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"Long-term insomnia is diagnosed as depression, is it a wrong disease?"

Time:2022-12-03 12:53:20 source:psychiatricethics.com author:Prevent anxiety Read:896次
"Long-term insomnia is diagnosed as depression, is it a wrong disease?"

Is insomnia a sign of depression? What is the relationship between sleep and depression? A few days ago, I received a message from a patient in the background: I went to the doctor because of long-term insomnia, but was finally diagnosed with depression. What is going on? The same Everyone should have the question. Although many articles have reminded that sleep problems such as insomnia, early awakening, and excessive dreams may be precursors to depression, it is still difficult for us to link them together. In fact, many studies have already proved that there is a close relationship between insomnia and depression, and they often co-occur. But insomnia ≠ depression, and it cannot be blindly regarded as a precursor to depression. Insomnia is independent of depression. Insomnia has three core manifestations: difficulty falling asleep, difficulty maintaining sleep, and early awakening. These are very common symptoms that can occur in many situations. For example, we may have the above manifestations when we have slept for a long time during the day, are about to face a stressful situation, or have certain organic diseases. However, this symptom generally does not last for a long time and will resolve on its own within a few days to 3 weeks. If a person suffers from insomnia symptoms for a long time, then TA may suffer from sleep disorder. This is a functional disorder that requires prompt medical attention because it has the potential to induce negative emotions. Sleep disorders and depression have two similarities: First, the causes are similar. Depression and sleep disorders share many common causative factors, such as unhealthy living habits, certain personality traits, chronic physical diseases, and external event stimuli, all of which may induce depression or insomnia. Second, the symptoms are similar. The classic symptoms of depression are low mood and low motivation, which can also occur in people with sleep disorders. Long-term lack of sleep can lead to physical and mental exhaustion, which can lead to mood swings and low energy. Although they have similar parts, they are not completely equal. Because sleep disorders can occur independently of mental disorders, when we experience insomnia symptoms, emotional problems and physical pain are not necessarily accompanied by them. Therefore, the medical community generally believes that sleep disorders are neurological diseases, and depression is a mood disorder. They belong to different spectrums, and they are not the same disease. The presence of insomnia symptoms may not necessarily confirm the diagnosis of depression. So why do you think that insomnia is a precursor to depression? Insomnia is a risk factor for depression because most patients with depression will have sleep problems. Data shows that about 70% of patients with depression have insomnia symptoms. There are various reasons for insomnia in patients with depression. It may be due to the disorder of neurotransmitter secretion in the brain caused by depression, or it may be caused by psychological factors, and it may be in a state of depression or tension for a long time. Whatever the reason, people with depression will have a bunch of negative thoughts popping up in their heads, and they'll get caught up in rumination, thinking about unpleasant things over and over again, and then opening their eyes until dawn. Therefore, insomnia is often regarded as one of the diagnostic criteria for depression. On the other hand, sleep disturbances can also be a trigger for depression, making people in normal moods depressed. This is because chronic insomnia keeps our brains from getting enough rest, which affects the chemicals in the brain that release neurotransmitters. When the levels of dopamine and serotonin are too low, and the stress hormone cortisol is too high, we are prone to depression. In addition, if it is a negative external event that stimulates our insomnia symptoms, it means that this stimulating event may become a stressor affecting us. If the problem is not solved for a long time, we are always troubled by bad emotions, and depression is likely to come to us. According to statistics, the prevalence of depression in patients with insomnia disorder is 3 to 4 times higher than that in patients without insomnia disorder. Therefore, depression and sleep disorders have a high comorbidity rate. Although it is impossible to assert their sequential relationship, there is no doubt that they are closely related. When insomnia symptoms occur, one should indeed be alert to the possibility of depression. Regulate insomnia, prevent problems before they happen. Now that we know the importance of sleep, we must pay special attention in our daily life. Improve your sleep quality and minimize your risk of depression. We can do this: Massage Tuina can usually massage Shenmen, Laogong, Sanyinjiao, Zhaohai, Taixi and Yongquan. These acupoints have the effect of calming the mind and improving sleep. It can be done together with the foot bath, the effect will be better. Put down your mobile phone before going to bed to avoid blue light stimulation. Instead, do something else, like listening to music, meditating, or taking a walk for half an hour. Reducing brain activity before bed can help us fall asleep faster. Dietary adjustment try to finish dinner before 7 pm, eat in moderation, and eat until 8 points are full. Because eating too late and eating too much will increase the burden on the stomach and intestines, thus affecting the quality of sleep. Drink as little water as possible before going to bed to avoid being unable to sleep due to physiological factors, and avoid caffeinated drinks such as tea and coffee. Improving a good sleep environment can help us fall asleep quickly. We can use aromatherapy essential oils to help sleep, or we can dim the lights and use blackout curtains to keep the room quiet and dim. If necessary, you can use auxiliary equipment such as earplugs and eye masks, but it is not recommended to wear headphones to listen to songs to sleep. The best self-care is to rest well. Insomnia is closely related to depression, so to regulate our emotions, we can start with the small thing of sleep. Only by having high-quality sleep can we start a new day with energy.

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