I just keep practising good sleep hygiene
@Abstract, through the times I actually do get sleep and through all the crappy times I don't. I have actually hit some sleeping tablets recently which I really try to stay off but my psychiatrist is really good with the meds. So occasionally I try some out. But you need a good medico to be managing and monitoring that for you.
The Promise of Sleep by William Dement I think that is his name is really interesting.
Self Compassion - look at Kristen Neff's website.
The dbtselfhelp meditations
Sometimes playing "The Mindful Way Through Depression" helps me reorientate to this now without having so much panic.
I went through a stage of listening to American comedians on loop so I could reorientate to this now.
Now I use Rachel Maddow and Nicole Wallace - two strong opinionated woman - makes me feel safe to hear their voices when I wake up at 3am like clockwork, no matter what drug combination, exercise regime or etc I am doing.
Audiobooks with a voice that is soothing to you - currently I am listening to "Anti Fragile"!
Exercise - really important for sleeping. I have a regular routine which I do without fail. There is no not exercising for me or my sleep falls apart.
David Burns book - you've probably read it before "Feeling Good" - brilliant!
I have total Radical Acceptance about not sleeping well some nights or at all for weeks at times - this is what it is and this is how it is - and that is life. I can't control that but I can control my reactions to the lack of sleep, I can control how much exercise I choose to do in a day, I can choose what thoughts I choose to have (with great f*cking difficulty I must say) but I do have choice there. So everything that I can choose to do I damn well do it. And despite that and a wide range of drug combinations (which I usually avoid). It is no sleep for me.
My other problem is that I grind my teeth when sleeping and I have cracked teeth, and have cracked the splint. So that takes managing.
I also used to binge eat before going to bed. I stopped doing that during this last year. My terror about going to bed was so extreme that yes I used to binge eat before going to bed. That is a culmination of years of trauma work, therapy, exercise, all the above books as well as going Weight Watchers, who have changed their name to Wellness Works, but screw that they are always going to be Weight Watchers for me! I went from being obese to the top of my BMI as well this last year. It took me a year and 15 days to complete that part of my journey.
So I do probably between 5-20 things on a daily basis which is all about managing sleep at night, and still I will have these patches where a bit extra stress, or a trigger will mean my sleep falls apart. It is just my lot in life and I have some great management skills, and I am always improving my management skills.