anxiety and negative feelings (also increased by a lack of sleep) can lead you to eat unhealthy snacks and overeat “comfort foods.” Not getting enough sleep can make it hard for you to manage your weight and can lead to serious health problems.

    Exercise to Enhance Sleep

    Regular aerobic exercise (three to four days per week) can help you sleep better. People with insomnia tend to lead more sedentary lives.

    Exercise Benefits:

    * Weight management

    * Positive body image and improved self-esteem

    * Decreased anxiety, stress, and depression

    * Improved mood and energy

    * Improved health and sense of well-being

    * Reduced pain

    * Relieved muscle tension

    After your body has worked hard, deep sleep is triggered to help your body recover, repair, and get ready for more activity. This natural drive helps you fall asleep and spend more time in deep sleep.

    Outdoor physical activity increases exposure to sunlight. This helps to strengthen your  body’s circadian rhythm. A stronger circadian rhythm helps you feel sleepy.

    The calming effect of exercise can last at least four hours after the exercise is over. This helps manage anxiety that may be keeping your mind awake.

    When you get caught in a cycle of poor sleep, low energy and anxiety may reduce your desire to exercise. By not exercising, though, insomnia may worsen.

    All Physical Activity Has Benefits

    Find ways to move more throughout the day. Set an alarm on your watch or phone to get up every hour if sitting. Stretch and walk for a few minutes to get more oxygen flowing through your body.

    View physical activity as a break from your day. Use this time to focus on the present, instead of past or future problems and worries.

    Activity Ideas

    * Home care and cleaning

    * Mowing the lawn with a non-riding mower

    * Painting, gardening, or raking leaves

    * Climbing stairs

    * Playing actively with children

    * Washing the car, windows or floors

    * Pushing a stroller

    * Walking briskly

    * Bicycling for pleasure or transportation

    * Basketball, softball, or tennis

    * Running

    * Racquetball

    * Using a treadmill, stair master, or elliptical

    * Aerobics

    * Golf, fishing, or canoeing

    * Day hiking or backpacking

    * Swimming

    * Table tennis

    * Skiing

    Tips to Enjoy Physical Activity

    *  Plan a variety of physical activities for your week. Avoid getting bored with the same activity.

    *  Focus on what you are doing, your breathing, posture, movement, etc. Avoid worrying about stressors or what you need to do later.

    *  Practice goal setting each time you exercise. For example, set a target for the distance you want to walk.

    *  Repeat positive sayings to combat excuses and negative thoughts.

    *  Connect with family and friends while you exercise. Instead of meeting for coffee or lunch, suggest meeting for a walk at a park. Play a game in the backyard to spend time with your kids or partner. Friends can keep you on track and help you manage stress.

    *  Walk at the mall during colder months. Malls often open early to allow walking.

    *  Listen to music that helps you focus on exercise and takes your mind off of stress and worries.

    *  Join a group class for a fun, social way to move or to learn a new form of exercise.

    Exercise Your Mind

    Boredom during wake time can reduce sleep drive and may lead to spending more time in bed (to “fill time”). Stimulate your mind to increase your sleep drive.

    *  Take a class, learn to use a new technology, learn a new hobby, read a book, or travel.

    *  Connect with an old friend or write a letter.

    Exercise and Bedtime

    Physical activity increases adrenaline in the body. This hormone increases your heart rate and alertness. Plan vigorous exercise at least four to six hours before bedtime. Light exercise and mild activities should end at least two to four hours before bedtime.

    Sleep Helps You Recover from Exercise

    Physical activity triggers a cycle of muscle break-down and repair. The repair process depends on sleep. Without enough sleep, repair is limited. This can increase the risk of injury and limit athletic goals (e.g., running or walking further or lifting more weight).

    Severe sleep restriction (less than four hours per night) can cause dramatic increases in your heart rate and blood pressure. This strains your heart. Not only does this limit your ability to exercise, but your risk for heart attack and cardiovascular problems increases.

    © American Institute for Preventive Medicine

  • Prepare For New Challenges

    SleepWell® Program

    Week 6

    Image of man waking up and stretching in the morning.

    New challenges may come up. Your schedule may change. Your child’s schedule may change. Establish healthy habits, but be ready to make changes when needed. Whenever possible, try to plan ahead for a change.

    Example

    Scenario: Your child will be starting school in a week. You will need to wake up at 6:00 a.m. to help him get ready for school. Currently you wake up at 7 a.m.

    Sleep Plan: At least four days before you need to wake up earlier, start shifting your sleep window backwards by 15 minutes each night. You can also shift it back by 30 minutes a few days before the change. The more you can plan ahead, the more gradual the change will be for your routine and your body. On the first day you need to wake up earlier, you are more likely to feel refreshed and ready for the change. Have your child join you in this sleep shift to help him or her feel ready as well!

    List changes to your sleep schedule you foresee. Write the date of the change and the date you will start to adjust your sleep. Make gradual changes. Allow at least several days to adjust.

    © American Institute for Preventive Medicine

  • Practice Relaxation Techniques 3

    SleepWell® Program

    Week 4

    Image of man deep breathing.

    Learn These Three Skills to Relax

    1.  Relaxation Reflex: Get rid of muscle tension.

    2.  Mental Imagery: Think of calm, restful places.

    3.  Deep Natural Breathing: Feel relaxed by breathing in more oxygen.

    Plan Relaxation Time

    If possible, use the hour before you sleep to wind down and prepare your body and mind for sleep. You can also do relaxation exercises as needed throughout the day. Relaxation techniques can help reduce stress-related health problems, such as high blood pressure, headaches, and pain. These tools also help you to exercise greater mental and physical control and reduce negative emotions.

    How the mind can control the body:

    *  It can slow brain wave patterns.

    *  It can reduce heart and breathing rates.

    *  It can increase blood flow to your limbs.

    *  It can relax muscles.

    Prepare for Relaxation

    Remove external factors that could be causing your body and mind to be overly alert. Watching TV is ok, but avoid loud, violent, or exciting programs. Mindless programs are better. Dim the lights. Play a quiet game (though not on your phone or computer), read a book, or organize your sock drawer or the clothes in your closet.

    A bath taken two hours before bedtime allows your body temperature to drop to a sleep-inducing level.

    Relaxation Reflex

    This skill relaxes four basic muscle groups. Tightening and relaxing these muscles produces a soothing effect which helps you relax. Take slow deep breaths, drop your head, and place your shoulders forward to add to the effect.

    Practice this every day for about five to 10 minutes. Divide the body into four muscle groups. Tense each group for five seconds, then release.

    1. Arms and Hands – Lift your arms, bend them at your wrists and elbows, make fists, and tighten your upper arms.

    2. Face and Neck – Squinch your eyes, nose, cheeks and brow. Stretch your mouth and grit your teeth. Point your chin down toward your chest.

    3. Middle Torso – Push your shoulders back, tighten your stomach and the middle of your back.

    4. Legs and Feet – Lift your legs off the floor and hold them straight out. Point your toes towards your face. Tighten your thighs.

    Mental Imagery

    Choose a peaceful scene like a beach, forest, or sunrise. You can even choose a place of fantasy. Then take an imaginary visit there and relax in the process. Imagine this place using the following 10 steps:

    1. Find a comfortable sitting or reclining position.

    2. Gently close your eyes.

    3. Notice nothing but your own gentle breathing pattern.

    4. Begin to think about your peaceful scene. Picture where you are and what you do when your mind and body are very, very relaxed. Pause to create and capture the image of your soothing place.

    5. Pretend that you are really there in your special relaxing environment. Picture all the colors… Hear the sounds… Smell the aromas… Taste… Touch your surroundings as if you are really there… Enjoy… Relax…

    6. Find the calm and peace. Allow yourself to feel good… Let your whole body relax and enjoy the moment.

    7. Pause for five to 10 minutes and become filled with relaxation.

    8. Allow the relaxation to re-energize your body and mind.

    9. As you feel comfortable, slowly open your eyes, feeling totally refreshed.

    10. Escape to your special place anytime you wish to relax, if even for a moment.

    Deep Natural Breathing

    An increased amount of oxygen allows your heart rate to slow down. This produces a calming effect.

    1. Sit in a chair, arms at your sides, with your legs uncrossed.

    2. Note any tension in your muscles.

    3. Put one hand on your chest and the other hand on your abdomen.

    4. Take in a breath slowly and deeply through your nose allowing your abdomen to expand and push up your hand. After your abdomen is full of air, allow your chest to expand, pushing up your other hand. This is one long steady breath.

    5. Hold the air in for three seconds.

    6. Purse your lips and exhale through your mouth making a relaxing, whooshing sound.

    7. Continue to take long, slow, deep inhales through your nose and let out long, slow exhales through your mouth.

    8. Focus on the sound and feeling of deep breathing. Continue for three to five minutes.

    9. Your chest should feel less constricted. You should feel less stress and tension physically and mentally.

    © American Institute for Preventive Medicine