There is no doubt that sleep is an essential component of our health and wellbeing routine. The evidence is very clear that getting good sleep contributes to better performance at work or when studying and better health overall. For this reason, when we’re not sleeping well, we can put a lot of pressure on ourselves to ‘fix’ the problem for fear of the ramifications. In our blog on sleep in July 2018 “How to Get a Good Night’s Sleep” Dr Jodie Thomas stepped us through several highly effective health behaviours to support good sleep and if you haven’t read it, it would be a great post to return to as it is rich in information. In this blog post we’re extending the conversation on sleep by exploring sleep and insomnia through the lens of Acceptance and Commitment Therapy and the work of Dr Guy Meadows, sleep physiologist, author of “The Sleep Book” and co-founder of “The Sleep School”.

Obsessive-Compulsive Disorder (OCD) is characterised by the presence of obsessions and associated compulsions. Obsessions can be described as recurrent, intrusive and unwanted thoughts, images or impulses, whereas compulsions are characterised as repeated behaviours or mental actions performed in response to obsessions to reduce distress. There are many types of obsessional thoughts that can present in people with OCD. Some examples of these include thoughts about harming someone else, thoughts about germs, thoughts about the meaning of life, losing things, forgetting things, being worried that something bad might happen, worries about your health, thoughts about things not being or feeling “right”, thoughts about your sexuality or other personally unacceptable thoughts.

As Psychologists we keep talking about self-monitoring and we often use reflective questions. Why? What do we even mean by that? Why is it important?

I think just about everyone has heard of an IQ test or the idea of IQ – that is our Intellectual Quotient or, the thing that measures how ‘smart you are’. I remember several years ago there was a ‘play along at home’ quiz show on TV that would help you estimate your IQ. In truth, understanding intelligence is not that simple. Cognition, learning and performance are complicated components of an individual’s psychology and assessing and making meaning of results is a highly scientific process. And, when explored in the context of clinical, academic or performance dilemmas, the results can be extremely meaningful and can lead to helpful clinical, educational and occupational interventions.

Mindfulness and Attention Deficit Hyperactivity Disorder might seem like an impossible pairing and this assumption is understandable. ADHD is a neurodevelopmental disorder that makes it really hard to use executive skills like planning, concentrating, being focused, organising, decision making, managing impulses and time management. In the face of these challenges, engaging in an exercise that requires sustained attention and concentration might seem paradoxical and a strategy that just isn’t accessible for people with ADHD. But it is actually for this very reason that mindfulness is such a great tool to support the challenges associated with ADHD. Excitingly, evidence is suggesting that regular and consistent mindfulness practice helps to strengthen executive skills for people with ADHD. Plus, there is a lot of evidence that mindfulness-based practice is associated with a reduction in stress, anxiety and worry, all of which are highly comorbid with ADHD and definitely make using executive skills even harder. Given this, learning to be more mindful and using a framework such as mindfulness to build the capacity to focus when needed makes sense.

It is said that we make on average 35,000 decisions every single day. Of course not all of them are conscious decisions. It’s no wonder that by the end of the day we can experience what’s called decision fatigue. Decision fatigue not only kills motivation, but it can lead to avoiding decision making altogether, or an increase in impulsive behaviour. So what do we do about it? Before we launch into that, let’s explore a little more about how it comes about and how it impacts our behaviours.