Stress, sleep and anxiety
Naturopathy for stress, sleep and anxiety
Tired all day and wired at night is the most common thing I hear, and it is a pattern rather than a mystery.
The pattern matters more than the symptom
Flat in the morning, functional by late afternoon, awake at two. Or asleep in minutes and awake four hours later with a mind that has decided now is the time. These are recognisable shapes, and which shape you have changes what is worth doing first.
So I map it: what time you actually get into bed as opposed to what time you intend to, when the caffeine lands, what the last two hours of the day look like, and whether shift work or a young child is setting the terms. A plan built on the wrong shape does not work, however good the ingredients.
What sits underneath it
Blood sugar and meal timing do more of this work than people expect. Long gaps without eating followed by a large evening meal produce exactly the energy curve most people describe, and that is addressable without anything from a bottle.
Then the nutrients involved in nervous-system function and mood, where history or testing points to a shortfall, and iron and thyroid status, because both produce fatigue that looks like stress and is not.
Where I stop and someone else starts
I am clear about this one. If what you are describing is depression, an anxiety disorder that is running your life, or anything involving thoughts of self-harm, the right next call is your GP or a psychologist, and I will say so in the appointment rather than work around it.
Often the answer is both. Plenty of people I see are already working with a psychologist or on medication, and what I do sits alongside that without competing with it. I do not adjust psychiatric medication and I do not advise anyone to come off it.
This one is rarely quick
Sleep improves in weeks rather than days, and it improves unevenly. A good week followed by a bad one is the normal shape of it, not a sign the plan has failed.
I change one or two things at a time for that reason. If six things change at once and you feel better, neither of us learns anything about which of them mattered.
Other things people see me about
- Autoimmune conditions Hashimoto’s, coeliac, rheumatoid arthritis, psoriasis, lupus
- Gut and digestive health Bloating, reflux, IBS-type patterns, constipation, food reactions
- Women’s hormonal health Cycles, PMS, PCOS and endometriosis pictures, preconception, perimenopause
- Men’s health and hormones Energy, body composition, libido, prostate and urinary concerns, recovery
- Babies and young children Reflux and colic, constipation, fussy eating, recurrent coughs and colds, skin, sleep
Not sure whether this is worth a consultation?
There is a free fifteen-minute call for exactly that question. No obligation, and I will tell you if I am not the right person for it.
Questions I get asked about this
Can a naturopath help with anxiety?
I can work on the physical side of it: sleep, blood sugar and meal timing, caffeine, the nutrients involved in nervous-system function, and herbal medicine that supports the nervous system. What I do not do is treat a diagnosed anxiety disorder in place of proper mental health care. If that is what is going on, you need a GP or a psychologist, and what I do can sit alongside them.
I am already on antidepressants. Can I still see you?
Yes, and many people I see are. I do not adjust psychiatric medication, I do not suggest coming off it, and I check anything herbal against what you are taking before it goes in a plan. Some combinations are genuinely unwise and that is exactly why it is worth telling me.
Why am I tired all day and awake at night?
Usually because the drivers of your energy across the day and the drivers of your sleep at night are the same system running out of sequence. Late caffeine, long gaps without food followed by a heavy evening meal, screens and stress in the last two hours, and an irregular bed time all push in that direction. It is a pattern worth mapping before anything gets prescribed for it.
How long before I sleep better?
Most people see some change in two to four weeks, and it arrives unevenly, with good nights and bad ones mixed together for a while. If nothing has moved by six weeks, something in the plan is wrong rather than merely slow.