DBT Skills and Sleep: The Two-Way Street
By Dr. Priya Sharma • 1/31/2025
I've been thinking about this topic for weeks, and I keep coming back to the same thing.
What's Really Going On
A 2023 meta-analysis in the Journal of Clinical Psychology looked at this exact question. Here's what they found.
The approach I recommend to most clients follows this sequence:
Week 1-2: Awareness. Don't try to change anything. Just notice when it happens. What triggered it? What were you doing? What time of day? Track it in your phone.
Week 3-4: Experimentation. Try one new coping strategy each week. See what resonates. Discard what doesn't.
Week 5-8: Consistency. Take the strategies that worked and build them into your daily routine. Attach them to existing habits (after brushing teeth, during commute, before bed).
Ongoing: Adjustment. What works changes over time. Stay flexible. Give yourself permission to try new approaches.
Why This Matters More Than You Think
This is where things get interesting — and where most generic advice falls short.
I had a client — let's call her Meera — who struggled with exactly this for years. She'd tried everything the internet suggested. The apps, the journals, the morning routines. Nothing stuck. What finally made a difference was surprisingly simple: she stopped trying to fix herself and started trying to understand herself.
Moving Forward
A 2023 meta-analysis in the Journal of Clinical Psychology looked at this exact question. Here's what they found.
Neuroscience has come a long way on this topic. We now know that the brain's neuroplasticity — its ability to rewire itself — means that these patterns aren't permanent. With consistent practice, you can literally change the neural pathways that maintain this cycle.
You deserve to feel better than this. Not in a toxic positivity way — in a genuine, "your suffering matters and there are things that can help" way. Start small. Be patient. And know that literally millions of people have walked this exact path and come out the other side.
This article is for educational purposes only and does not replace professional medical or mental health advice. If you're in crisis, please contact your local emergency services or crisis helpline.