Sue Scheff: Teens and Substance Abuse

Source: TeensHealth

These days, drugs can be found everywhere, and it may seem like everyone's doing them. Many teens are tempted by the excitement or escape that drugs seem to offer.

But learning the facts about drugs can help you see the risks of chasing this excitement or escape. Here's what you need to know.

The Deal on Substances

Thanks to medical and drug research, there are thousands of drugs that help people. Antibiotics and vaccines have revolutionized the treatment of infections. Medicines can lower blood pressure, treat diabetes, and reduce the body's rejection of new organs. Medicines can cure, slow, or prevent disease, helping us to lead healthier and happier lives. But there are also lots of illegal, harmful drugs that people take to help them feel good or have a good time.

How do drugs work? Drugs are chemicals or substances that change the way our bodies work. When you put them into your body (often by swallowing, inhaling, or injecting them), drugs find their way into your bloodstream and are transported to parts of your body, such as your brain. In the brain, drugs may either intensify or dull your senses, alter your sense of alertness, and sometimes decrease physical pain.

A drug may be helpful or harmful. The effects of drugs can vary depending upon the kind of drug taken, how much is taken, how often it is used, how quickly it gets to the brain, and what other drugs, food, or substances are taken at the same time. Effects can also vary based on the differences in body size, shape, and chemistry.

Although substances can feel good at first, they can ultimately do a lot of harm to the body and brain. Drinking alcohol, smoking tobacco, taking illegal drugs, and sniffing glue can all cause serious damage to the human body. Some drugs severely impair a person's ability to make healthy choices and decisions.

Teens who drink, for example, are more likely to get involved in dangerous situations, such as driving under the influence or having unprotected sex.
And just as there are many kinds of drugs available, there are as many reasons for trying them or starting to use them regularly. People take drugs just for the pleasure they believe they can bring. Often it's because someone tried to convince them that drugs would make them feel good or that they'd have a better time if they took them.

Some teens believe drugs will help them think better, be more popular, stay more active, or become better athletes. Others are simply curious and figure one try won't hurt. Others want to fit in. A few use drugs to gain attention from their parents.

Many teens use drugs because they're depressed or think drugs will help them escape their problems. The truth is, drugs don't solve problems — they simply hide feelings and problems. When a drug wears off, the feelings and problems remain, or become worse. Drugs can ruin every aspect of a person's life.

Here are the facts on some of the more common drugs:

Alcohol

The oldest and most widely used drug in the world, alcohol is a depressant that alters perceptions, emotions, and senses.How It's Used: Alcohol is a liquid that is drunk.

Effects & Dangers:

Alcohol first acts as a stimulant, and then it makes people feel relaxed and a bit sleepy.High doses of alcohol seriously affect judgment and coordination. Drinkers may have slurred speech, confusion, depression, short-term memory loss, and slow reaction times.Large volumes of alcohol drunk in a short period of time may cause alcohol poisoning.

Addictiveness: Teens who use alcohol can become psychologically dependent upon it to feel good, deal with life, or handle stress. In addition, their bodies may demand more and more to achieve the same kind of high experienced in the beginning. Some teens are also at risk of becoming physically addicted to alcohol. Withdrawal from alcohol can be painful and even life threatening. Symptoms range from shaking, sweating, nausea, anxiety, and depression to hallucinations, fever, and convulsions.

Amphetamines

Amphetamines are stimulants that accelerate functions in the brain and body. They come in pills or tablets. Prescription diet pills also fall into this category of drugs.
Street Names: speed, uppers, dexies, bennies

How They're Used: Amphetamines are swallowed, inhaled, or injected.

Effects & Dangers:

Swallowed or snorted, these drugs hit users with a fast high, making them feel powerful, alert, and energized.

Uppers pump up heart rate, breathing, and blood pressure, and they can also cause sweating, shaking, headaches, sleeplessness, and blurred vision.

Prolonged use may cause hallucinations and intense paranoia.

Addictiveness: Amphetamines are psychologically addictive. Users who stop report that they experience various mood problems such as aggression, anxiety, and intense cravings for the drugs.

Read more: http://teenshealth.org/teen/drug_alcohol/drugs/know_about_drugs.html

Sue Scheff: Parent Teen Drug Use

Source: Connect With Kids

“I thought I was better off knowing what he was doing rather than have him be doing it behind my back, which he did anyway.”

–

Andrew’s mom Pam Wolpa experimented when she was young. She says, “Keep in mind when I was Andrew’s age, I was smoking pot, and wasn’t thinking a whole lot about it.”

So, when Andrew started on marijuana, she never told him no. Pam says, “I thought I was better off knowing what he was doing rather than have him be doing it behind my back, which he did anyway.”

If parents tried drugs in their youth…what should they say to their kids? Experts say one choice is to tell the truth. Dr. Michael Fishman, a director at Ridgeview Institute, a drug rehabilitation center in metro Atlanta says, “I think a child will really perk up and listen when they hear, ‘Oh, really? You experimented? What was that like? Was there peer pressure?’”

He says if parents do admit to using drugs, they should stress their regrets, and make it clear to their kids that drug use is simply unacceptable. Dr. Fishman says, “I think you can use that as an opportunity to say, ‘Yes, I made some mistakes. If I had it to do over, I wouldn’t do it, and it’s very clear that I’m not going to allow that today.”

He also says parents should explain drugs are far more potent today than they used to be. Dr. Fishman says, “When we were growing up the potency of marijuana for THC was maybe 6 to 8 percent. With the hydroponically grown marijuana, we’re seeing anywhere from forty, fifty, sixty or higher percent THC.”

Today, would Pam Wolpa overlook her son’s drug use? She says, “No. Looking back, I would never tell any parent to condone it. Give a clear message from the beginning—it’s not okay.”

Andrew Wolpa says, “The really bad thing is that I’m an 18-year-old in rehab and I still want to try more drugs.”

Tips for Parents
The American Academy of Child and Adolescent Psychiatry (AACAP) describes adolescence as a “time for trying new things.” Teens use alcohol and drugs for many reasons, including curiosity, because it feels good, to reduce stress, to feel grown up or to fit in. Teens at risk of developing serious drug and alcohol problems include those …

With a family history of substance abuse.
Who are depressed.
Who have low self-esteem.
Who feel like they don’t fit in or are out of the mainstream.
In addition, warning signs of teen drug abuse may include …

Fatigue, repeated health complaints, red and glazed eyes, and a lasting cough.
Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest.
Starting arguments, breaking rules or withdrawing from the family.
Decreased interest, negative attitudes, drop in grades, many absences, truancy and discipline problems.
New friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music.
Peer pressure is one of the most difficult inducements faced by teens to use illegal substances. Experts at the Hazelden Foundation have created the following model that a teen might follow in dealing with pressure to use drugs or alcohol:

Ask questions – Size up the situation before "going along." For example, a classmate might say, "Hey, lets go hang out at the mall" – and have shoplifting in mind. To be responsible, ask, "What are we going to do? How long will we be there?" These questions will help you make informed decisions before getting into a problem situation.
Name the trouble – After you identify the situation, you need to state the possible problem: "That sounds like trouble to me."
State the consequences – Use the threat of punishment as an excuse not to drink. Say something such as, "My parents would ground me for months," or "I could get kicked off the soccer team."
Offer an alternative – If a friend invites you to drink or use drugs, suggest an alternative. "Lets go get pizza." If the friend pressures you more, walk away, but leave the door open. You could say, "Hey, that’s fine. Go do your thing. You’re welcome to join me later."
Get out of trouble – Should you find yourself in a problem situation, get out immediately and call a responsible adult for help.
Drugs are a threat to almost every child, and one of the best ways to help ensure your child will make the right decisions when faced with choices regarding substance abuse is to confront the issue with your child as early as possible. Experts at the American Academy of Pediatrics list the following as ways to address the subject of substance abuse with your child:

Talk with your child honestly. Don't wait to have "the drug talk" with your child. Make discussions about tobacco, alcohol and other drugs part of your daily conversation. Know the facts about how drugs can harm your child. Clear up any wrong information, such as "everybody drinks" or "marijuana won't hurt you."
Really listen to your child. Encourage your child to share questions and concerns about tobacco, alcohol and other drugs. Do not do all the talking or give long lectures.
Help your child develop self-confidence. Look for all the good things in your child – and then tell your child how proud you are. If you need to correct your child, criticize the action, not your child. Praise your child's efforts as well as successes.
Help your child develop strong values. Talk about your family values. Teach your child how to make decisions based on these standards of right and wrong. Explain that these are the standards for your family, no matter what other families might decide.
Be a good example. Look at your own habits and thoughts about tobacco, alcohol and other drugs. Your actions speak louder than words.
Help your child deal with peer pressure and acceptance. Discuss the importance of being an individual and the meaning of real friendships. Help your child understand that he/she does not have to do something wrong just to feel accepted. Remind your child that a real friend won't care if he/she does not use tobacco, alcohol or other drugs.
Make family rules that help your child say "no." Talk with your child about your expectation that he/she will say "no" to drugs. Spell out what will happen if he/she breaks these rules. Be prepared to follow through, if necessary.
Encourage healthy, creative activities. Look for ways to get your child involved in athletics, hobbies, school clubs and other activities that reduce boredom and excess free time. Encourage positive friendships and interests. Look for activities that you and your child can do together.
Team up with other parents. Work with other parents to build a drug-free environment for children. When parents join together against drug use, they are much more effective than when they act alone. One way is to form a parent group with the parents of your child's friends. The best way to stop a child from using drugs is to stop friends from using them.
Know what to do if your child has a drug problem. Realize that no child is immune to drugs. Learn the signs of drug use. Take seriously any concerns you hear from friends, teachers and/or other kids about your child's possible drug use. Trust your instincts. If you truly feel that something is wrong with your child, it probably is. If there's a problem, seek professional help.
According to the National Center on Addiction and Substance Abuse at Columbia University (CASA), parents are the key to keeping kids drug-free. CASA research shows that the extent to which parents take a “hands-on” approach in raising their kids, the more they establish appropriate rules and standards of behavior, and the more they monitor their teens, the lower the teen’s risk of substance abuse. “Hands-on,” according to CASA, includes parents who consistently take 10 or more of the following 12 actions:

Monitor what their teens watch on television
Monitor what they do on the Internet
Put restrictions on the music (CDs) they buy
Know where their teens are after school and on weekends
Expect to be and are told the truth by their teens about where they are going
Are “very aware” of their teen’s academic performance
Impose a curfew
Make clear they would be “extremely upset” if their teen used pot
Eat dinner with their teens six or seven times a week
Turn off the television during dinner
Assign their teens regular chores
Have an adult present when the teens return from school
References
American Academy of Pediatrics
The Hazelden Foundation
The National Center on Addiction and Substance Abuse
Partnership for a Drug-Free America

Sue Scheff: Parents Learn About Teen Medicine Abuse

Source: StopMedicineAbuse

Welcome to the Five Moms: Stopping Cough Medicine Abuse Campaign

Learn about teen cough medicine abuse.Share information about abuse.

First launched in May 2007, the Five Moms Campaign has reached over 24 million parents with these basic messages to parents about preventing teen cough medicine abuse.

When the campaign launched, teen cough medicine abuse was on the increase. Now, nationwide statistics point to a slight decrease. That’s great news, but more work has to be done to eliminate this type of substance abuse behavior among teens.

CHPA brought together five moms—a pediatric nurse practitioner, an accountant, a D.A.R.E. officer, an educator, and an author—from different backgrounds and from all over the country to encourage parents to get involved in stopping cough medicine abuse. And now Five Moms is part of the StopMedicineAbuse.org effort.

Join the campaign. Membership is free and entitles you to the monthly e-newsletter and occasional e-mail updates. (Read our privacy policy.)

Tell your friends about teen cough medicine abuse. You can use the English or Spanish tell-a-friend feature.

Learn more about the issue, how to talk with your teens about drug abuse, and how to protect them from different online threats.

Sue Scheff: Tools to Stop Medicine Abuse

As a parent advocate, I continually receive information from a wide range of resources. Educating parents today about what our teens and pre-teens are facing is critical to raising our children. Today, as in many generations before, there are new concerns and challenges that parents face. Whether it is social networking, peer pressure, or substance abuse - parents need to stay in touch.

Communication should be a parent number 1 priority with today’s teens and pre-teens.
The Consumer Healthcare Products Association (CHPA), founded in 1881, is a member-based association representing the leading manufacturers and distributors of nonprescription, over-the-counter (OTC) medicines and nutritional supplements. Many CHPA member products provide millions of Americans with safe, effective, and convenient therapies for the treatment and prevention of many common ailments and diseases.

Studies and common sense tell us that parents play a critical role in preventing substance abuse among teens by simply talking to them about it. CHPA’s Stop Medicine Abuse initiative empowers parents, as well as other community members, to get educated and take action in a variety of ways. Ultimately, the goal is to make sure parents talk to their kids before someone else does.

Parents Universal Resource Experts - Sue Scheff - Parenting Tips on Inhalant Abuse

Inhalant Abuse is more prevalent than parents think - probably because they are more accessible to kids. Read the following parenting tips on how to talk to your pre-teens and teens about the dangers of inhalant use. Visit www.inhalant.org for more information.

• Ask your pre-teen or teenager if he or she knows about Inhalant Abuse or
is aware of other kids abusing products.

• Reinforce peer resistance skills. Tell him or her that sniffing products to get
high is not the way to fit in. Inhalants are harmful: the “high” comes with
high cost.

• Encourage your child to come to you if he or she has any questions about
Inhalants.

• Tell your child that the consequences of Inhalant Abuse are as dangerous as
those from abusing alcohol or using illegal drugs. Be absolutely clear
— emphasize that unsafe actions and risky behavior have serious consequences.

• Monitor your teen’s activities — set boundaries, ask questions. Be firm,
know his or her friends and his or her friends’ parents, know where they
meet to “hang out.”

• Educate your child about the dangers, but don’t mention specific
substances unless your child brings them up. While many youngsters know
kids are sniffing some substances, they may not know the full range of
products that can be abused; and you don’t want to give them suggestions.

• Tell your children that you love them and that their safety is your number
one priority. Tell them again…and again…and again.

Sue Scheff: 20th Annual Teen Study Shows 25% Drop in Meth Use over 3 Years; Marijuana Use Down 30% Over 10 Years

Data Reveal First Major Increase in Number of Teens Reporting “Learning a Lot” About Risks of Drug Use From Parents

Teen Abuse of Prescription and Over-The-Counter Medicines Remains a Serious Concern

NEW YORK, NY – February 24, 2009 – The Partnership for a Drug-Free America today announced the findings from the 2008 Partnership Attitude Tracking Study, (PATS) which revealed the first major increase in the number of teens who reported “learning a lot” about the risks of drugs from their parents. The study shows that 37 percent of teens reported learning a lot about the risks of drugs from their parents, a significant 16 percent increase from the previous year and the first major increase since the inception of the study. Research consistently shows that teens who learn a lot about the risks of drugs at home are up to 50 percent less likely to use, yet many parents have difficulty talking with their kids about drugs and alcohol. This progress coincides with data showing remarkable, sustained declines in several drugs of abuse – notably methamphetamine (meth) and marijuana – over the past several years.

“Parent-child communication about the risks of drugs and alcohol is critically important, and research has shown a lack of parental awareness of adolescent substance use,” said Dr. Amelia Arria, a senior scientist at the Treatment Research Institute and a nationally recognized researcher on the identification of risk factors for adolescent and young adult drug involvement. “This study may indicate that parents and teens are finding some common language and that these important messages are getting through. We hope to see this trend continue to increase, as there’s still much work to be done.”

According to the study, teen meth use has experienced a steep three-year drop, with past-month use down to 3 percent of teens – a significant 25 percent decline versus 2005. Teen attitudes about meth use corroborate this drop – 83 percent of teens see great risk in using meth regularly, about 85 percent see great risk in “getting hooked on meth” and more than half of teens, (54 percent) see trying meth once or twice as very risky.

While marijuana remains the most widely used illegal drug among teens, PATS indicates marijuana use has been declining for a decade, with past-year use down 24 percent since 1998, and past-month use down a full 30 percent (from 23 percent of teens down to 16 percent) over the same time period. Teen attitudes also reflect growing social disapproval of the drug, with 35 percent of teens agreeing strongly they “don’t want to hang around with anyone who uses marijuana,” up from 28 percent a decade ago.

The study also indicates a strong correlation between increased teen exposure to anti-drug messages on television and a decreased likelihood of trying drugs over the past ten years. Four out of ten teens (41 percent) agreed that anti-drug messages made them more aware of the risks of using drugs and less likely to try drugs (42 percent).

Red Flag: Parents Still Not Discussing Abuse of Prescription and Over-The-Counter Medicines Despite the increase in parent-teen discussions, only 24 percent of teens report that their parents talked with them about the dangers of prescription (Rx) drug abuse or use of medications outside of a doctor’s supervision; just 18 percent of teens say their parents discuss the risks of abusing over-the-counter (OTC) cough medicine.

“The strong declines in illegal use combined with the news that teens are learning a lot about drugs and alcohol at home underscores the power and influence of parents,” said Steve Pasierb, president and CEO of the Partnership. “Yet too many parents are missing opportunities to talk about the intentional abuse of prescription and OTC medications, which is the most pressing—and least understood— threat to our kids. This risky behavior is still not on parents’ radar, many of whom don’t realize that when abused or used without a prescription, these medications can be every bit as dangerous as illegal drugs.”

According to the survey, about 1 in 5 teens (19 percent) or 4.7 million reports abusing a prescription medication at least once in their lives, and 1 in 10 teens (10 percent) or 2.5 million teens reports having abused a prescription pain reliever in the past year. About 7 percent or 1.7 million teens have reported OTC cough medicine abuse in the past year.

The prevalence of and attitudes behind this behavior are cause for ongoing concern. PATS shows 41 percent of teens mistakenly believe that abuse of medicines is less dangerous than abuse of illegal street drugs and 61 percent of teens report prescription drugs are easier to get than illegal drugs, up significantly from 56 percent in 2005. One positive note is teen attitudes toward the abuse of OTC cough medicine have improved with the number of teens who agree that “taking cough medicine to get high is risky” significantly increased from 45 percent in 2007 to 48 percent last year.

Warning Signs: Teens See Slightly Less Risk in Steroid and Inhalant Use Steroid use remains low at 4 percent for lifetime use among teens. While there has been little overall change in the number of teens who see “great risk” in abusing steroids, fewer teens this year (65 percent) agreed strongly that teens who use steroids for athletic performance or physical appearance are putting their health at risk, down from 69 percent last year. Pre-teen and teen inhalant use remains steady at 11 percent for past year use, yet only 66 percent of teens report that “sniffing or huffing things to get high can kill you.” Both categories of abuse merit careful monitoring— as attitudes towards inhalant and steroid abuse weaken, use is more likely to increase. “We must be vigilant when attitudes show signs of weakening because this may portend future increases in substance use,” said Pasierb.

Insight: Today’s Teens More

Open About Discussing Substance Abuse, Seeking Help for Friends The 20th annual study offers new insights into the way the current generation of teens view substance abuse. PATS 2008 showed a statistically significant increase in the number of teens who reported trying to talk a friend out of using drugs at 41 percent and 40 percent of teens report being aware that they have a family member with a drug or alcohol problem. “With over 6,500 teens from across the nation in the study, these data indicate this generation has greater sensitivity to the health risks and downsides of substance abuse,” said Pasierb.

“Teens live in a world of social networking and connectedness – they’re more open, constantly sharing their thoughts and experiences. Teens recognize the impact of use, know others with a problem and seem to attach less stigma to getting help for themselves or a friend who is in trouble.” Given that kids who learn a lot about the dangers of drugs from their parents are up to 50 percent less likely to ever use, parents are encouraged to have frequent ongoing conversations with their children about the dangers of drugs and alcohol and the abuse of Rx and OTC drugs.

Parent visitors to http://www.drugfree.org/ can learn to talk with their kids about drugs and alcohol and take charge of the conversation with their kids. The 20th annual national study of 6,518 teens in grades 7-12 is nationally projectable with a +/- 1.3 percent margin of error.

PATS Teens 2008 was conducted in private, public and parochial schools for the Partnership by the Roper Public Affairs Division of GfK Custom Research. For more information and the full PATS Teens Report visit http://www.drugfree.org/.

About the Partnership The Partnership for a Drug-Free America is a national non-government, nonprofit organization that unites parents, renowned scientists and communications professionals to help families raise healthy children.

Best known for its research-based national public education programs, the Partnership motivates and equips parents to prevent their children from alcohol and drug abuse, intervene when drug and alcohol use is present and to find help and treatment for family and friends in trouble. Visit drugfree.org for more information.

Parents Universal Resource Experts - Sue Scheff: Sleeping Pills and Teens

Source: Connect with Kids

“Part of it I think now is there is so much more pressure in the academic settings. There are kids who are working tremendous numbers of hours each evening to get their schoolwork done. I get a sense that many of them worry about how they are doing academically, and that tends to spill over into difficulties with sleep.”

– Richard Winer, M.D., Psychiatrist

Whether it’s an over-the-counter medication like Nyquil, or a prescription drug like Ambien or Sonata, more and more teens say they often take something to get to sleep.

“It’s mainly just stress… you want to study and then you realize you need to sleep because you have a test the next day and then you just take something,” says Chelsea, 19.

“An Ambien to knock me out,” adds 19-year-old Jessica.

“I’ll take Nyquil or something like that, just to help me get to sleep easier,” explains Allison, 19.

Why do kids today need help getting to sleep? Experts say there are several answers: greater academic pressure, more stimulation late at night, with cell phones, TV, computer games, instant messaging, more kids with ADHD taking stimulants like Ritalin, and an explosion in the use of caffeine drinks.

The result: at bedtime, many kids are looking for help in a pill.

“Our culture is certainly turned more toward a living better through chemistry approach,” say Psychiatrist Richard Winer, M.D.

He says the problem is the obvious: Sleeping aids can be habit forming. “My bias is toward keeping kids away from medication for sleep if at all possible. Because you don’t want to create some habits that’ll be even harder to break as time goes on in adulthood.”

He says for many kids, the solution is routine: Relax for a while, and then go to bed at the same time every night.

But, for some, the problem is more serious.

“There are a number of kids out there that have honest to goodness insomnia difficulties,” says Dr. Winer, “They have sleep disorders that do require treatment.”

Tips for Parents

A study performed by researchers at Stanford University found that teenagers require approximately one to two hours more sleep than 9- and 10-year-olds, who only require about eight hours of sleep. This goes against the school of thought that allows older kids to stay up later. Parents may want to be on the lookout for the following things, which could be caused from sleep deprivation:

Difficulty waking in the morning
Irritability in the afternoon
Falling asleep during the day
Oversleeping on the weekend
Having difficulty remembering or concentrating
Waking up often and having trouble going back to sleep
Sleep deprivation also can lead to extreme moodiness, poor performance in school and depression. Teens who aren’t getting enough sleep also have a higher risk of having car accidents because of falling asleep behind the wheel.


As the lives of children seem to be getting busier, their sleeping habits may be one of the first things impacted. Sleep, though being something that often gets sacrificed, is actually one of the most important things in a child’s life. Experts say taking sleep medications unauthorized by the FDA for teenage consumption is not the answer, however. Here are some suggestions about sleep:

Sleep is as important as food and air. Quantity and quality are very important. Most people need between seven-and-a-half to eight-and-a-half hours of uninterrupted sleep. If you want to press the snooze alarm in the morning you are not getting the sleep you need. This could be due to not enough time in bed, external disturbances or a sleep disorder.

Keep regular hours. Try to go to bed at the same time and get up at the same time every day. Getting up at the same time is most important. Getting bright light, like the sun, when you get up will also help. Try to go to bed only when you are sleepy. Bright light in the morning at a regular time should help you feel sleepy at the same time every night.

Stay away from stimulants like caffeine. This will help you get deep sleep, which is most refreshing. If you take any caffeine, take it in the morning. Avoid all stimulants in the evening, including chocolate, caffeinated sodas and caffeinated teas. They will delay sleep and increase awakenings during the night.

Use the bed just for sleeping. Avoid watching television, using laptop computers or reading in bed. Bright light from these activities and subject matter may inhibit sleep. If it helps to read before sleeping, make sure you use a very small wattage bulb to read. A 15-watt bulb should be enough.
Avoid bright light around the house before bed. Using dimmer switches in living rooms and bathrooms before bed can be helpful. Dimmer switches can be set to maximum brightness for morning routines.

Don't stress if you feel you are not getting enough sleep. It will just make matters worse. Know you will sleep eventually.

Avoid exercise near bedtime. No exercise at least three hours before bed.

Don't go to bed hungry. Have a light snack, but avoid a heavy meal before bed.

Bedtime routines are helpful for good sleep.

Avoid looking at the clock if you wake up in the middle of the night. It can cause anxiety.

If you can't get to sleep for over 30 minutes, get out of bed and do something boring in dim light till you are sleepy.

Keep your bedroom at a comfortable temperature.

If you have problems with noise in your environment, you can use a white noise generator. A fan will work.

References
American Sleep Apnea Association
National Sleep Foundation
Shuteye
Thomson Reuters