Miami Herald (Sunday)

When a partner’s snoring wrecks your sleep, these tips can help

- BY LISA STRAUSS

Most Americans prefer to sleep in the same bed as their romantic partner. There are costs and benefits to such arrangemen­ts. For example, noise and movement are disruptive to sleep, but the comforting presence of a loved one and hormones associated with intimacy and sex can promote sleep.

But being willing to bear such costs is not the same as bearing them lightly. It is no small sacrifice to accommodat­e a partner who snores, kicks, volubly comes to bed late or wakes early to an alarm clock or who can’t sleep if you are reading.

On the other side of the dynamic are those who worry about disturbing their partner’s sleep.

Bed sharing amid such challenges is not always optional. Some reasons for a lack of choice include:

Limited money or space. Travel.

In-laws in the home. Needed proximity to children.

A partner’s need for assistance during the night.

Cultural or personal proscripti­ons against sleeping separately.

An expectatio­n of harmful consequenc­es for oneself, one’s partner or the relationsh­ip.

As a sleep psychologi­st, I often hear about the disruptive effects of a partner’s snoring on sleep.

I recently saw a patient who had insomnia made worse by a snoring bed partner. Anxiously anticipati­ng the disturbanc­e was as bad as the disturbanc­e itself. She was able to restore her sleep to fragile normalcy with insomnia techniques and her partner’s willingnes­s to sleep on the couch for a few weeks.

Her partner also was willing to seek medical evaluation for sleep apnea. But meanwhile, she faced sharing the bedroom again.

Here are some suggestion­s that were helpful to her and which may help others facing similar situations.

AAAAAAAMIT­IGATE SOUNDS WITH EARPLUGS, NOISE MACHINE

Every sensory disturbanc­e that couples impose on one another – including noise, light, movement and uncomforta­ble temperatur­es – lends itself to particular interventi­ons.

When it comes to sound mitigation, I have found that the combinatio­n of ear plugs and masking noise works better for my patients than either one alone because it affords both relative quiet and protection from sudden changes in the soundscape.

This can be a magical discovery for those sleeping next to a snorer. This strategy may also be safer for hearing and sleep than masking noise alone. It should still be approached with some caution and in consultati­on with your doctor for a few reasons:

Continuous noise may affect your sleep quality.

Absence of quiet may not allow the auditory system the rest it could need to clear metabolite­s.

Continuous, moderately loud noise could damage your auditory system.

-For some people, impacted wax caused by ear plugs could diminish hearing and temporaril­y cause or worsen tinnitus; ear plugs also can attenuate masking sounds helpful for tinnitus.

-Ear plugs, while generally considered safe, can raise the risk of infection.

If the risks are acceptable in your case, you will have some choices regarding products.

AAASELECTI­NG A SOUND COLOR – WHITE, BROWN OR PINK NOISE

White noise (which contains frequencie­s from across the sound spectrum equated for intensity) sounds like hissing static because of our greater sensitivit­y to moderately high frequencie­s matching the hiss.

Most people will prefer sounds of other “colors,” especially those that are weighted toward the low frequencie­s. These include brown and pink noise. The ideal sound color will not only be pleasing (or at least not displeasin­g) but will also mask the offending frequencie­s, so you may need to experiment.

SOUND MACHINES, APPS AND WEBSITES

There are apps and websites that can generate these and other sounds (check out the web version of myNoise – which is better than its associated apps – for its sound library and customizab­ility). Many people, though, prefer the simplicity, sound fidelity and offline virtues of a noise machine. The LectroFan EVO generates a broad range of sound colors (and fan sounds) that can be adjusted from soft to loud.

Always choose the lowest volume that does the trick. A sound of safe volume with ear plugs may be unsafe if either partner is without them. I would not flirt with the 70decibel safety threshold; individual­s differ in their sensitivit­y, and decibels are logarithmi­c units, meaning that an increase of a few decibels represents a manyfold increase in intensity.

CHOOSING EAR PLUGS OR ALTERNATIV­ES

Optimal ear plugs depend on the size of your ear canal and tolerance for an object in your ear, as well as the amount of attenuatio­n you seek and any allergies you have.

They come in foam, moldable silicone, plastic and other materials. Some of my patients have had them custom-made. Many prefer porous, foam cylinders. Check out the versatile range of products offered by Mack’s.

The nuclear option is noisecance­ling ear buds at the maximum setting, but these also block out crying children and smoke alarms, and they may present issues with cost, comfort and battery life.

ADJUST TO SHARING THE BED

If you have been sleeping apart and now feel ready to share the bed again (or if you are in a new relationsh­ip and want to be able to sleep well together), it may be straightfo­rward to do so right off the bat.

But some of my patients need to acclimate gradually, especially if they have recently overcome devastatin­g insomnia. Insomnia can breed hypervigil­ance about anything that might disturb sleep.

To desensitiz­e yourself to sleeping beside your partner again, it helps not to rush the process and to have a clear plan. The approach is like the “camping-out” sleep method, which is a technique used to help children fall asleep by gradually diminishin­g the parents’ presence. But in this case, your partner gradually increases their presence in the bed you share. It is a collaborat­ive technique.

As an example, they might join you in bed for 15 minutes as each of you reads preparator­y to sleep. They would then leave to sleep elsewhere. Once you feel completely comfortabl­e with their presence, they might increase the duration of their company until you feel sleepy. Eventually, they would stay until you fall asleep. Then they might stay until you awaken in the night or ask them to leave. And the final step would be for them to remain all night.

USE CONFLICT CONSTRUCTI­VELY

Incompatib­ilities in sleep are common, and can strain both sleep and relationsh­ips. Yet we do not expect right-handers and left-handers to use the same scissors, and we cannot expect couples’ sleep always to mesh.

But we are not always on our best behavior when it comes to our sleep. Most of us are guilty of awakening a snorer to implore them to roll onto their side or snapping at a night owl for awakening us or gracing our partner with some morning snark about blanket hogging or kicking.

And most of us have probably procrastin­ated seeking profession­al help when exhausted and overwhelme­d. Even the most treatment-compliant patient can’t be expected to avail themselves of challengin­g interventi­ons with exacting discipline.

If you want to go easier on your partner or yourself without sugarcoati­ng the problem, and to find mutually satisfacto­ry solutions (a process that can itself bring you closer), it helps to recognize two things: first, that both partners need and deserve their sleep, and second, that neither sleep challenges nor upset over them is a character defect.

Behavior that can look selfish or self-destructiv­e usually has more nuanced explanatio­ns. It may help if both partners strive not only to listen well and not pathologiz­e each other but also to self-examine.

Lisa Strauss, PhD, is a clinical psychologi­st in private practice in the Boston area. She specialize­s in sleep disorders.

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