Positives

• Some patients include sleep hygiene inside broader recovery routines, especially when consistent bedtime, darkness, temperature, and wind-down habits help reduce insomnia pressure. Reddit.

Negatives

• Many patients are frustrated when sleep hygiene is offered as if it can solve Long COVID insomnia by itself, especially when the real problem is repeated waking, adrenaline surges, PEM, or dysautonomia. Reddit.

Hurdles & Side Effects

• The common advice can clash with PEM: one clinic handout recommended exercise as part of sleep hygiene, which patients with exertion-triggered crashes may need to ignore or modify heavily. Reddit.