Diagnosis Or Identifying Depression Naps
It can be hard to pinpoint whether a napping habit is truly a symptom of depression, or if youre just exhausted, Dr. Dimitriu says. The first step is to confirm whether basic human needs are being met, such as getting enough sleep for at least a week, eating healthy, some socialization, and exercise
Working too much and playing too little can also cause burnout or depression, terms that are often used interchangeably, which can add further confusion. If someone experiences low mood on more days than not, with a loss of interest in pleasure or lack of joy, it may be time to speak to a professional, Dr. Dimitriu says. However, thoughts of death or suicide are an immediate red flag that professional help is needed.
Tips For Sleeping Better
Sleep problems can increase the risk of initially developing depression, and persistent sleep issues can also increase the risk of relapse in people who have successfully been treated for depression. As a result, taking some of the following steps can both help you sleep better, boost your mood, and help decrease some of the problematic symptoms of depression.
What Treatment Should I Be Offered
The National Institute of Health and Care Excellence writes guidance on what treatment doctors should offer you. But your doctor does not have to give you these treatments. And the treatments may not be available in your area.
Different treatments may be available in your area. Your doctor might think these suit your symptoms more than the recommended treatments.
NICE recommend that depression is treated in different steps depending on how severe the condition is for you. The steps are as follows.
Step 1: Everyone who may have depression
Your doctor should offer you:
- an assessment of your symptoms,
- support, such as regular appointments in person or by telephone,
- information on how to deal with your symptoms,
- monitoring of your symptoms and follow-up, and
- referral for further assessment and treatment if needed.
Step 2: Mild to moderate depression
Your doctor may offer you:
- low-intensity interventions, such as self-help guided by the doctor or computerised cognitive behavioural therapy ,
- physical activity programmes,
- group cognitive behavioural therapy ,
- medication if you have a history of moderate or severe depression, or you have had symptoms for a long time, and
- referral for further assessment and treatment if needed.
Step 3: Moderate to severe depression, or mild to moderate depression when other treatments havent worked
Your doctor may suggest:
Step 4: Severe and complex depression or if your life is at risk Your doctor may suggest:
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Even When Mental Health Problems Precede Disrupted Sleep The Lack Of Sleep Might Exacerbate A Persons Difficulties
His colleague, the clinical psychologist Daniel Freeman, has called for sleep problems to be given a higher priority within mental health care. Because they are common across different diagnoses, they dont tend to be viewed as central to a particular condition. He feels they are sometimes neglected, when they could be tackled.
Even when mental health problems precede disrupted sleep, the lack of sleep might exacerbate a persons difficulties. After all, just one night of sleep deprivation has a well-established negative impact on mood and thinking.
The complex relationship between sleep and mental health is further reinforced by the finding that if you treat depression, the problems with sleep dont all disappear. Its easy to see how psychological treatments which help people reduce ruminating over negative thoughts could also result in them falling asleep more easily. But in 2020 Shirley Reynolds, a clinical psychologist at Reading University, and her team trialled three different psychological treatments for depression. They worked equally well in reducing depression, but only sorted out the sleep problems for half of the participants. For the other half, the insomnia persisted, suggesting it was independent of their depression and needed to be addressed separately.
A deficit of sleep has well-established negative effects, including a tendency to withdraw from friends and family
Signs Of Depression In The Elderly
Despite depression being more prevalent than dementia among the elderly, it remains underdiagnosed and undertreated. Some of the signs of depression in older people may be different to those considered typical, and they may be mistaken for indications of other conditions, like Alzheimerâs disease. Depression in older adults is sometimes called geriatric depression.
In addition to manifestations like irritability, sleep disturbances and appetite changes, signs of depression in the elderly may include:
- Difficulty getting up in the morning
- Behaving uncharacteristically
- Alluding to a depressed or anxious mood with vague language
A senior citizen experiencing symptoms of depression is advised to consult a medical practitioner about treatment options, including psychotherapy and medication. If you think that you might have signs of depression, try using the Ada app to find out more about your symptoms.
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General Signs Of Depression
Symptoms of depression may vary by age and sex, but a list of some of the more common signs of a depressive episode may include:
- Persistent low mood feelings of sadness, hopelessness, emptiness or even irritability, frustration and anger
- Loss of interest or pleasure in activities that used to be enjoyable this can include sex
- Excessive guilt or feelings of worthlessness
- Tiredness and lack of energy
- Trouble concentrating and making decisions
- Memory problems
- Talking or moving more slowly than usual
- Restlessness or trouble sitting still
- Disrupted sleep patterns, including difficulty falling asleep, not being able to sleep through the night, waking up early or sleeping too much
- Changes in appetite and/or weight, there may be an increase or loss of appetite and weight
- Persistent headaches, other body pains, or digestive trouble without a clear physical trigger
- Recurrent thoughts of death or suicide, or suicide attempts
Other, less obvious signs of depression may include:
- Ruminative thinking: this refers to repetitive negative thoughts or brooding about distressing experiences or thoughts
- Self-harming, e.g. cutting oneself
- Substance abuse and addiction, including heavy drinking and smoking
Signs of depression are typically present for more than two weeks. If you think that you might have signs of depression, you can try using the Ada app to find out more about your symptoms.
Links Between Depression And Sleep
Research suggests that sleep and depression have a two-way relationship . People with sleep disorders are more likely to develop depression, and poor sleep is often the chief complaint of people diagnosed with depression. In the past, sleep issues were seen as secondary to depression and were rarely a target of treatment. Today, researchers believe that sleep issues often begin before depressive symptoms, and treating sleep issues may be an important part of the overall treatment of depression.
Although researchers are still learning about the two-way relationship between sleep and depression, several potential links have been suggested. Depression and sleep disorders may be affected by similar processes within the body, such as:
Sleep Complaints in Depression
In people diagnosed with depression, sleep complaints are common. In fact, its estimated that 90% of patients with depression experience sleep issues , including insomnia and hypersomnia. Depression is the most common cause of chronic insomnia. People with depression and insomnia may experience a variety of symptoms , including trouble falling asleep, staying asleep, and waking up too early.
Depression and Sleep Disorders
Insomnia isnt the only sleep disorder linked to depression. Patients diagnosed with sleep disorders have higher rates of depression then the general population. Sleep disorders with significant links to depression include sleep apnea, narcolepsy, and restless leg syndrome.
Sure Signs You May Be Getting Depression According To Experts
Life is weird right now. Because of COVID-19, we’re all getting vaccinated and slowly coming out of our shells. In such strange times, your mood is bound to be negatively affected. But it’s important to check in on your mental health to ensure you’re not facing a bigger problem: depression. Check out these 20 subtle signs you may be depressed. Read onand to ensure your health and the health of others, don’t miss theseSymptoms Everyone Needs to Know About During This Pandemic.
Aasm: Sleep Problems And Depression Are Common Signs Of Seasonal Affective Disorder
WESTCHESTER, Ill. With the days getting shorter, fall will soon give way to winter. For some winter is the time of year they experience depression and sleep problems, common signs of seasonal affective disorder . The American Academy of Sleep Medicine encourages those who may experience such symptoms to consult with a sleep specialist for an appropriate medical treatment so that you can soon improve your sleep and your outlook on life.
People with depression may have trouble sleeping at night. They often have an excessive level of sleepiness during the day. They also tend to dream more quickly after falling asleep. People with depression can have a hard time coping with struggles in their life. This can lead to a number of social problems, says David A. Kristo, MD, medical director of the Walter Reed Army Medical Centers Sleep Disorders Center in Washington, D.C., and a diplomate of the American Board of Sleep Medicine.
Dr. Kristo notes that other common signs of seasonal depression include mood changes, constant sadness, a lack of energy and withdrawing from other people.
You may still, however, be unable to get enough sunlight during the short days of winter, says Dr. Kristo, adding that bright light therapy is often suggested as a useful treatment for SAD. This treatment exposes your eyes to intense but safe amounts of indirect light for a specific and regular length of time. Much stronger than standard indoor lighting, this light is measured in units called lux.
Depression Symptoms To Watch For
While severe sadness is the most well-known symptom of depression, knowing how to recognize other signs can help head off a future depressive episode.
If youre one of the 20 million people in America with depression, you know that its not a condition to be taken lightly. Its important to manage symptoms of depression with therapy and medication as prescribed by your doctor, both to feel better now and to reduce the risk of a depressive episode in the future.
One of the best ways to minimize the physical and emotional damage of an episode of depression is to recognize depression early and take action which can mean getting back on track with treatment or talking to your doctor about whether your treatment plan needs to be reviewed and revised. But not all symptoms of depression are easy to identify, and the early signs can be different for everyone. Here are some common symptoms you should look for.
How Depression Impacts Daily Life
Living with depression on a day-to-day basis can have a significant impact on quality of life. In addition to the low mood and persistent feelings of sadness, depression can leave the individual feeling unwell. This combination of symptoms will often result in reduced functioning at work and at home.
Sleep disruptions, including sleeping too much or sleeping too little, will wreak havoc with concentration, energy and stamina, memory functions, appetite, and can further intensify feelings of despair. When depression causes a person to literally not want to get out of bed all day it can cause a domino effect in all other realms. Hypersomnia may even lead to excessive absences at work and declining work performance overall.
Excessive sleeping also has a negative impact on the family dynamic. When mom or dad is holed up in bed the children who are depending on the parent may not have access to the care they deserve. This places more pressure on the well parent to take up the extra burden, which can have an effect on the relationship. Eventually, the impact of depression will touch all aspects of life.
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A Sign Of Atypical Depression
Dr. Drerup says that oversleeping is a symptom in 15% of people with depression and she notes that it tends to more often be related to atypical depression.
Atypical depression is a specific type of depression in which the persons mood can improve in response to a positive event. But even though their mood may brighten, its only temporary and the root depression remains.
Often, they dont realize theyre depressed, Dr. Drerup adds. Besides oversleeping, other symptoms are increased appetite and interpersonal sensitivity, like the feeling of being rejected. And that depression feeds into other reasons sleep can be so greatly affected.
How To Break The Vicious Cycle Of Oversleeping To Avoid Feeling Depressed
Well, seeing a therapist will always be my first suggestion. But I know its easier said than done. So, here are a few tiny changes that you can make to avoid oversleeping. Baby steps, take one day at a time.
1. Through the snooze button away
Try to keep your hands off the snooze button. Use alarm clocks with no snooze buttons. Or you can just place them far away from you so that even to snooze it you have to wake up.
2. Put a warning alarm
Set 2 or 3 warning alarms before your actual wake time. It can be in equal intervals of 30, 15, 10 minutes. This helps you prepare yourself to wake up. I use this trick a lot.
3. Make way for light
Lights are something that immediately signals your brain to wake up. You can pull the curtains before you sleep so that as soon as the sun rises your room lights up. You can even ask your family or friends to turn on soft lights in the room 10- 15 minutes before your wake time. I often ask my husband to turn on the fairy lights and soft music.
4. Stay consistent
Consistency is the key. You must stay consistent by not oversleeping, even on weekends. I know thats not what you wanted to hear. But dont let your body feel comfort in oversleeping again. So, follow your sleep schedule religiously with no cheat days.
We are all in the same war fighting different demons. Something that is easily accessible can be heavily desired by someone else. Its hard to imagine that depression can make you oversleep too.
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Low On Energy It May Not Be Depression
Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.
Depression is a common cause of fatigue, so you might be wondering whether your fatigue is a result of depression. But just because you’re tired all the time doesn’t necessarily mean that you’re depressed.
The fact is there are many underlying conditions that could be responsible for feeling tired all the time. From mood disorders to issues affecting your physical health like chronic fatigue syndrome, the following psychiatric and medical conditions are some of the most common ailments associated with fatigue.
But first, it’s important to note that many of these conditions share symptoms similar to depression, so we’ll start there. By understanding the distinctions between depression and other factors that cause fatigue, you can seek out the right treatment and start to feel like your energetic self again.
How Are Depression And Sleep Related
Depression and sleep are closely connected. Almost all people with depression experience sleep issues. In fact, doctors may hesitate to diagnose depression in the absence of complaints about sleep.
Depression and sleep issues have a bidirectional relationship. This means that poor sleep can contribute to the development of depression and that having depression makes a person more likely to develop sleep issues. This complex relationship can make it challenging to know which came first, sleep issues or depression.
Sleep issues associated with depression include insomnia, hypersomnia, and obstructive sleep apnea. Insomnia is the most common and is estimated to occur in about 75% of adult patients with depression. It is believed that about 20% of people with depression have obstructive sleep apnea and about 15% have hypersomnia. Many people with depression may go back and forth between insomnia and hypersomnia during a single period of depression.
Sleep issues may contribute to the development of depression through changes in the function of the neurotransmitter serotonin. Sleep disruptions can affect the bodys stress system, disrupting circadian rhythms and increasing vulnerability for depression.
Fortunately, people who are treated for major depression often report improved quality of their sleep.
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Fatigue Or Lack Of Energy
We all feel less energetic from time to time, so fatigue on its own isn’t necessarily a symptom of depression or a sign of a depressive episode, says Gabriela Cora, MD, managing partner of the Florida Neuroscience Center and a diplomate of the American Board of Psychiatry and Neurology. “However, if fatigue lingers and is accompanied by low mood and decreased motivation or interest, this lack of energy may be tied to early signs of depression,” she says.
What Are The Symptoms Of Depression
The symptoms of depression can include physical changes as well as changes in moods and thoughts that interfere with normal daily activities. Symptoms may include:
- Persistent sad, low, or irritable mood
- Feelings of hopelessness, worthlessness, or guilt
- Loss of interest or pleasure in activities
- Insomnia, waking up too early, or oversleeping
- Low appetite or overeating
- Thoughts of death or suicide
Depression is more common in women and there may be differences in the symptoms of depression based on sex and age. Men often experience symptoms such as irritability and anger, whereas women more frequently experience sadness and guilt. Adolescents with depression may be irritable and have trouble in school, and younger children may pretend to be sick or worry that a parent may die.
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