The 2-phase solution for sleep issues (Part 1 of The Vault 5-Part Sleep Clarity Series)

Poor sleep is a indicator—not the problem itself. That distinction matters because the same observable complaint can arise from different underlying causes, and applying the wrong approach to the wrong cause either produces no change or makes things worse. The Vault 5-Part Sleep Clarity Series begins here: with a framework for understanding what’s driving the disruption before deciding how to address it.

  • Sleep is built by chemical and neural processes between brain regions—including melatonin synthesis in the pineal gland, GABA receptor activation, and the suprachiasmatic nucleus’s response to light—none of which can be felt or observed in daily experience
  • Because these processes are invisible, people tend to address the observable result (disrupted sleep) rather than its source, which often produces results that are occasional rather than consistent
  • Just as lower back pain can stem from a herniated disc, muscle strain, SI joint impairment, or hip misalignment—each requiring a different approach—sleep disruption has multiple possible causes that call for different responses
  • Back pain recovery typically follows two phases: managing the acute experience, then identifying and correcting the underlying source; the same two-phase structure applies to sleep, but the distinction between phases is rarely made explicit
  • The framework introduced in this series helps identify which phase a given sleep strategy belongs to, which shapes whether the outcome is consistent restoration or only occasional improvement

Why Is Poor Sleep an Indicator Rather Than the Problem Itself?

Poor sleep — waking at 3 a.m., shortened duration, unrefreshing mornings — is an outcome of an underlying process, not a standalone condition. Like back pain, which can arise from a herniated disc, muscular weakness, or postural misalignment, sleep disruption can arise from hormonal changes, circadian misalignment, metabolic instability, or autonomic dysregulation. The cause determines the solution.

A few days ago, I invited you to consider a different perspective on sleep.

The idea is this is: Poor sleep is not the problem you need to solve. Poor sleep is a symptom.

Today, I want to expand on that idea and show you why reframing the problem of sleep is the first step in the Vault 5-Part Sleep Clarity Series—and the foundation for lasting sleep improvement.

Let’s get started.

What Mental Model Makes Sleep Disruption Easier to Understand?

Sleep is difficult to conceptualize because it has no visible, imageable equivalent — unlike a strained muscle or an inflamed joint. The back pain analogy provides a framework: just as you would not apply the same rehabilitation to every type of back pain, you should not apply the same sleep intervention to every type of sleep disruption. The cause determines the approach.

Sleep is notoriously difficult to conceptualize.

Unlike a strained muscle or injured joint—structures you can visualize and often feel—sleep is a brain state created by chemical & neural signals transmitted between brain regions and affected by signals happening in the rest of the body.

You can’t feel melatonin being synthesized in your pineal gland. You can’t sense GABA receptor activation. You can’t detect the shift in your suprachiasmatic nucleus signaling in response to light. You can’t see this happening on an ultrasound the same way you can see a joint issue.

Yet, these processes build and sustain sleep in ways similar to how structural support maintains spinal stability. But because they’re “invisible” in our day-to-day experience, we tend to default to addressing what we can observe: the symptom of disrupted sleep itself.

This is where a mental comparison with back pain becomes valuable.

It provides a visual model for an otherwise invisible system.

Why Doesn’t One Solution Fit All Types of Sleep Disruption?

Lower back pain can arise from herniated discs, muscular weakness, postural issues, or inflammation — and the effective approach differs for each. Sleep disruption follows the same logic: hormonal changes, circadian misalignment, metabolic instability, and autonomic dysregulation each require different interventions. A cooling mattress for a hormonal problem is the equivalent of a brace for a muscular problem.

Lower back pain is a symptom. It can arise from multiple different causes:

  • Herniated disc compressing nerve roots
  • Muscle strain from repetitive loading
  • SI joint dysfunction creating instability
  • Hip misalignment transferring stress to the lumbar spine

The cause is important to know because:

Stretching protocols that resolve muscle strain can worsen a herniated disc. Physical therapy for disc compression looks different from stabilization work for SI joint issues. And, gait retraining for hip misalignment will not do anything for a muscle strain.

Applying the wrong approach, at best, does nothing. At worst, it can exacerbate the problem or create new problems.

The same principle applies to sleep.

What Is the 2-Phase Approach to Resolving Sleep Disruption?

Resolving back pain typically involves two phases: addressing the pain itself (management) and addressing the structural cause (resolution). Sleep recovery follows the same structure: Phase 1 manages the acute experience (onset tools, environment, timing), and Phase 2 identifies and addresses the internal driver (hormonal, metabolic, circadian, or autonomic) that is producing the disruption.

Resolving back pain typically involves 2 phases:

  1. Addressing the pain itself (managing acute symptoms)
  2. Identifying and correcting the underlying source (restoring stability)

Here’s where the back pain analogy becomes even more helpful:

When you’re working on back pain, a physical therapist can tell you which phase you’re in. They can show you whether a specific exercise is managing symptoms or correcting the structural source.

With sleep, this clarity almost never exists. We’re left to figure it out ourselves.

So we keep trying what we can—new supplements, better mattresses, meditation apps, cooler rooms.

But here’s the question we haven’t been given the tools to answer:

Which phase are these approaches actually addressing?

What Comes Next in the Sleep Clarity Series?

The next installment provides a framework for categorizing which sleep strategies address the experience of poor sleep (management) versus which address the internal cause (resolution) — and how to determine which category your current approach falls into.

You’ll be able to see which category your strategies fall into—and understand why this difference often determines whether a strategy produces “somewhat better” or “sometimes helpful” outcomes VS. consistent restoration.

P.S. The Vault 5-Part Sleep Clarity Series is built from the sleep questions I get most often. I’m putting the final touches on Part 5 today. If there’s something you’d like me to consider while I’m wrapping it up, you can tell me here.

P.P.S. A physician who treats sleep recently shared this reflection—I wanted to pass it along because it shows how universal these sleep challenges can be—even for those who work with them every day.

Poor Sleep Is a Symptom: Why one solution doesn't fit all sleep issues

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Frequently Asked Questions

Why is poor sleep considered a indicator rather than the actual problem?

Poor sleep tends to be the observable result of underlying causes—chemical and neural processes involving structures like the pineal gland, GABA receptors, and the suprachiasmatic nucleus. Because these processes are invisible in day-to-day experience, people tend to address what they can observe—the disrupted sleep itself—rather than its source. Addressing only the observable problem, without identifying what’s driving it, often produces inconsistent results.

What is the 2-phase approach to sleep issues?

The 2-phase approach involves first addressing the sleep difficulty itself (managing acute indicators), then identifying and correcting the underlying source. With back pain, a physical therapist can tell you which phase you’re in. With sleep, that distinction is rarely made explicit—leaving people applying strategies without knowing whether they’re managing indicators or addressing what’s driving the disruption.

Why doesn’t one sleep strategy work for everyone?

The same sleep complaint can arise from different underlying causes, just as lower back pain can stem from a herniated disc, muscle strain, SI joint impairment, or hip misalignment—each requiring a different approach. Stretching that resolves muscle strain can worsen a herniated disc. The same principle applies to sleep: a strategy that helps one person may do nothing for another, depending on what’s driving the disruption.

What does the back pain comparison reveal about how people approach sleep?

The back pain comparison provides a visual model for an otherwise invisible process. When working through back pain, a physical therapist can identify whether a given exercise is managing indicators or correcting the structural source. With sleep, this distinction is almost never made explicit—which is why strategies that address only the surface experience tend to produce results that are occasional rather than consistent.

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