Morning depression treatment can involve Electroconvulsive therapy (ECT). ECT is an effective treatment for people with morning depression.
Morning depression is one of the major symptoms of melancholia. This is a characteristic seen in some people with major depressive disorder. Individuals who have morning depression may sometimes experience feelings anger, fatigue, extreme sadness and also frustration. These feelings are mostly gets worse in the morning more than in the afternoon or evening.
Morning depression can also be referred to as diurnal variation of depressive symptoms or diurnal mood variation. This is not the same as seasonal affective disorder, which is related to changes in seasons.
Why Do I Feel Depressed In The Morning? | Causes Of Morning Depression:
You might be wondering why you feel depressed in the mornings and no other times of the day. Since the body runs on a 24-hour internal clock, which is responsible for you to feel sleepier at night and more alert and awake during the day. This internal clock or natural sleep-wake cycle is referred to as the circadian rhythm.
This body clock helps in regulating everything from heart rate to body temperature. It also plays an important role on cognition, energy, mood and also alertness.
Steady rhythms of some hormones, like cortisol and even melatonin, help in preparing your body for some events. For instance, the human body produces cortisol when the sun comes up. The cortisol that is produced helps to provide you with energy which makes you active and also alert during the day. Your body then releases melatonin when the sun goes down. This is the hormone that makes you sleepy.
Any disruptions in the circadian rhythms cause your body to begin to produce hormones at the wrong time of the day. This can leave a negative impact or effect on your physical health and emotional well-being. In cases where your body produces melatonin during the day, it can result in fatigue and also make you irritable. Any disruption in this body clock may also contribute to depression.
According to a recent study, it was discovered that people with depression usually have a disruption in their circadian rhythms. Also, researchers found out that the genes which are responsible for regulating these rhythms were weaker and also often disrupted in the brains of people with depression.
Symptoms of Morning Depression
Persons with depression with melancholic features usually have severe feelings of melancholia in the morning, which gets better as the day goes on. This type of depression is often more challenging to diagnose and treat than other types of depression.
Some of the symptoms may include:
- A feeling of intense frustration or agitation.
- Trouble in waking up and also in getting out of bed in the morning
- A delay in the cognitive and physical functioning of the brain
- Fatigue or a lack of energy when you start your day
- Lack of concentration or inattentiveness
- Difficulty in facing simple tasks, like making coffee, showering
- A lack of interest in activities that was once pleasurable
- An intense feelings of emptiness
- Sleeping longer than normal or hypersomnia
- A change in appetite (often eating more or less than usual)
It is important you visit your doctor if you believe you have morning depression.
Diagnosing Morning Depression
Making an accurate diagnosis is important, which will aid in your morning depression treatment. To make this diagnosis, your therapist or doctor will ask about your sleep patterns and mood changes you experience throughout the day. Some of the questions may look like the following:
- Do you have any trouble waking up from bed or in getting started in the morning?
- Are your symptoms of morning depression worse in the morning or in the evening?
- Do you experience dramatic fluctuations in your moods during the day?
- Have you had any changes in your daily routine recently?
- Do you have any problems in concentrating more than usual?
- Do you get any pleasure in the activities that you enjoy?
- What helps in improving your mood?
Morning Depression Treatment
Other types of depression may respond well to selective serotonin reuptake inhibitors (SSRIs), but morning depression doesn’t. However, serotonin–norepinephrine reuptake inhibitors (SNRIs) like venlafaxine (Effexor) may be helpful for people with morning depression.
Electroconvulsive therapy (ECT)
Electroconvulsive therapy (ECT) has also proven to be effective in morning depression treatment. The therapy involves passing electric currents through the brain to intentionally trigger a seizure. ECT appears to cause changes in the brain chemistry, which can cause a reversal in the symptoms of depression.
This type of morning depression treatment is fairly safe, and it’s done under general anesthesia. This means that you’ll be asleep during the procedure. The procedure is also done in a controlled setting to get the best results with the fewest possible risks.
Other morning depression treatment include talk therapies like cognitive behavioural therapy, interpersonal therapy, and also psychotherapy. These therapies are more effective when combined. The therapies may also help you in addressing issues that may be a contributing and making your symptoms worse.
Another therapy which may be useful is the Light therapy. It is also known as the bright light therapy or phototherapy. During this therapy, you get to sit or work near a light therapy box. This light therapy box emits bright light which mimics the natural outdoor light.
Furthermore, making small changes in your sleep patterns may also help. You can also try the following:
- Going to bed and also waking up at the same time every day
- Staying away from foods and also drinks which can prevent you from having a good night sleep. They include; alcohol, caffeine and tobacco.
- Promoting or creating an environment which encourages sleep, like a silent, dark and cool room.
- You can also prevent taking any long naps
- Staying away from strenuous exercising for at least 4 hours before bedtime
When you take these steps, it can help in providing stability in your circadian rhythm, so that your body can produce the correct hormone at the correct time.