Sleep and melatonin Sleep-disruption and circadian rhythm-disruption problems are quite common in people with mood disorders, and insomnia is one of the most common symptoms we help patients deal with. Far and away the best treatment for any kind of insomnia is Cognitive Behavior Therapy (CBT), which we use in a wide variety of situations. In the case of sleep …
Daytime Anxiety Impacts Insomnia
Insomnia has often been related to anxiety and worry at bedtime, but recent research has linked daytime worry and rumination to nighttime insomnia. People often realize that their thinking patterns at night are keeping them awake, but may not consider the impact of worrying that they did earlier in the day to their sleep patterns at night. Anxious, repetitive thinking …
Sleep and Temperature
Sleep patterns in pre-industrial communities highlight the importance of temperature changes What is the connection between insomnia and the modern lifestyle? It has been hypothesized that we sleep less well now than our ancestors did, either because of electric lighting, electronic devices, or increased entertainment options. However, a group of scientists studying sleep patterns among members of hunter-gatherer tribes in …
Winter Insomnia
Winter time insomnia For many, winter is a time to hibernate and sleep more, but others struggle more with insomnia when the mornings are dark. A patient recently shared some morning routines she has discovered to battle both insomnia and depression during the darker months. “I still try to wake up at 6:30 am, which gives me a little bit …
Morning People Night People
Misalignment of daily schedule and body clock linked to depression Are you a morning person or a night person? This may be more than just a preference for day work or night work, researchers have isolated genes that are linked to differences in circadian rhythms, and are now studying how this genetic preference may play out in people’s work and …
Irregular Sleep Patterns and Depression
The link between insomnia and depression is well-established, but a new study shows that even an irregular sleeping pattern, with a normal number of hours of sleep, can affect mood and depression risk. The study, conducted at the University of Michigan, looked at the sleep patterns of medical interns, first year doctors, who complete a year of work under supervision, …
Insomnia Treatment Recommendations
New Research on Insomnia Insomnia remains one of the most troubling problems our clients have to deal with and insomnia treatment is always an important issue for us. Recent updates to insomnia treatment guidelines from the American Academy of Sleep Medicine do not change our current practice radically, but they underline and strengthen the basic recommendation that Cognitive Behavioral Therapy …
Sleep Apps
Getting better sleep – longer, deeper, more restful – is an important part of managing mental illness and healthy lifestyle. Lack of sleep, and interrupted sleep, is one of the most common problems mentioned by our clients, and helping people get better sleep is one of our first goals for management of moods and especially major depression. Sleep technology is, …
Sleep – How Much is Enough
How much sleep is enough? The question might seem simple. Most of us heard that we were supposed to get about 8 hours of sleep a night. But with the increasingly hectic pace of modern life, many of us don’t get that much sleep. What are the consequences of this? A recent study in a cardiology journal answers the question …
Effective Strategies for Insomnia: Stimulus Control Therapy
Disrupted sleep rhythms often increase mood instability. And, sleep and insomnia are some of the most frequently cited problems of people seeking help for mood disorders. But what works to help you sleep better and more restfully? Sleep Medicines Aren’t the Answer Generally, research has shown that most frequently prescribed medications are not very helpful – they may lengthen sleep …
Lack of Sleep and Weight Gain
Lack of sleep is associated with weight gain, but why is this? Is it just because sleep deprivation makes us grumpy and we “self-medicate” with food? People who get poor quality sleep, or not enough sleep, start craving high carbohydrate and high fat foods that are more likely to cause weight gain. And sleep deprivation makes us less likely to …
Is Daylight Savings Time Making You Crazy?
Daylight Savings Time (DST) is an item again, as we all try to remember “Spring forward, Fall back”. Many people complain of difficulty sleeping, or getting enough sleep, and also of depressive episodes associated with “falling back” in November. In our clinical practice, the main thing we have observed year after year, is sleep disruption, which is especially problematic for …
Insomnia and Technology: Helpful or Not?
Sleep and insomnia are one of the most posted topics on Moodsurfing! Just try typing “sleep” onto our search box and see how many posts come up. Sleep is one of the basic building blocks of health and management of mood swings. And sleep is problematic for many, many people. So what is the best way to deal with insomnia? …
Spring Forward?
Those of us in the United States tried to remember what happens to the clock with daylight savings time using the phrase “spring forward and fall back.” In California daylight savings time has been accompanied by a week of the sunniest weather in a couple of months. For whatever reason, in our practice at Gateway Psychiatric there has been a sudden uptick …
Exercise Improves Sleep Quality – Nancy
Insomnia is a significant problem in the United States, and for individuals grappling with mood and/or anxiety disorders, sleep loss can contribute to ill health, including immune function, cognitive functioning, and even cardiovascular problems. However, use of medication for insomnia does not have a good track record. These medications have significant risks and adverse side effects, and often lose effectiveness …
Exercise, Diet and Sleep – Nancy
Exercise, diet and sleep: three important ingredients for health, and also for mood stability. Keeping our bodies healthy is a vital strategy for mental health as well. All body systems work together, so it makes sense that a healthy balance in one area will contribute to a healthy balance in others. Try this experiment: make a chart or note of …
Daylight Saving Time – Gina
It’s that time of year again – in the United States Daylight Savings Time begins tomorrow morning! The time shifts this coming Sunday and it’s important to remember that this change can impact your mood. Research has shown that shifting your sleep cycle to getting up later can increase your risk for depression. This time change already comes during a …
Spring Mania – Nancy
Spring Mania – Fact or Fiction? People struggling with mood disorders frequently find their moods tied to the rhythm of the seasons. Spring heralds an upswing in energy and cheerfulness, while autumn and winter mean “down” times for many. As the northern hemisphere enters the Spring season, people with bipolar symptoms are cautioned to watch out for signs of mania …
Chronotherapy Success!
How can something as simple as manipulating the time you sleep – chronotherapy – work so well to improve the quality of your sleep, your energy during the day and your mood? A young mother who has often complained of feeling tired with many problems with aches and pains came in with a big smile today… “I am feeling so …
Fatigue, Depression and Sleep
One of the curious quirks of how our brain works has to do with how it responds to situations associated with fatigue, depression and sleep. Usually the brain regulates sleep well. Every night, after we have been awake for the appropriate amount of time, our brain responds to signals from the “clock” cells in the pineal gland and to the …




















