Many people with sleep problems have an obstacle to implementing flawless sleep hygiene. Mine included: working 3 graveyard shifts a week, having a special needs child and having a “small bladder.” I have enjoyed success with CBT for insomnia, heavily tailored for my situation.
Sleep QI is a perspective on sleep looking at all 6 neurocognitive domains and finding ways to tip the balances in your favor. (The neurocognitive domains are Attention, Discretion, Memory, Symbolization, Sensorimotor, and Emotion).
While all 6 would be nice, fixing 1 is often enough. Many sleep medications only treat one area. Nearly all the addictive ones treat anxiety, a combination of attention and emotion (though severe anxiety can have sensorimotor side effects.)
Menopause and the several years preceding it are notable for sleep challenges, which can contribute to anxiety and depression.