Cognitive Shuffling: What It Is, How It Works, Benefits, and More

Can Cognitive Shuffling Help You Sleep?

Can Cognitive Shuffling Help You Sleep?
Everyday Health

If you struggle to sleep, a technique making the rounds on TikTok may help. It’s known as cognitive shuffling, and it involves thinking of a series of items to help you fall asleep.

Cognitive shuffling mimics how your brain naturally functions when you doze off, making it a natural remedy for sleep issues and a valuable part of a nighttime relaxation routine.

What Is Cognitive Shuffling?

Introduced by cognitive scientist Luc Beaudoin in a research paper, cognitive shuffling is a technique designed to facilitate falling asleep. It goes beyond the typical approach of trying to stop unhelpful thoughts. Instead, it encourages a series of random, unrelated thoughts or ideas to promote sleep.

“Cognitive shuffling is a mental technique designed to help you fall asleep by jumbling your thoughts in a way that distracts your brain from stress and worry,” says Pittsburgh-based licensed clinical psychologist Leah Kaylor, PhD, author of If Sleep Were a Drug. This mimics the random thought patterns your brain falls into as you drift off to sleep, helping to ease the transition from wakefulness to rest.

For instance, you might think of unrelated, emotionally neutral words or images like “apple, ladder, cloud, spoon,” in no particular order. Consider a “stem” word (the word you use to begin cognitive shuffling) that has no emotional weight or personal significance, says Sultan. This will reduce cognitive effort, helping you wind down.

Another cognitive shuffling technique is thinking of a word and visualizing something for each letter of the word. If you think of the word “cat,” you might imagine a car, an astronaut, and tea.

What the Research Says

There is only one peer-reviewed study involving cognitive shuffling. It was a pilot study presented at SLEEP 2016 (a joint conference of the American Academy of Sleep Medicine and the Sleep Research Society) and has yet to be published in a journal.

The study followed 154 university students who experienced racing thoughts at bedtime. Researchers randomly assigned them to try a technique based on cognitive shuffling, a structured problem-solving technique, or a combination of both, then they measured the sleep effects after one week and again at one month.

The results showed that the cognitive shuffling technique helped improve sleep throughout the semester, even as sleep hygiene worsened (likely due to stress from school). It worked as well as the structured problem-solving technique, in which students spent 15 minutes writing down their worries and ways to solve them. However, participants reported that cognitive shuffling was easier.

While the sample size of 154 college students is limited, the results suggest that the cognitive task based on the principles of cognitive shuffling is effective for reducing pre-bedtime wakefulness, says Ryan Sultan, MD, a psychiatrist and the research and medical director at Integrative Psych, a psychiatric practice in New York City.

Should You Try Cognitive Shuffling for Sleep?

“The best time to try cognitive shuffling is when your mind won’t stop racing, especially when you’re lying in bed awake for more than 15 to 20 minutes, or if you wake up in the middle of the night and can’t fall back asleep,” says Dr. Kaylor.

In fact, cognitive shuffling can even be beneficial in a non-sleep context, adds Sultan. It may help alleviate intrusive thoughts during moments of high stress, such as after a grueling day at work or during a stressful event.

By incorporating cognitive shuffling into moments when you’re prone to dwelling on negative thoughts and experiences, such as during quiet times, whether in bed or out of it, you can promote relaxation and reduce stress throughout the day.

If you try cognitive shuffling for four to five nights and still can’t fall asleep, it may not be the right tool for you. “Persistent difficulty falling asleep could point to other issues, such as a sleep disorder or a mental health condition,” says Avigail Lev, PsyD, licensed clinical psychologist and founder of Bay Area CBT Center, a cognitive behavioral therapy center in San Francisco,. In this instance, you may need more robust mental health therapies, medication, or a combination of both to see sleep improvements.

If you’ve gone several nights with little or no sleep, seek professional help to address potential underlying issues.

How to Do Cognitive Shuffling: 5 Tips

The appeal of cognitive shuffling lies mainly in its accessibility: You can do it anytime, even if you’re not in bed yet. Here are a few tips for practicing cognitive shuffling effectively:

  1. Try the Letter Technique Think of a specific letter, then bring an image to mind of random items that start with that letter. “You could simply start with ‘B’ and generate words like ‘banana,’ ‘ball,’ or ‘boat,’ imagining each one vividly,” says Dr. Lev.
  2. Use the Stem Word Technique Start with a neutral stem word like “chicken,” and then think of other words that start with “C,” such as “cat,” “carrot,” or “castle,” visualizing each. “You can also move to the last letter of the previous word and find a new word starting with that letter,” says Lev. “This randomness breaks up coherent thought patterns and shifts focus away from rumination.”
  3. Try the Random Word Generator Technique Beaudoin, the author of the cognitive shuffling research paper, created the mySleepButton app. If you have trouble imagining words on your own, this app will play one random word after the next to help you fall asleep.
  4. Get Detailed With Your Imagery To go to the next level, don’t just visualize a “beach” or “tree.” Get detailed for a more immersive experience. Think about a beach with the sound of crashing waves and gritty sand beneath your feet or a calm forest that smells like pine.

  5. Combine Relaxation Techniques If you’re too tired to think of words consistently, switch between cognitive shuffling and other relaxation techniques that can help you fall asleep, such as deep breathing.

When Should You See a Sleep Doctor?

Talk to your doctor if your lack of sleep is disrupting your daytime routine or if you’ve struggled with sleep at least three times per week for three months (or longer), says Sultan.

Your doctor may recommend cognitive behavioral therapy for insomnia (CBT-I). This provider-led treatment involves changing the thoughts and behaviors that contribute to sleep issues.

They may also suggest undergoing tests to determine whether you have a sleep disorder like sleep apnea (characterized by pauses in breathing during sleep) or restless legs syndrome (a strong urge to move the legs during sleep).

The Takeaway

  • Cognitive shuffling is a technique that involves mentally shifting between unrelated thoughts to promote sleep.
  • Research is still limited, but an early study of college students shows potential benefits in both accessibility and effectiveness.
  • See your doctor if you experience persistent sleep disturbances more than three times a week for at least three months.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Beaudoin LP. The Possibility of Super-Somnolent Mentation: A New Information-Processing Approach to Sleep-Onset Acceleration and Insomnia Exemplified by Serial Diverse Imagining. Simon Fraser University. March 31, 2013.
  2. Enhance Your Sleep With Cognitive Shuffling. Bay Area CBT Center. July 29, 2024.
  3. Beaudoin LP et al. Serial Diverse Imagining Task: A New Remedy for Bedtime Complaints of Worrying and Other Sleep-Disruptive Mental Activity. Simon Fraser University. March 17, 2016.
  4. Walker J et al. Cognitive Behavioral Therapy for Insomnia (CBT-I): A Primer. Clinical Psychology and Special Education. 2022.
  5. Insomnia. Mayo Clinic. January 16, 2024.
Abhinav Singh

Abhinav Singh, MD

Medical Reviewer

Abhinav Singh, MD, is a board-certified sleep medicine specialist and the medical director of the Indiana Sleep Center. He is also an associate clinical professor at Marian University College of Osteopathic Medicine in Indianapolis, where he developed and teaches a sleep medicine rotation.

Dr. Singh’s research and clinical practice focus on sleep disorders, including excessive daytime sleepiness, narcolepsy, sleep apnea, insomnia, and sleep education.

Singh is a peer reviewer for the Journal of Clinical Sleep Medicine, Sleep Health (from the National Sleep Foundation) and the Journal of Sleep Disorders: Treatment and Care, and is coauthor of the book Sleep to Heal: 7 Simple Steps to Better Sleep. He has received several Top Doctor recognitions and is the sleep specialist for the Indiana Pacers NBA team.

He lives in the Indianapolis area and enjoys music production and racquet sports.

Kelsey Kloss

Author

Kelsey Kloss is a health and wellness journalist with over a decade of experience. She started her career as an in-house editor for brands including Reader’s Digest, Elle Decor, Good Housekeeping, Prevention, Woman's Day, and Redbook, and her work has been featured in over 50 publications.