Getting up early is one of the best ways of counteracting depression. And having a strong circadian rhythm is especially important for people with bipolar depression because their internal “clock” may be less powerful. But it can be a challenge making a change in your sleep cycle, especially if you have always been a late riser. …
Why Do I Have To Have a Regular Schedule?
“Why do I have to have a regular schedule” was the lurking question that hung over my conversation with Ann. She didn’t actually ask me that question but I could see that there was a rebellious child hiding in the corner of the room who was making the conversation we were having about getting regular sleep much less productive than …
Jet Lag Explained
What is “jet lag” and why do most people feel worse when they travel around the globe in one direction, rather than the other? An article in the journal Chaos, summarized in the New York Times, suggests an answer. And offers some hope that you can reduce the severity and duration of the symptoms. For people with mood disorders, this …
Sleep Apps Reviewed by the New York Times
Apps to monitor and improve sleep were recently reviewed in the New York Times. Using an app to try to improve your sleep is a strategy that many people try. Some have found that it can be helpful in the long run, and it helps to use a well designed program. The New York Times reviewed SleepBot (available free on Android …
Online Therapy for Insomnia Reduces Depression
“If only I could get a good night’s sleep my mood would be much better.” Many people who suffer from chronic depression are aware of the relationship between the quality of their sleep and their levels of mood and anxiety. A study published in the April 2016 addition of the British journal, Lancet Psychiatry, supports this view. 1100 internet users (aged …
How to Nap
For many people with depression the idea of taking a nap makes a lot of sense. On the other hand, staying in bed at the wrong times of day can be associated with worsened depression and increased fatigue. An article in June in the New York Times entitled, “How to Nap” seemed like an interesting introduction to the topic. In …
Cool Sleep Treatment
The FDA just approved a cool new sleep treatment. And we don’t mean that it is trendy, the treatment involves cooling your forehead in order to speed the onset of sleep. The fact that cooling temperatures are associated with increased sleepiness shouldn’t be new to anyone who has been on a long distance flight. Pilots routinely turned down the cabin …
Best Treatment for Chronic Insomnia
What is the best treatment for chronic insomnia? The American College of Physicians has just published the results of a careful review of all of the research in this area. The preferred treatment for insomnia is cognitive behavioral therapy (CBTi) which we offer through this website – read about it at the bottom of this page. In their review, ACP …
Staying Up Late
Andy and the Nighttime Child – Staying Up Late In our practice we work with a lot of bright young people in the information technology industry. It often seems as if all of them stay up until all hours of the night certainly many of them do and sometimes to their detriment. We know that sleeping late is one of …
Insomnia Causes the Munchies
In an article that appeared in the journal SLEEP in February, 2016, and which was summarized in a New York Times post entitled “Poor Sleep Gives You the Munchies,” researchers report that one way that poor sleep and insomnia may lead to weight gain is that insomnia increases activity of the endocannabinoid system in the brain, the part of the …
Sleep Deprivation in Western Society
In February the National Sleep Foundation announced the publication of new guidelines for the amount of sleep that we should be getting based on a rigorous review of the literature. The guidelines suggested that adults should be getting between seven and nine hours of sleep. The results were widely distributed and commented on. It was noted that many people in our …
Getting Up Early
Getting up early is one of the best ways of counteracting depression. And having a strong circadian rhythm is especially important for people with bipolar depression because their internal “clock” may be less powerful. But it can be a challenge making a change in your sleep cycle, especially if you have always been a late riser. This article will talk about …
Sleep and Learning
What is the point of sleep? We have a page on this blog devoted to the question but in the last couple of years there’s been an outpouring of research pointing to the critical importance of sleep in sorting out memories (getting rid of unuseful ones) and generally “tuning up” the brain. A fascinating article last year pointed to evidence …
Chronic Insomnia Treatments
A recent study confirms that cognitive behavioral therapy is effective for chronic insomnia and is often more effective than medications. “What surprises us is that there isn’t more awareness of this treatment’s effectiveness and that there haven’t been more attempts to make the treatment more available to patients,” James M. Trauer of the Melbourne Sleep Disorders Centre in Australia told …
Insomnia Treatment Reduces Brain Stress
Insomnia treatment may have long-term beneficial effects on the health of your brain. Study in the Journal Biological Psychiatry published in February, 2015 looked at 123 older adults with chronic insomnia who were randomized to one of two active treatments (twice-weekly cognitive behavioral therapy for insomnia (CBTi) for 4 months or a relaxation therapy) or a control group who received educational …
Chronotherapy for Depression
Chronotherapy for depression was recently shown to be effective in a fairly large and well designed study from New Zealand. What is chronotherapy? As discussed in the article, which appeared in Acta Scandanavica Psychiatrica, chronotherapy involves some combination of three separate sleep and wakefulness related interventions: Wake therapy. Wake therapy (previously known as “sleep deprivation” therapy, a harder sell to patients) …
CBT for Insomnia Reduces Suicidal Thoughts
CBT for insomnia (CBTi) is clearly preferable to taking sleeping medications for most people. Studies show that cognitive behavioral therapy is associated with greater improvements in sleep quality than sleeping medications, and that those improvements are more durable, and, particularly in the elderly, sleeping medications are associated with significant adverse effects, including an increase in mortality. But it can be a hard …
Travel and Mood
Travel and mood are very much related. Often a trip is associated with a significant change in mood. This can be due to many factors. Getting out of a rut, experiencing new locations and meeting new people can bring you out of the depression. However there is also the possibility that travel may disrupt circadian rhythms in a way that leads …
Sleep Fatigue and Depression
Yesterday I gave a presentation at UCSF to the Mood Disorder Clinic psychiatrists and residents: An Update on Bipolar Depression. Much of that material is focused on psychopharmacology and so I will be writing about that on the gatewaypsychiatric.com blog. However, one important pearly derives from a series of studies that identify a strong link between sleep and depression. There is frequent …
Circadian Rhythm Self Assessment
I ran across a wonderful tool for circadian rhythm self assessment on the website of the Center for Environmental Therapeutics. The Center is devoted to providing the public and clinicians with high-quality information about natural interventions for people with stress, anxiety, and depression. I took the online test and it said I was definitely a morning person. Which is true now, …