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Home Chronic Disease Management Chronic Pain

Beyond Broken: Why I Stopped Trying to ‘Fix’ My Pain and Sleep—And What I Did Instead

Genesis Value Studio by Genesis Value Studio
September 22, 2025
in Chronic Pain
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Table of Contents

  • Part I: The Machine That Wouldn’t Fix
    • Introduction: My Nightly Battleground
    • The “Fix-It” Fallacy: Deconstructing the Machine Model
  • Part II: The Epiphany: Discovering the Ecosystem Within
    • A New Lens: From Machine to Ecosystem
    • Table: The Two Models of Pain and Sleep
  • Part III: Tending the Ecosystem: A New Toolkit for Pain and Sleep
    • Principle 1: Understand the Interconnections (Not Just the Parts)
    • Principle 2: Influence the “Rules” of the System (Cognitive Restructuring)
    • Principle 3: Shift Your Goal from Control to Valued Action (Psychological Flexibility)
    • Principle 4: Use Small, Gentle Inputs to Create Big Shifts (Nervous System Regulation)
  • Part IV: A New Dawn: Living in a Resilient System
    • Conclusion: My Success Story and Your Path Forward

Part I: The Machine That Wouldn’t Fix

Introduction: My Nightly Battleground

My name is Dr. Aris Thorne, and for years, I lived a life of bitter irony. By day, I was a medical researcher, poring over data on nociception, sleep architecture, and the intricate dance of neurotransmitters that govern our waking and sleeping lives. I understood, on a cellular level, the mechanisms of pain and the restorative power of sleep. But by night, I was a prisoner to their dysfunction.

The sun would set, and a familiar dread would creep in, coiling in my stomach. It wasn’t just the anticipation of pain—a deep, throbbing ache in my lower back that had become my constant, unwelcome companion—it was the anticipation of the struggle. The nightly battleground of my own bed, where I would lie awake, hyper-aware of the pulsing discomfort, my mind racing, cataloging every failed attempt to find relief. I was a cartographer of my own exhaustion, mapping the vast, barren landscapes of sleepless nights.

Like any good researcher, I was methodical. I followed all the “standard advice” with a diligence that bordered on obsessive. I invested in ergonomic pillows that promised perfect spinal alignment. I adhered to rigid sleep hygiene: a cool, dark room, no screens for an hour before bed, a consistent bedtime. I tried over-the-counter painkillers, then stronger prescriptions, and eventually, opioids, the supposed final word in pain management.1 Each new strategy was a fresh spark of hope, quickly extinguished by the same frustrating reality. The pain remained, a stubborn anchor, and my sleep grew ever more fragmented and unrefreshing.

I remember one night with crystalline clarity. I was preparing for a crucial presentation, the culmination of months of work. Desperate for a restorative night, I executed my plan perfectly. I took my prescribed pain medication precisely on schedule. I arranged my expensive pillows into a scientifically-approved fortress of support. And I lay there, in the quiet darkness, in a state of hyper-alert agony. The medication, instead of quieting the pain, seemed to have turned up the volume on my anxiety, leaving the physical ache untouched but now accompanied by a frantic, buzzing panic. I felt not just defeated, but profoundly betrayed—by my body, by my knowledge, and by the very “solutions” that were supposed to help. That night, as the hours ticked by, I didn’t just lose sleep; I lost faith in the entire ‘fix-it’ approach. I realized I had been trying to repair a machine, but the machine, it seemed, was fundamentally unfixable.

The “Fix-It” Fallacy: Deconstructing the Machine Model

My frustrating journey forced me to confront a deep, unspoken assumption that underpins most conventional approaches to health: the “Machine Model.” This is the idea that the human body is like a car or a clock. If a part is broken—a painful back, a faulty sleep switch—you simply apply a direct, linear fix to solve the problem. A specific pill targets a specific pathway. A specific pillow corrects a specific alignment. It’s a beautifully simple, cause-and-effect worldview. And for chronic pain and insomnia, it is dangerously wrong.

The limitations of this model become glaringly obvious when we look at its most common tools. Take sleep position, for instance. We are told to find the “right” one. Yet for many of us, it’s a frustrating shell game. Sleeping on your back might offer good spinal alignment, but it can worsen acid reflux or, more seriously, sleep apnea.3 Shifting to your side might alleviate snoring but can place direct pressure on a painful hip or shoulder, common sites of arthritic pain.1 Even the fetal position, a posture many of us instinctively adopt for comfort, can, over time, promote an uneven distribution of weight, leading to sore joints and exacerbating the very back and neck pain we’re trying to escape.5 Each “fix” creates a new problem, a series of trade-offs that leaves us chasing comfort in a nightly cycle of repositioning. This is not the behavior of a simple machine with a clear solution.

The most powerful tool in the Machine Model’s toolbox—and its most profound failure—is pain medication, particularly opioids. The logic seems impeccable: block the pain signal, and the body will be free to sleep. Yet the biological reality is a paradox. Research consistently shows that opioids, while they may induce sedation, actively disrupt the very architecture of restorative sleep. They reduce the time spent in deep, slow-wave sleep (N3)—the stage critical for physical repair and growth—and they suppress REM sleep, which is essential for emotional regulation and memory consolidation.6 You might be unconscious, but you are not getting the restorative rest your brain and body desperately need to heal.

Worse still, the damage may be lasting. Studies have found that even after people stop taking opioids, their sleep quality can remain poorer than those who never took them, suggesting long-term negative consequences for sleep regulation.7 The most damning evidence, however, comes from studies showing that for many chronic pain sufferers, opioids simply do not alleviate the negative effects of pain on sleep.9 Patients are left taking a powerful, dependency-forming medication for little to no actual sleep benefit, a clear failure of the simplistic “block pain, get sleep” equation.10

It became clear to me that the true failure wasn’t in the individual tips or the medications themselves. It was in the map I was using. I was trying to navigate a complex, dynamic, and interconnected wilderness using a schematic for a simple machine. The frustration, the failed nights, the sense of being betrayed by my own body—these were not signs that I hadn’t found the right tool. They were signs that my entire toolbox, and the philosophy behind it, was fundamentally flawed.

Part II: The Epiphany: Discovering the Ecosystem Within

A New Lens: From Machine to Ecosystem

My breakthrough didn’t come from a medical journal or a neurology conference. It came late one night, deep in a rabbit hole of research from fields that seemed utterly unrelated to my own: ecology, economics, and sociology. It was there that I encountered a concept that would change everything: the Complex Adaptive System (CAS).11

As I read, the world tilted on its axis. A CAS is a system composed of numerous independent agents that interact with each other based on simple, local rules. There is no central controller, no top-down blueprint. Think of a rainforest, a bustling city, or a termite colony building its magnificent mound.11 No single termite has the blueprint for the mound. Each one follows simple rules—pick up a grain of soil, follow a pheromone trail, deposit the grain. Yet from these simple, local interactions, a complex, intelligent, and highly functional structure

emerges.

I realized with a jolt that this was not a description of a machine. This was a description of my body.

My body wasn’t a broken clock. It was a thriving, chaotic, self-organizing ecosystem. Its “agents” were my cells, neurons, hormones, gut bacteria, and, crucially, my thoughts and emotions. Each agent operated based on local information, creating a cascade of interconnected effects. These interactions were profoundly non-linear; a small input, like a single stressful thought (“I’ll never get to sleep”), could trigger a massive, system-wide cascade of stress hormones, muscle tension, and amplified pain signals, resulting in a sleepless night.11

The system was also path-dependent. Its history mattered. Years of pain, anxiety, and poor sleep had carved deep channels in my nervous system, making the unhealthy pattern easier and easier to fall into.11 And most importantly, my chronic pain and insomnia were not “broken parts.” They were a state of

emergence. They were a stable, coherent, system-wide pattern that arose from the millions of tiny interactions happening within my internal ecosystem every second.11

This reframing was nothing short of revolutionary. It was liberating. If my body was an ecosystem, then my goal could no longer be to “fix” it, an act of futility akin to commanding a rainforest to stop raining. My new role was to become a wise steward of this ecosystem. I had to stop trying to be a mechanic and start learning to be a gardener. My job wasn’t to eliminate the “weeds” of pain by force, but to understand the soil, the sunlight, and the water—to cultivate the underlying conditions from which health, resilience, and sleep could emerge naturally.

Table: The Two Models of Pain and Sleep

To truly grasp this shift, it helps to see the two models side-by-side. The difference isn’t just semantic; it changes everything about how we approach the problem.

FeatureThe Old “Machine” ModelThe New “Ecosystem” (CAS) Model
Core MetaphorThe body is a clock or car.The body is a rainforest or garden.
View of PainA broken part to be fixed or removed.An emergent signal from the entire system.
View of SleepAn on/off switch to be forced.A delicate, emergent state of the system.
Primary GoalEliminate pain; force sleep (Control).Cultivate conditions for resilience; allow sleep (Stewardship).
ApproachLinear, cause-and-effect, reductionist.Holistic, interconnected, non-linear.
Key ToolsPills, specific positions, rigid rules.Cognitive reframing, psychological flexibility, nervous system regulation.
Expected OutcomeA “fix” or a cure.A resilient, self-regulating system.

Part III: Tending the Ecosystem: A New Toolkit for Pain and Sleep

Adopting the mindset of a gardener or a steward of a complex system requires a new set of tools—ones designed not for control, but for influence. These are the principles and practices that allowed me to move from fighting my body to collaborating with it.

Principle 1: Understand the Interconnections (Not Just the Parts)

A gardener doesn’t just look at a single yellowing leaf on a plant. They examine the soil, the water, the sunlight, the surrounding pests and pollinators. They understand that the health of the plant is an expression of the entire ecosystem. Similarly, to address pain and sleep, we must look beyond the isolated symptoms and understand the powerful feedback loops that connect them.

The most dominant and destructive pattern in the pain-sleep ecosystem is a vicious, self-perpetuating cycle that links pain, sleep, and the mind.

  1. Pain Disrupts Sleep: This is the initial trigger. Chronic pain acts as a constant, disruptive signal to the nervous system. It fragments sleep, repeatedly pulling the brain out of the deeper stages. You spend more time in light sleep and experience more micro-arousals throughout the night. This prevents you from getting adequate amounts of deep N3 sleep (for physical restoration) and REM sleep (for emotional regulation and memory processing).1 In ecosystem terms, this is like a persistent drought that stresses every living thing.
  2. Poor Sleep Amplifies Pain: The consequences of this sleep disruption are immediate and profound. A sleep-deprived brain is a pain-sensitive brain. Research has shown that poor sleep quality lowers our pain threshold the following day. The body’s own natural pain-modulating systems, including the crucial endogenous opioid system, become impaired.1 That ache that was a 5 out of 10 yesterday now feels like a 7. The drought has made the forest dry and brittle, incredibly vulnerable to fire. In fact, the evidence suggests that sleep impairment is an even stronger predictor of future pain than pain is of future sleep impairment, highlighting just how critical this part of the cycle is.17
  3. The Psychological Amplifier: This physical cycle is then supercharged by our minds. Lying awake in pain, we become anxious. We start to worry about how we’ll function the next day. This anxiety and the tendency to “catastrophize”—to mentally spiral into the worst-case scenarios—is not just an unpleasant emotional reaction. It is a direct physiological input. It floods the body with stress hormones like cortisol, further activating the sympathetic nervous system’s “fight-or-flight” response. This state of high alert directly amplifies the brain’s perception of pain signals.1 It’s estimated that a third or more of people with chronic pain also meet the criteria for clinical depression, which further heightens pain levels and disrupts sleep.1 This is like pouring gasoline on the smoldering fire.

In the old Machine Model, we would try to attack each of these points separately: a pill for pain, a pill for sleep, a pill for anxiety. But in the new Ecosystem Model, we see that the problem isn’t any single component. The “disease” is the stable, self-reinforcing pattern of the cycle itself. Therefore, the goal of any effective intervention cannot be to simply eliminate one part, but to destabilize the entire negative pattern, creating the space and opportunity for a new, healthier pattern to emerge.

Principle 2: Influence the “Rules” of the System (Cognitive Restructuring)

In a termite colony, the behavior of the entire system emerges from the simple rules each termite follows. In our internal ecosystem, our thoughts are powerful agents that operate according to their own set of rules—our deep-seated beliefs and assumptions. To change the system’s behavior, we must change these underlying rules.

The most powerful, evidence-based method for doing this is Cognitive Behavioral Therapy for Insomnia (CBT-I). It is recommended by the American College of Physicians as the first-line treatment for chronic insomnia, often proving more effective and durable than medication.22 CBT-I is a systematic toolkit for rewriting the faulty code that governs our ecosystem’s response to pain and sleeplessness.

The “Cognitive” part of CBT-I is about identifying, challenging, and reframing the unhelpful beliefs that keep us trapped. When we’re lying awake at 3 a.m., our minds are often flooded with thoughts that feel like absolute truths but are, in reality, distorted and destructive rules that perpetuate the cycle.22 Cognitive restructuring gives us a method to question these rules and replace them with more realistic and adaptive ones.

Table: Rewriting the Code: Common Unhelpful Beliefs and Their CBT-I Reframes

This table provides a practical look at how this process works. It’s a script you can begin using tonight to challenge the tyranny of your own anxious thoughts.

Unhelpful Belief (The Old Rule)The ConsequenceCBT-I Reframe (The New Rule)
“I must get 8 hours of sleep or I won’t be able to function tomorrow.” 27Creates immense pressure and performance anxiety about sleep, which activates the stress response and makes sleep harder to achieve.“My sleep needs are individual, and the 8-hour rule is a guideline, not a commandment. I have functioned on less sleep before. It might not be ideal, but it will not be a catastrophe. My goal tonight is to rest my body, not to force a specific outcome.”
“My pain is so bad, it’s impossible for me to sleep.” 29Fosters a sense of hopelessness and resignation. This increases focus on the pain and reinforces the belief that you are helpless against it.“Pain makes sleep more challenging, but not impossible. Many people with pain learn to sleep well. My goal is to calm my nervous system to create the best possible conditions for rest. Even quiet, peaceful rest without sleep is beneficial for my body.”
“I’ve been awake for an hour. My whole night is ruined.” 25Triggers frustration, anger, and a cascade of stress hormones. This creates a negative association with the bed and makes sleep even less likely.“Lying in bed awake and frustrated is counterproductive. This is a signal to use my stimulus control strategy. I will get out of bed for 20-30 minutes and do something calm and relaxing in dim light until I feel sleepy again. This is part of the process, not a failure.”
“This insomnia is going to destroy my health.” 27Magnifies the fear and perceived consequences of poor sleep, leading to more anxiety and a greater sense of urgency and desperation about sleeping.“While chronic poor sleep isn’t ideal for long-term health, one or two bad nights are not dangerous. My body is resilient. Stressing about my health right now is the least helpful thing I can do for my nervous system. I will focus on calming myself in this moment.”

The “Behavioral” part of CBT-I involves changing the environment of the ecosystem to make sleep a more likely emergent state. The two key strategies are:

  • Stimulus Control: This re-establishes the bed as a strong cue for sleep. The rule is simple: the bed is for sleep and sex, nothing else. If you are unable to fall asleep (or fall back asleep) within about 20 minutes, you get out of bed, go to another room, and do something relaxing in dim light until you feel sleepy enough to return to bed. This breaks the cycle of frustrated wakefulness in bed.22
  • Sleep Restriction: This sounds counterintuitive but is incredibly powerful. You temporarily restrict your time in bed to the average amount of time you are actually sleeping. For example, if you’re in bed for 8 hours but only sleeping for 5, you would restrict your time in bed to 5.5 hours. This builds a powerful homeostatic sleep drive, making you more likely to sleep soundly during the time you are in bed. As your sleep becomes more consolidated, you gradually increase your time in bed.22

Principle 3: Shift Your Goal from Control to Valued Action (Psychological Flexibility)

If CBT-I is about changing the rules of the agents in the ecosystem, Acceptance and Commitment Therapy (ACT) is about changing the entire goal of the system. In a CAS, trying to exert direct, top-down control is often futile and can even make things worse. A more effective approach is to change the system’s overarching purpose and allow it to self-organize around a new, more compelling objective.

For years, my system’s goal was “Control Pain, Force Sleep.” This put me in a constant, exhausting war with my own body. ACT offered a radical alternative: what if the goal wasn’t to win the war, but to simply stop fighting it? What if the goal was to live a rich, full, and meaningful life, even with the pain?.31

This is the essence of psychological flexibility. It’s not about feeling good; it’s about feeling everything, and still moving toward what matters. The core of ACT can be understood through its six interconnected processes:

  1. Acceptance: This is not passive resignation. It is the active, courageous choice to make room for painful sensations, thoughts, and emotions without struggling against them. It’s about dropping the rope in the tug-of-war with pain. The moment you stop pulling, you free up an immense amount of energy that was previously consumed by the fight.32
  2. Cognitive Defusion: This is the practice of seeing your thoughts for what they are: just words and images in your mind, not objective truths or commands you must obey. Instead of being fused with the thought, “My pain is unbearable,” you learn to observe it: “I am having the thought that my pain is unbearable.” This simple shift creates a space between you and the thought, robbing it of its power to dominate your experience.32
  3. Being Present: This involves gently bringing your awareness to the here and now, with openness and curiosity. Instead of being lost in worries about the future or regrets about the past, you connect with the physical sensations of this moment—the feeling of your breath, the sounds in the room. This anchors you in reality, away from the catastrophic stories the mind can spin.32
  4. Self-as-Context: This is the recognition that you are not your thoughts, your feelings, or your pain. You are the “observing self,” the vast, stable awareness in which all of these experiences come and go. You are the sky, and the pain is just a passing cloud.32
  5. Values: This is the heart of ACT. It involves a deep exploration of what truly matters to you. What kind of person do you want to be? What do you want to stand for in your relationships, your work, your community? Your values become your compass, guiding your actions.31
  6. Committed Action: This is where values become behavior. You commit to taking small, concrete steps in the direction of your values, even when pain and discomfort are present. The goal is not to feel better first, but to act in a way that makes your life more meaningful, right now.31

The reason ACT is so profoundly effective for the pain/sleep cycle is that it fundamentally calms the entire ecosystem. The constant struggle against pain sends a powerful “threat” signal to the nervous system, keeping it locked in a state of sympathetic (fight-or-flight) activation.2 By fostering acceptance and shifting the focus to valued living, ACT dials down this threat signal. The pain may still be present, but it is no longer interpreted by the brain as an all-consuming emergency. This allows the system to shift back into a parasympathetic “rest and digest” state—the physiological prerequisite for healing, restoration, and sleep.36

Table: The Six Core Principles of ACT for Chronic Pain

Core PrincipleWhat It MeansIn Practice
AcceptanceMaking room for painful sensations, feelings, and thoughts without fighting them.Gently acknowledging the pain is there, without needing it to go away. Saying to the sensation, “I see you. You can be here.”
Cognitive DefusionStepping back and observing your thoughts, rather than getting entangled in them.Labeling thoughts: “I’m having the thought that this will never end.” Or singing the thought to the tune of “Happy Birthday.”
Being PresentBringing full awareness to your here-and-now experience with openness and curiosity.Focusing on the physical sensation of your feet on the floor, or the taste of a cup of tea.
Self-as-ContextConnecting with the “observing self”—the part of you that is aware of your experiences.Recognizing “I am not my pain; I am the one who notices my pain.”
ValuesDiscovering what is most important to you; what you want your life to stand for.Asking: “If pain wasn’t the deciding factor, what would I care about? What would I do?” (e.g., connection, creativity, kindness).
Committed ActionTaking effective action, guided by your values, even in the presence of pain.Setting small, value-driven goals: “Today, I will call my friend (connection), even if my back hurts.”

Principle 4: Use Small, Gentle Inputs to Create Big Shifts (Nervous System Regulation)

In a non-linear system like a rainforest or the human body, you don’t always need a sledgehammer to create change. Sometimes, the smallest, most gentle, well-placed inputs can create disproportionately large, positive shifts. This is the power of working “bottom-up”—communicating directly with the body’s nervous system in its own native language: sensation.

While CBT-I and ACT are powerful “top-down” approaches that work with our thoughts and beliefs, there are times, especially in the dead of night when pain is high and anxiety is screaming, that the thinking mind is simply offline. Trying to reason with it is like trying to have a polite conversation during a hurricane. In these moments, we need tools that bypass the frantic cognitive mind and speak directly to the ancient, non-verbal parts of our brain that regulate safety and threat.

Detailed Guide 1: Polyvagal Theory in Practice

Polyvagal Theory, developed by Dr. Stephen Porges, gives us a map of our autonomic nervous system. It proposes we have three primary states: the Ventral Vagal state (where we feel safe, calm, and socially connected), the Sympathetic state (our “fight-or-flight” response), and the Dorsal Vagal state (a “freeze” or shutdown response). Chronic pain and the associated anxiety keep us trapped in the sympathetic and dorsal states. The following exercise is a simple, powerful way to gently nudge the system back toward the calm and safety of the Ventral Vegal state.37

The Basic Exercise (Step-by-Step): 38

  1. Pre-Test: Before you begin, gently test your neck’s range of motion. While sitting or standing, slowly turn your head to the right as far as is comfortable, and notice the point of resistance. Return to center, then do the same to the left. Make a mental note of how far you can turn and any feelings of stiffness.
  2. Position: Lie comfortably on your back with your knees bent. Weave your fingers together and place both hands behind your head, creating a supportive cradle for your skull.
  3. Eyes Right: Keeping your head perfectly still, shift just your eyes to look as far to the right as you can, as if trying to see your right elbow.
  4. Hold and Wait: Hold this position. You are not straining, just holding your gaze. You will stay here for 30 to 60 seconds. What you are waiting for is a spontaneous sign of a “state shift” in your nervous system. This will most likely be an involuntary yawn, a deep sigh, or a swallow.
  5. Return to Center: Once you feel that release, bring your eyes back to center.
  6. Eyes Left: Now, keeping your head still, shift just your eyes to look as far to the left as you can.
  7. Hold and Wait Again: Hold this gaze for another 30 to 60 seconds, until you feel another spontaneous yawn, sigh, or swallow.
  8. Post-Test: Bring your eyes back to center, release your hands, and slowly come to a sitting position. Now, gently re-test your neck’s range of motion. Most people are surprised to find a significant increase in how far they can comfortably turn their head, a direct physical manifestation of a release of tension in the nervous system.

Detailed Guide 2: Somatic Tracking

Somatic Experiencing® is a body-based therapy designed to help release trapped stress and trauma from the nervous system.39 A core technique from this approach, Somatic Tracking, is a profound way to change your relationship with physical sensations, including pain. The goal is to uncouple the raw data of the sensation from the brain’s fear-based story about it.41

Somatic Tracking (Step-by-Step): 41

  1. Find the Sensation: Lie or sit comfortably. Gently bring your attention to an area in your body where you feel pain or discomfort.
  2. Observe with Curiosity: Instead of your habitual response of recoiling, bracing, or wishing it away, bring a gentle, non-judgmental curiosity to the sensation. Approach it like a scientist discovering a new phenomenon. What are its actual qualities? Is it sharp, dull, throbbing, buzzing, hot, cold, heavy, or light? Does it have a clear boundary or is it diffuse?
  3. Track Without Judgment: As you hold the sensation in your awareness, simply notice if it changes. Does it move? Does it shrink or expand? Does its quality shift from sharp to dull? Your only job is to observe these changes without trying to make them happen or figuring out what they mean. You are simply tracking the natural flux of sensation.
  4. Reassure Your System: This is the most crucial step. As you track the sensation, you can offer your nervous system a message of safety. You might say to yourself, “I am safe. This is just a sensation. It is uncomfortable, but it is not dangerous.” This consciously counters the brain’s automatic alarm bells, helping to down-regulate the threat response that is amplifying the pain.

Detailed Guide 3: Foundational Mindfulness & Relaxation

These are classic, time-tested techniques for calming the nervous system and are essential tools in any stewardship toolkit.

  • Progressive Muscle Relaxation (PMR): This technique is based on the simple principle that a muscle cannot be both tense and relaxed at the same time. By systematically tensing and then releasing different muscle groups, you teach your body to recognize—and consciously create—a state of deep relaxation.42 Lie down and move through your body, tensing each muscle group (e.g., feet, calves, thighs, hands, arms) for 5-10 seconds as you inhale, and then completely releasing the tension on the exhale, noticing the profound difference.
  • 4-7-8 Breathing: This specific breathing pattern is a powerful tranquilizer for the nervous system. The extended exhale is key to stimulating the vagus nerve and activating the parasympathetic (calming) response.42 The technique is simple:
  • Inhale quietly through your nose for a count of 4.
  • Hold your breath for a count of 7.
  • Exhale completely through your mouth, making a whooshing sound, for a count of 8.
  • Repeat the cycle 3 to 4 times.

Part IV: A New Dawn: Living in a Resilient System

Conclusion: My Success Story and Your Path Forward

My success story is not a tale of a miraculous cure. I still have a body that is prone to pain. What has changed, profoundly and irrevocently, is my relationship with it. The war is over. The nightly battleground has become a place of quiet observation and gentle stewardship.

A typical night for me now looks very different. When pain arises, the panic no longer follows. I recognize the sensation not as an enemy to be vanquished, but as a signal from my ecosystem, a communication that needs to be heard. I have a toolkit. I might start with a few rounds of 4-7-8 breathing to calm the initial wave of anxiety. I might then use somatic tracking to meet the sensation with curiosity instead of fear, watching as its intensity shifts and changes under the light of my gentle attention. If my mind starts to spin a catastrophic story (“This will ruin my whole week!”), I can catch it, label it using a CBT-I technique (“Ah, there’s the ‘catastrophizing’ thought”), and gently unhook from it. I remind myself of my ACT value—to be a rested, present person for my family—which feels far more important than engaging in a pointless struggle with a sensation.

And the most remarkable thing happens. By stopping the fight, by tending to the conditions of my ecosystem rather than trying to control its outputs, sleep often arrives. It emerges not as a conquest, but as a natural consequence of a system that feels safe and regulated. Restorative sleep, once an impossible dream, is now a regular, emergent property of my well-tended internal world.

The journey out of the pain and insomnia trap is not about finding a magic bullet or the one “fix” you haven’t tried yet. It is about a fundamental shift in perspective. It is about letting go of the frustrating and flawed Machine Model and embracing the wisdom of the Ecosystem Model. It is about becoming a student of your own complexity, a gardener of your own nervous system, and a compassionate steward of your own wellbeing.

The power to change your nights does not lie in a pill or a pillow. It lies in this new understanding and in the skills that flow from it. The path forward is not to fix a broken machine, but to cultivate a resilient, thriving, and ultimately, restful ecosystem.

Works cited

  1. Pain and Sleep: Common Sleep Disturbances & Tips – Sleep Foundation, accessed on August 11, 2025, https://www.sleepfoundation.org/physical-health/pain-and-sleep
  2. Sleep and Pain – Pain Management – painHEALTH, accessed on August 11, 2025, https://painhealth.com.au/pain-module/sleep-and-pain/
  3. The Best — and Worst — Sleep Positions for Back Pain – Keck Medicine of USC, accessed on August 11, 2025, https://www.keckmedicine.org/blog/the-best-and-worst-sleep-positions-for-back-pain/
  4. What Is the Best Sleeping Position? – Sleep Foundation, accessed on August 11, 2025, https://www.sleepfoundation.org/sleeping-positions
  5. 4 Unhealthy Sleeping Positions That People Commonly Adopt – Samitivej, accessed on August 11, 2025, https://www.samitivejhospitals.com/article/detail/4-unhealthy-sleeping-positions-postures
  6. Sleep Disturbances in Chronic Pain | ATS Scholar – ATS Journals, accessed on August 11, 2025, https://www.atsjournals.org/doi/10.34197/ats-scholar.2024-0024OT
  7. The Relationship Between Sleep and Opioids in Chronic Pain …, accessed on August 11, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC8131240/
  8. 5 Reasons Chronic Pain Interferes With Sleep – Psychology Today, accessed on August 11, 2025, https://www.psychologytoday.com/us/blog/pain-rehabilitation/202003/5-reasons-chronic-pain-interferes-sleep
  9. Daily associations between sleep and opioid use among adults with comorbid symptoms of insomnia and fibromyalgia, accessed on August 11, 2025, https://jcsm.aasm.org/doi/10.5664/jcsm.9002
  10. Chronic Pain Patients Who Fail Standard Treatment – MedCentral, accessed on August 11, 2025, https://www.medcentral.com/pain/chronic/chronic-pain-patients-who-fail-standard-treatment
  11. Complex adaptive system – Wikipedia, accessed on August 11, 2025, https://en.wikipedia.org/wiki/Complex_adaptive_system
  12. Use of Complex Adaptive Systems Metaphor to Achieve Professional and Organizational Change – ResearchGate, accessed on August 11, 2025, https://www.researchgate.net/publication/7673071_Use_of_Complex_Adaptive_Systems_Metaphor_to_Achieve_Professional_and_Organizational_Change
  13. (PDF) Analogy-Making as a Complex Adaptive System – ResearchGate, accessed on August 11, 2025, https://www.researchgate.net/publication/2628611_Analogy-Making_as_a_Complex_Adaptive_System
  14. Some Emerging Principles for Managing in a Complex Adaptive …, accessed on August 11, 2025, http://www.plexusinstitute.com/edgeware/archive/think/main_filing1.html
  15. Is Pain Interrupting Your Sleep? – Avera Health, accessed on August 11, 2025, https://www.avera.org/balance/sleep-medicine/is-pain-interrupting-your-sleep/
  16. How to Sleep with Chronic Pain: Key Insights and Actionable Tips to Get Relief, accessed on August 11, 2025, https://painnews.stanford.edu/news/how-sleep-chronic-pain-key-insights-and-actionable-tips-get-relief
  17. Sleep deficiency and chronic pain: potential underlying mechanisms and clinical implications – PMC – PubMed Central, accessed on August 11, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC6879497/
  18. Sleep Disturbances in Chronic Pain: Neurobiology, Assessment, and Treatment in Physical Therapist Practice – Oxford Academic, accessed on August 11, 2025, https://academic.oup.com/ptj/article/98/5/325/4841863
  19. Relationship Between Sleep Disturbances and Chronic Pain: A Narrative Review – MDPI, accessed on August 11, 2025, https://www.mdpi.com/2039-7283/14/6/209
  20. Chronic Pain and Mental Health Often Interconnected – American Psychiatric Association, accessed on August 11, 2025, https://www.psychiatry.org/news-room/apa-blogs/chronic-pain-and-mental-health-interconnected
  21. Good Sleep Quality Improves the Relationship Between Pain and Depression Among Individuals With Chronic Pain – Frontiers, accessed on August 11, 2025, https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.668930/full
  22. Cognitive Behavioral Therapy for Insomnia (CBT-I): An Overview – Sleep Foundation, accessed on August 11, 2025, https://www.sleepfoundation.org/insomnia/treatment/cognitive-behavioral-therapy-insomnia
  23. Telehealth delivery of adapted CBT-I for insomnia in … – Frontiers, accessed on August 11, 2025, https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2023.1266368/full
  24. Should cognitive behavioral therapy for insomnia be considered for preventing and managing chronic pain? | SLEEP | Oxford Academic, accessed on August 11, 2025, https://academic.oup.com/sleep/article/47/10/zsae177/7726190
  25. Cognitive Therapy for Dysfunctional Beliefs about Sleep and Insomnia, accessed on August 11, 2025, https://www.med.upenn.edu/cbti/assets/user-content/documents/Morin_CognitiveTherapyforDysfunctionalBeliefsaboutSleepandInsomnia_BTSD.pdf
  26. Changes in Dysfunctional Beliefs about Sleep after Cognitive Behavioral Therapy for Insomnia: A Systematic Literature Review and Meta-analysis – PMC, accessed on August 11, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC7012685/
  27. Intervention to Reduce Unhelpful Beliefs About Sleep, accessed on August 11, 2025, https://www.med.upenn.edu/cbti/assets/user-content/documents/Harvey_InterventiontoReduceUnhelpfulBeliefsaboutSleep-BTSD.pdf
  28. How to Address 7 of the Most Unhelpful Beliefs About Sleep | Psychology Today, accessed on August 11, 2025, https://www.psychologytoday.com/us/blog/think-act-be/201707/how-address-7-the-most-unhelpful-beliefs-about-sleep
  29. Pain-related beliefs about sleep as a predictor of insomnia symptoms and treatment acceptability – PubMed Central, accessed on August 11, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC9205612/
  30. Insomnia treatment: Cognitive behavioral therapy instead of sleeping pills – Mayo Clinic, accessed on August 11, 2025, https://www.mayoclinic.org/diseases-conditions/insomnia/in-depth/insomnia-treatment/art-20046677
  31. Acceptance & commitment therapy | PainGuide | University of Michigan, accessed on August 11, 2025, https://painguide.com/pain-care/professional-care/therapies/act/
  32. Manage Chronic Pain with ACT Therapy – Park West Psychology, accessed on August 11, 2025, https://www.parkwestpsychology.com/blog/how-act-can-help-you-manage-chronic-pain
  33. Homepage | ACT for Pain, accessed on August 11, 2025, https://www.actforpain.com/
  34. Sleep problems and ACT – Contextual Consulting, accessed on August 11, 2025, https://contextualconsulting.co.uk/knowledge/mental-health/sleep-problems-and-act
  35. (PDF) The Effectiveness of Acceptance and Commitment Therapy on Insomnia Patients (A Single-arm Trial Plan) – ResearchGate, accessed on August 11, 2025, https://www.researchgate.net/publication/335809840_The_Effectiveness_of_Acceptance_and_Commitment_Therapy_on_Insomnia_Patients_A_Single-arm_Trial_Plan
  36. Acceptance and Commitment Therapy (ACT) Improves Sleep Quality, Experiential Avoidance, and Emotion Regulation in Individuals with Insomnia—Results from a Randomized Interventional Study – PMC, accessed on August 11, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC7916154/
  37. Polyvagal exercises: A path to reducing stress and chronic pain – Counselling Directory, accessed on August 11, 2025, https://www.counselling-directory.org.uk/articles/polyvagal-exercises-a-path-to-reducing-stress-and-chronic-pain
  38. The Polyvagal Theory – Linda Bishopp, accessed on August 11, 2025, https://lindabishopp.co.uk/wp-content/uploads/2021/04/Daily-Exercises-to-Strengthen-the-Vagus-Nerve-for-Anxiety.pdf
  39. Somatic Experiencing Therapy: 10 Best Exercises & Examples – Positive Psychology, accessed on August 11, 2025, https://positivepsychology.com/somatic-experiencing/
  40. What is Somatic Experiencing & How It Can Help Heal Trauma – Pelvic Soul, accessed on August 11, 2025, https://pelvicsoul.com/trauma-healing-with-somatic-experiencing/
  41. Somatic Pain: Managing Chronic Pain Through Somatic Tracking, accessed on August 11, 2025, https://www.re-origin.com/articles/somatic-pain-managing-chronic-pain
  42. Nervous System Regulation: 21 Practical Exercises to CALM – Drunken Buddha, accessed on August 11, 2025, https://www.drunkenbuddha.net/blog/nervous-system-regulation-exercises-calm
  43. Relaxation Exercises to Help Fall Asleep – Sleep Foundation, accessed on August 11, 2025, https://www.sleepfoundation.org/sleep-hygiene/relaxation-exercises-to-help-fall-asleep
  44. How can meditation help with sleep? – Every Mind Matters – NHS, accessed on August 11, 2025, https://www.nhs.uk/every-mind-matters/mental-wellbeing-tips/how-to-fall-asleep-faster-and-sleep-better/how-can-meditation-help-with-sleep/
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