Rebecca never struggled with sleep — until she began working 24-hour shifts as a hospital-based midwife. She cared deeply about her patients, and she made a quiet promise to herself: nothing would go wrong on her watch. That meant staying awake through every shift. Over time, that vigilance seeped into her nights at home. Sleep became something she chased — and then something she feared. Rebecca tried everything: medication, strict CBT-I programs, endless data tracking, a long list of rules. And still, sleep didn’t come. She followed every instruction, but nothing seemed to work — and somewhere along the way, she started to believe that something was wrong with her. That she wasn’t doing something right. What changed wasn’t a new pill or a stricter plan. It was her relationship with sleep — and with herself. She began practicing a different approach. She gave herself permission to rest without sleep. To play golf. To laugh with friends. To live with uncertainty and discomfort instead of fighting them. She made room for the thoughts and feelings that once overwhelmed her — and realized they didn’t have to control her life. Sleep didn’t return overnight. But as her days became fuller and her nights gentler, it began to come back — naturally, and with far less struggle. Today, Rebecca still has shorter nights from time to time, as all human beings do. And they no longer define her or limit her. Because she knows: she can still live fully and move forward — no matter what the night brings. Click here for a full transcript of this episode. Transcript Martin: Welcome to the Insomnia Coach Podcast. My name is Martin Reed. I believe that by changing how we respond to insomnia and all the difficult thoughts and feelings that come with it, we can move away from struggling with insomnia and toward living the life we want to live. Martin: The content of this podcast is provided for informational and educational purposes only. It is not medical advice and is not intended to diagnose, treat, cure, or prevent any disease, disorder, or medical condition. It should never replace any advice given to you by your physician or any other licensed healthcare provider. Insomnia Coach LLC offers coaching services only and does not provide therapy, counseling, medical advice, or medical treatment. The statements and opinions expressed by guests are their own and are not necessarily endorsed by Insomnia Coach LLC. All content is provided “as is” and without warranties, either express or implied. Martin: Okay. Rebecca, thank you so much for taking the time out of your day to come onto the podcast. Rebecca: Oh, I’m happy to be here. Martin: It’s great to have you on. Let’s start, as always, right at the very beginning. Can you tell us when your sleep problems first began and what you think may have caused those initial issues with sleep? Rebecca: Yes I can tell you. I know for sure. My sleep problem started when I was in my middle late forties. I had just accepted and started a new position. I was working in the hospital, as a nurse midwife. What that meant was that when I was on call, I was in the hospital for 24 hours. And I was in charge of, managing any woman who came in with, a normal labor, so to speak, and managing her, delivering her, whatever. I was quite anxious about it all. I really, I made a decision early on. I never wanted anything to happen on my watch. And so what that, happened with that is that when I was on a 24 hour shift, I made sure I stayed awake for 24 hours because I was afraid that even though we had a call room and I could lay down and. Whatnot. I was afraid that if I got into a deep sleep and someone called me with somewhat an emergent situation, that I wouldn’t be able to think fast enough or think on my feet, so to speak. I forced to stay up and what I realized quickly was I, I would have difficulty getting to sleep, on the nights that I was not in the hospital. It first started out, I just had difficulty getting to sleep. It took several hours. and then that created a lot of anxiety about, I’m not gonna be alert enough to do this job and that sort of thing. And then it just turned into, couldn’t get to sleep, couldn’t stay asleep. So that’s how it started. And, it was a decision I made and, it did affect me considerably, but. I am. Martin: Yeah, so we were you just dealing with that as a side effect of your chosen career? You just recognized that because you are remaining awake for that whole shift, there’s gonna be some sleep disruption that comes with that and you just accepted that. Or was it a case that it was really causing you a struggle and you were really invested in trying to get this resolved? Rebecca: It really caused a lot of struggle to the point that, I went to see my primary care doctor and I told her, I said, I can’t do this job with no sleep, I’m having a really difficult time sleeping when I’m not on call, and it’s affecting every part of my day and night and my life. So she gave me a prescription for Ambien. said, why don’t you try this see if it helps. So I said, okay. I can’t remember completely, but I think she probably gave me a disclaimer of, it’s not good to take it every night, but maybe you could take it a couple of nights a week. And I started out doing that. But what I found was, Ambien worked so well for me that as soon as I took it, I was asleep and I didn’t wake up for six to seven hours later. It was just like a miracle pill. I accepted that was, what was working for me and was allowing me to do my job. And I felt more comfortable about, having to stay up for 24 hours ’cause I knew that the next night all I had to do was take an Ambien and I go to sleep. Rebecca: I never felt bad about it until decades later when, I was told that, okay, you can’t take this medication anymore because you’re too old and, it’s not good for your brain and whatnot. and then when I, started to find a solution to, okay, how can I sleep without the medication? A lot of times the information on the, internet and whatnot was saying, oh, you shouldn’t have taken that medication. It’s very dependent, you become dependent on it and not so much addicted, you have a strong dependency. You should have never done that. Rebecca: Prior to me being told I couldn’t take the Ambien anymore, I developed, I guess I had sleep apnea for quite a long time. Didn’t know it. And the Ambien was masking that. So when I was in my early sixties, I know, I remember my husband, would say a few times, he’d say, I’m really worried about you. And I said, why? And he says, because you’re sitting straight up in bed at night gasping for air. And, I, thought, maybe I have anxiety and that’s what’s causing it, right? Make a long story short, I went to my doctor and I told them what was going on and they go, we need to do a sleep study. They did the sleep study and I never thought it was going to be positive. I just didn’t fit the profile. And sure enough, I have moderate sleep apnea, so now they’re saying that I have to, at that point now, I was in my early sixties. Now you have to wear a CPAP at night. And you can’t take Ambien. So I thought, oh great, this is a great thing. Initially when they, I got my CPAP machine, and this was like 15 years ago. machines were very noisy. It sounded like a jet plane taking, leaving the station. And so there was no way I could go to sleep with that kind of noise. So I struggled for probably about another month doing that and not getting any sleep. And I went back to the doctor and I said, I can’t do this. I can’t wear this CPAP machine having been dependent on medication just naturally go to sleep, it’s just not gonna happen. Said, we have a surgery we could do, it was a laser surgery and that tighten up the tissue in the back of the throat and then perhaps that would, alleviate you having to wear the machine. Okay? So I did all that. it worked for about five years and, I was, I didn’t have to wear CPAP for about five years, but lo and behold, after they resolved that issue, they put me back on Ambien. I found one problem and supposedly solved it, but now I’m still on Ambien. So that went on, till about another 10 years. Now I’m in my early seventies at that point, and I went to get my prescription for Ambien and the doctor says, I can’t give this to you anymore. That’s how I got into searching for, a solution and I did a couple of programs before I found you. Martin: That’s quite a experience you’ve had there. Challenge after challenge. What stood out for me was, it’s great that you’ve got such a supportive husband there, to express that concern about the waking up with the gasping so that could be explored and diagnosed. I’m sure, obviously on reflection you had that struggle with the CPAP machine, then you had the surgery, but it was something that you then were able to get addressed, which is great. Martin: Unfortunately you had that experience of then the sleep issues were still sticking around, when the Ambien wasn’t present, and you returned to it. And then your doctor was, then your doctor effectively cuts you off. Martin: I’m curious to hear what happened next. ’cause I know that you took a couple of different courses. How did they help you? If they did help you? What was your experience like with those? Rebecca: The first program I got, I found online it was through an app. And basically what they did was, you filled out all this information every morning about, what time did you get in bed, and how long did it take you to go to sleep, and how long were you asleep and did you wake up and if you were awake, how long were you awake? Rebecca: And, all these questions. So I was very busy, in the morning, compiling all this data. And they did, assign me a coach. The coach was, I’m in California, coach was in Michigan. And most of our, i