What to do about insomnia caused by mild depression?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on September 05, 2024
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Patients with mild depression who experience insomnia symptoms can partly manage this through self-adjustment. For example, they can improve insomnia through exercise, especially two hours before bedtime, with medium intensity exercises to expend excess energy and ultimately achieve comprehensive muscle relaxation, leading to good sleeping habits. Additionally, in the treatment of mild depression, sedative antidepressants such as paroxetine, fluvoxamine, mirtazapine, and trazodone can be used, sometimes including tricyclic antidepressants like amitriptyline, which have been very satisfactory in their effects. Therefore, clinically, for insomnia in mild depression, both pharmacological treatment and self-adjustment methods can be adopted.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Is mild depression normal?

Patients with mild depression, although also experiencing symptoms such as low mood, decreased interest, reduced motivation, slow thinking, and reduced volition, may have difficulty falling asleep and frequently wake up during sleep, among other related symptoms. However, patients often retain most of their social functions, causing some disturbance to daily life and work. Through self-adjustment, standardized psychotherapy, and medication, patients often achieve good treatment outcomes. Sometimes, the symptoms of some patients are relatively mild, and they may appear normal outwardly, but their inner experience is indeed pathological. Therefore, it is still necessary to undertake standardized, systematic, and scientific treatment to achieve clinical recovery.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What are the signs of mild depression?

Signs of mild depression may also include a gloomy mood, an inability to feel joy, a sorrowful facial expression, and often downturned corners of the mouth. The head may be tilted forward with a downward gaze, and there might be fewer changes in posture. Patients may experience sleep disturbances, commonly having trouble falling asleep, waking repeatedly at night, and still being in the sleep process when waking up in the morning. Appetite reduction may not be very noticeable. Mood variations occur during the day, often with a worse mood in the evening compared to the morning. There is no significant slowing down of movement, but the emotional state of the patient is often poor. Some patients may experience symptoms of autonomic nervous system dysfunction, such as dizziness, headaches, and bodily discomfort, which are indicative of mild depression.

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Written by Yue Hua
Obstetrics and Gynecology
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Where to seek treatment for postpartum depression?

Postpartum depression is a type of mental illness in puerperal women, so it is best for such women to see a psychiatrist, as psychological treatment for depression is very important. The key is to enhance the patient's self-confidence and raise their self-esteem. Additionally, it can provide individualized psychological counseling based on the patient’s personality traits, psychological state, and the causes of the condition, and it can eliminate the psychological factors causing the illness. Common clinical treatments include medication and psychological counseling.

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Written by Zhou Yan
Geriatrics
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How to Cure Geriatric Depression

For geriatric depression, the treatment includes several aspects. Firstly, it is important to strengthen the patient's diet and nutrition supplementation. Secondly, certain psychological therapies should be provided to the depressed patients. The aim is mainly to alleviate or relieve symptoms, improve patients’ compliance with medication, prevent relapse, and reduce or eliminate the adverse consequences caused by the disease. The third aspect is to provide certain medication treatments, such as the currently used selective serotonin reuptake inhibitors (SSRIs), and selective norepinephrine reuptake inhibitors (SNRIs). These types of medications have been widely used in patients with geriatric depression disorders. Among them, SSRIs are quite effective for geriatric depression disorders and can effectively counteract cholinergic and have milder adverse reactions on the cardiovascular system, making it easy for elderly patients to accept and maintain long-term treatment. The fourth aspect is the improvement of electroconvulsive therapy, which can significantly improve depression when combined with comprehensive treatment. However, since depression has a high recurrence rate, full-course treatment is recommended.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Can depression recur?

Relapse in patients with depression is a relatively common issue in clinical practice. Large-scale studies have found that even with systematic, standardized treatment with sufficient dosage and duration of antidepressant medications, still 15% of patients do not achieve clinical recovery. Even with persistent standardized treatment, the relapse rate remains at 20%. If treatment is discontinued, the relapse rate can rise to as high as 85%. For patients who have recovered, there is still a 20% chance of relapse within six months. 50% of patients relapse within two years after their first episode. Therefore, the relapse rate is higher in patients over the age of 45. Thus, depression is characterized by a high rate of relapse, yet it is also highly treatable. Therefore, during the course of pharmacological treatment, psychological and physical therapies should be concurrently employed as adjunctive treatments to improve cure rates and reduce the likelihood of relapse.