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Shift work: how to sleep when your schedule changes every week

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Nursing, factories, hospitality, security, transport, call centres: an enormous slice of workers live on rotating schedules. And they pay for it in the most expensive currency — sleep. The human body has an internal clock tuned by daylight; asking it to sleep at 9am is rowing against millions of years of programming.

What shifts do to sleep

Daytime sleep is typically shorter (1 to 3 hours less) and more fragmented — light, noise, doorbells, family life. Constant rotation prevents the body clock from adapting to any schedule at all. Over time, many shift workers develop a pattern of their own: sleepiness at work, insomnia at home, and a background exhaustion that days off do not repay.

Strategies with evidence behind them

If you work shifts and sleep badly, the problem is not a lack of willpower — it is a genuine physiological challenge. And when insomnia persists even on days off and during holidays, it has stopped being "a shift thing": it has become chronic insomnia, and that can be treated.

When to seek help

CBT-I (Cognitive Behavioural Therapy for Insomnia) adapts to shift schedules — you do not need a "normal" timetable to treat your sleep. In HICOA's Sleep Better Programme the plan is designed around your actual roster, with online sessions booked outside your shifts.

Want to sleep again without relying on pills?

HICOA Clinic's Sleep Better Programme combines CBT-I, hypnotherapy and, where needed, psychiatric support. Online or in Matosinhos. First conversation with no obligation.

Explore the Sleep Better Programme