When sleep becomes unpredictable, every part of life feels more difficult. Tiredness can drain patience, confidence and emotional steadiness – and for many adults, sleepless nights create a cycle of worry and frustration that’s hard to break. In this episode, Dr Lee David speaks with occupational therapist and CBT-i specialist Louise Berger about how adults can understand their sleep more clearly and make small choices that genuinely help nights settle again.

They explore what drives sleep, why it becomes difficult and how anxiety, over-effort and disrupted routines keep patterns stuck. Louise shares practical evidence-based strategies that support adult sleep – from resetting unhelpful habits to easing night-time worry and rebuilding confidence in the body’s natural rhythm.

This is a conversation about choice, change and compassion – recognising that sleep can improve, that pressure makes it harder and that adults deserve support without blame or rigid rules.

Highlights & key moments

00:00 Introduction – why adult sleep becomes difficult
03:28 What sleep does – physical, cognitive and emotional health
05:55 Why worry about sleep makes nights harder
07:20 Sleep quality – what it really means
10:00 Why night-time waking is normal
11:49 CBT-i explained – the science behind effective change
13:40 Stimulus control – resetting the bed–sleep connection
14:55 Scheduling sleep – why less time in bed can help
16:27 Sleep hygiene – what matters and what doesn’t
17:34 Common myths – blue light, screens and sleep stages
21:13 Practical boundaries – choosing what helps you wind down
24:30 Night-time worry – why the brain is different at 3am
27:03 Worry time – scheduling thinking with compassion
31:18 Stress and sleep – preventing long-term problems
36:08 Sleep trackers – why data can mislead
40:12 Choice Space takeaways

About the host

Dr Lee David is a GP, CBT therapist and author specialising in mental health and wellbeing. Lee has written many books on CBT, mindfulness and teen wellbeing, and speaks regularly at conferences and in the media. Away from work she enjoys running, hiking, singing in a choir and spending time outdoors with her family. You can find Lee through her website and on Instagram, TikTok (@dr.lee.david) and LinkedIn. You can find more about her books, wellbeing courses and therapy here: https://linktr.ee/dr.lee.david

About the guest

Louise Berger is an Occupational Therapist specialising in sleep and leads the Insomnia Clinic at the Royal Surrey County Hospital – one of the few UK NHS services dedicated to insomnia treatment. She focuses on turning sleep science into practical support, delivering training, mentoring and public speaking and contributing to national guidance to improve access to care. Alongside her NHS work she offers private sleep coaching, lectures on the University West England Sleep Medicine course, is a trustee for the British Society of Pharmacy Sleep Services and sits on the communications committee for the British Sleep Society.

You can connect with Louise on LinkedIn or contact her directly at louisebergersleep@proton.me

References

CBTi - JAMA Psychiatry 2024;81(4):357-365

Impact of blue light - Sleep Med Rev 2024;76:101933

When sleep is broken, everything feels harder. Fatigue affects patience, confidence and emotional balance – and in early parenthood, rest can feel like a distant dream. In this episode, Dr Lee David speaks with sleep consultant and mum of three Caroline Jones about finding realistic, compassionate ways to support both infant and parent sleep.

They explore how small changes, shared support and self-trust can make a big difference – and why flexibility matters more than following fixed rules. Caroline shares practical ways to restore balance, from understanding sleep science to building healthy routines that work for each unique family.

This is a conversation about calm, confidence and connection – recognising that good sleep supports the whole family’s wellbeing and that every parent deserves rest without pressure or comparison.

Highlights & key moments
00:00 Introduction – when sleep struggles impact mental health
02:25 Caroline’s story – twins, exhaustion and discovery
05:29 The pressure cooker – coping with fatigue and finding freedom outdoors
06:52 Choice in parenting – trusting your instincts and finding what works
07:06 Evidence matters – what research really says about infant sleep
09:02 Sleep architecture – why broken sleep hits parents hardest
11:26 Permission to rest – why parental wellbeing supports connection
12:00 Attachment, security and sleep training – what the research shows
13:20 Making sense of sleep training methods and consistency
16:22 Parent anxiety, perinatal illness and emotional readiness
19:27 Why shared support and small changes make a big difference
22:35 Common myths – overtiredness and “sleep breeds sleep”
24:35 Following your baby’s cues and unique sleep needs
27:50 Sleep in older children – building confidence and security
31:44 Resilience and independence – loving choices at night
33:32 Choice Space takeaways – trust yourself, and rest is strength

About the host

Dr Lee David is a GP, CBT therapist and author specialising in mental health and wellbeing. Lee has written many books on CBT, mindfulness and teen wellbeing, and speaks regularly at conferences and in the media. Away from work she enjoys running, hiking, singing in a choir and spending time outdoors with her family. You can find Lee through her website and on Instagram, TikTok (@dr.lee.david) and LinkedIn. You can find more about her books, wellbeing courses and therapy here: https://linktr.ee/dr.lee.david

About the guest

Caroline Jones is an OCN Level 6 Certified Sleep Consultant, mum of twins plus one, and self-confessed sleep geek. She supports parents with evidence-based, compassionate guidance to navigate infant and family sleep, and leads Your Sleep Mentors – a programme for training and supporting other consultants. Caroline believes sleep isn’t a luxury but essential for mental and physical health, and is passionate about challenging myths and grounding her work in solid evidence. Website: www.thesleepremedy.co.uk
Email: info@thesleepremedy.co.uk
Instagram: @thesleepremedy

Reference

Sci Rep 2025;15:24076

When life changes – through a cancer diagnosis, treatment and the slow rebuild that follows – it can feel like a wave knocks you off your feet. In this episode, Dr Lee David speaks with Dr Darelle Gengasamy about the moment everything shifted, the surge of despair, the pull of purpose and the everyday choices that helped her find steadier ground.

They explore the shock of diagnosis, the need to find a next step, and how reconnecting with personal values can bring direction when life feels uncertain. Darelle speaks candidly about accepting help, the power of community during COVID lockdowns and how small acts of care helped her rediscover meaning and identity.

This is a conversation about adapting to change with compassion – finding strength through connection, curiosity and the courage to keep shaping life in new ways.

Highlights & key moments

00:00 The wave hits – shock, self-blame and anchoring to purpose
03:22 Hospital in lockdown – facing sepsis, uncertainty and isolation
05:00 Breaking bad news – the “wall of water” moment
07:18 Regaining power – “What’s the plan?” and saying yes to support
12:02 Threat, drive, soothe – why relentless doing needs balance
15:23 Receiving help – identity shifts and letting the village in
17:08 Values as compass – keeping family at the centre
19:44 Acts of service – small helps that rebuild confidence
23:01 The Choice Pause – Acceptance Pause practice
25:04 Recovery and reflection – rebuilding confidence after treatment
27:18 Flexibility and experimentation – workarounds, setbacks and new doors opening
32:49 Comparison trap and recognising your own needs
35:23 Protecting energy – permission to decline what overwhelms
37:16 Learning self-compassion – and why a supportive team matters

About the host

Dr Lee David is a GP, CBT therapist and author specialising in mental health and wellbeing. Lee has written many books on CBT, mindfulness and teen wellbeing, and speaks regularly at conferences and in the media. Away from work she enjoys running, hiking, singing in a choir and spending time outdoors with her family. You can find Lee through her website and on Instagram, TikTok (@dr.lee.david) and LinkedIn. You can find more about her books, wellbeing courses and therapy here: https://linktr.ee/dr.lee.david

About the guest

Darrelle is an experienced GP with a passion for supporting mental health and wellbeing. She works as a GP and as a Lead Clinician with NHS Practitioner Health. Currently completing her coaching qualification, she has developed a growing interest in supporting doctors with neurodivergent traits. At the age of 39 she was diagnosed with complex Stage 3 bowel cancer. This experience deepened her understanding of her core value of supporting others and how that value positively influences her own wellbeing. Grateful for the care and community that supported her recovery, she continues to focus on helping others find strength, purpose and connection beyond adversity. You can contact her via Instagram (@wellbeing_in_practice) or Linkedin

References

ESMO Patient Guide on cancer survivorship: