Substance Recovery and Sleep: The Two-Way Street
By Dr. Priya Sharma • 3/20/2026
Here's a question I want you to sit with for a moment before we dive in: when was the last time you felt genuinely at ease?
The Research Perspective
I want to be careful here because this gets oversimplified a lot.
The World Health Organization estimates that this affects approximately 1 in 4 people globally at some point in their lives. If you're reading this, the math says several of your close friends are dealing with something similar — they just haven't told you.
The Nuance Nobody Mentions
I want to be careful here because this gets oversimplified a lot.
When I was in training, my supervisor said something that I still think about: "People don't come to therapy because they're broken. They come because they're stuck." There's a crucial difference.
What to Try This Week
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.
What I've Seen Work
I want to be careful here because this gets oversimplified a lot.
I remember my own experience with this vividly. It was a Tuesday — I don't know why I remember that — and I was sitting in my car in a parking lot, unable to go inside the grocery store. Not because of anything dramatic. Just... couldn't do it. If you've been there, you know the feeling.
If I could leave you with one thing, it's this: you're not failing at feeling better. You're learning. And learning is messy and slow and frustrating. But it works, eventually, if you keep showing up.
NEHA is here to support your wellness journey, but we always encourage connecting with a licensed professional for ongoing mental health concerns.