Yes, I sleep with the patch on. The first couple of nights I didn't sleep well but last night I died i slept so hard. I would take the patch off at night because I never slept that before the patch and the fact I know when I use to wake up in the middle of the night I would smoke so I'm scared to take it off at night. So its another day and still smoke free and I have been doing what carole mentioned and thats been working for me. Today seems like its going to be a better day. So I try keeping a positive attitude. If I knew I couldn't do it I would have already smoked but I haven't so I know I can do. Alot of the times when I think I smoking I just remember what kind of support and suggestions that I am getting from you guys. Y'all are the best. I love you all