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Dr. Bob is Robert Hsiung, MD,
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Posted by UgottaHaveHOPE on September 2, 2006, at 3:04:31
In reply to Re: Most depressed in morning » linkadge, posted by Phillipa on September 1, 2006, at 21:03:52
I would think the majority of people challenged by depression feel it more in the morning than any other time of the day.
Why? Well, for starters, if you haven't had a good night's sleep, then you automatically feel lousy and then you feel depressed because you might feel that way the rest of the day.
At the start of the day, so many things are unknown about the rest of the day, such as how you are going to fill all that time before you can escape back to the bed again (speaking from mine own personal experiences). It's a daunting thought.
At the start of the day, it's hard to get going, get moving.
My heart goes out to you.
Posted by cecilia on September 2, 2006, at 5:41:15
In reply to Majority feel more depressed in the morning, posted by UgottaHaveHOPE on September 2, 2006, at 3:04:31
I agree, I think most depressed people feel worse in the morning. I've always hated mornings. It takes me at least 2 hours to be semi-functional no matter what time I get up. And I definitely fit the criteria for "atypical" depression, which I've read is actually by far the most typical type of depression. Cecilia
Posted by SLS on September 2, 2006, at 6:01:58
In reply to Majority feel more depressed in the morning, posted by UgottaHaveHOPE on September 2, 2006, at 3:04:31
> I would think the majority of people challenged by depression feel it more in the morning than any other time of the day.
>
> Why? Well, for starters, if you haven't had a good night's sleep, then you automatically feel lousy and then you feel depressed because you might feel that way the rest of the day.
>
> At the start of the day, so many things are unknown about the rest of the day, such as how you are going to fill all that time before you can escape back to the bed again (speaking from mine own personal experiences). It's a daunting thought.
>
> At the start of the day, it's hard to get going, get moving.
The worsening that occurs with endogenous, melancholic, or "typical" depression is crushing and paralyzing, and is not simply a lack of energy and motivation or a difficulty in starting the day. It really is different from an atypical presentation.
- Scott
Posted by polarbear206 on September 2, 2006, at 9:24:24
In reply to Most depressed in morning, posted by linkadge on September 1, 2006, at 6:51:10
Early morning depression that lifts as the day goes on is one of the markers for diagnosis of bipolar spectrum disorder. In my case, a mood stabilizer in addition to AD helped tremendously. Dx of soft bipolar and on effexor and lamictal.
Posted by valene on September 2, 2006, at 9:46:50
In reply to Most depressed in morning, posted by linkadge on September 1, 2006, at 6:51:10
Linkadge, I always am worse in the mornings. It is quite common. I have a feeling of gloom and doom and start ruminating on everything bad in my life before I get out of bed. Why?
One reason for this is that our cortisol, and related neurochemistry, are activated when we wake up. It's part of the system that actually wakes us up in fact. I don't know the solution to it. I was blaming the benzo withdrawal at first but I think it is very common for many, many people with anxiety/depression. It's the cortisol I believe.
Val
> When I wake up, I feel a horrable dark cloud over me. Its the worst feeling ever, eps to start the day.
>
> Anyhow, I was reading that sleep deprivation seems to work best for people who are most depressed in the morning, and who get better as the day goes on.
>
> Which medication treatments are better for this type of depression, anyone?
>
> Linkadge
Posted by SLS on September 2, 2006, at 10:34:04
In reply to Re: Most depressed in morning, posted by polarbear206 on September 2, 2006, at 9:24:24
> Early morning depression that lifts as the day goes on is one of the markers for diagnosis of bipolar spectrum disorder.
That's interesting. I've never heard that.
My diurnal pattern is kind of weird. My best time is in the morning. My worst time is in the middle of the afternoon - around 2:00 PM. I then recover somewhat in the evening. Presumably, I have bipolar disorder. I suffer chronic depression with drug-induced manic episodes.
With endogenous/melancholic depression, there is usually early morning awakenings and insomnia along with the morning worsenings.
- Scott
Posted by TENMAN on September 2, 2006, at 11:28:23
In reply to Most depressed in morning, posted by linkadge on September 1, 2006, at 6:51:10
I am at my best first thing in the morning. My mood will then progressively darken throughout the day until the evening when my depressions sometimes take over me. Sometimes in the morning I can feel almost normal before regressing again. Strange.
Posted by Maximus on September 2, 2006, at 12:05:16
In reply to Re: Most depressed in morning, posted by linkadge on September 1, 2006, at 16:39:10
Excercice!! Excercice!! And alternative treatments such as cucumber oil and salted water. Excercice!! Excercice!! BUT do not take any chemical drugs!! You could mutate into a xenomorph!!
Posted by linkadge on September 2, 2006, at 14:59:58
In reply to Re: Majority feel more depressed in the morning, posted by cecilia on September 2, 2006, at 5:41:15
Atypical, thats oversleeping and overeating? Thats not me at all.
Linkadge
Posted by Bob on September 2, 2006, at 15:10:12
In reply to Most depressed in morning, posted by linkadge on September 1, 2006, at 6:51:10
My depression is much, much worse in the morning. I have never been an early riser, and am quite envious of all those around me who pop up at 6am or so and get out of bed like they had just been laying down for a few minutes. All the meds I have taken over the years to stem the anxious, ruminative, and emotionally unstable parts of my illness have ALWAYS eventually led to much deeper sleep in the mornings. A number of meds have resulted in me sleeping well into the afternoon, such as Effexor, and Paxil. It's almost as if the biological changes that must occur to get someone awake no longer work when I take significant amounts of serotonin. It gets so bad that that issue itself becomes very depressing.
The only treatment I've ever had that changed this sleep/wake cycle was ECT. I began popping awake, to the point where I was no longer sleeping very soundly. Unfortunately, other negative effects of ECT became profoundly dangerous, and in the end was not a good treatment for me.
Posted by linkadge on September 2, 2006, at 15:11:16
In reply to Re: Majority feel more depressed in the morning, posted by SLS on September 2, 2006, at 6:01:58
For several weeks, I have been completely free from work, school, or any major responsability. When I wake up, I am not filled with anxiety at all, but rather I feel like I am dying, or perhaps already dead. Its a strange sadness that is hard to explain, feelings of life and how beautiful and precious it is, but that I just can't have it. Feelings like life is passing me by. Everything seems meaningless.
Perhaps its common, I don't know, but the emotions are impossalbe to process. Very strong, but impossable to process.
Sorry for rambling.
Linkadge
Posted by linkadge on September 2, 2006, at 15:12:24
In reply to Re: Most depressed in morning, posted by polarbear206 on September 2, 2006, at 9:24:24
>Early morning depression that lifts as the day >goes on is one of the markers for diagnosis of >bipolar spectrum disorder. In my case, a mood >stabilizer in addition to AD helped >tremendously. Dx of soft bipolar and on effexor >and lamictal.
I'd never heard that, do you have any literature about that theory? Not to sound like a nerd, I'd just like to hear more.
Linkadge
Posted by Meri-Tuuli on September 2, 2006, at 15:12:58
In reply to Re: Most depressed in morning, posted by TENMAN on September 2, 2006, at 11:28:23
> I am at my best first thing in the morning. My mood will then progressively darken throughout the day until the evening when my depressions sometimes take over me. Sometimes in the morning I can feel almost normal before regressing again. Strange.
Yep, I'm with you TENMAN. Thats like me exactly. My anxiety is sky high in the evenings. Luckily, thats also the most socially accepted time to have a beer or two, which is what I do to try and relieve the anxiety. Maybe not too good, but its all I've got anyway.So does that make us atypical depressives I wonder?
Posted by linkadge on September 2, 2006, at 15:18:23
In reply to Re: Most depressed in morning » linkadge, posted by Maximus on September 2, 2006, at 12:05:16
Now now. I have taken chemical drugs on multiple ocasions.
Let me just make it clear that I don't have anything wrong with the notion of taking chemical medications. The problem I have with them is that I just don't feel like myself on them. At high doses, they only seem to work marginally, and they often take away my ability to do school work, or play the piano.
I was interested in wellbutrin, since it is supposedly freer of certain side effects, but I am not so sure it would be all that great for my symptoms.
Linkadge
Posted by linkadge on September 2, 2006, at 15:20:44
In reply to Re: Most depressed in morning » TENMAN, posted by Meri-Tuuli on September 2, 2006, at 15:12:58
I know some people who have winter depressions, can feel very blue in the evenings as it gets darker earlier.
Linkadge
Posted by Bob on September 2, 2006, at 15:20:58
In reply to Re: Majority feel more depressed in the morning » SLS, posted by linkadge on September 2, 2006, at 15:11:16
> For several weeks, I have been completely free from work, school, or any major responsability. When I wake up, I am not filled with anxiety at all, but rather I feel like I am dying, or perhaps already dead. Its a strange sadness that is hard to explain, feelings of life and how beautiful and precious it is, but that I just can't have it. Feelings like life is passing me by. Everything seems meaningless.
>
> Perhaps its common, I don't know, but the emotions are impossalbe to process. Very strong, but impossable to process.
>
> Sorry for rambling.
>
>
> Linkadge
I've had those feelings countless times. In my estimation is results from being extremely depressed, yet there is a part of you that can sense what other healthy people are experiencing. When I'm completely depressed, this is not as much of an issue, but when I'm partly depressed it becomes very much a concern. You are much more aware of what you're missing.Bob
Posted by Bob on September 2, 2006, at 16:04:43
In reply to Re: Most depressed in morning » Maximus, posted by linkadge on September 2, 2006, at 15:18:23
> Now now. I have taken chemical drugs on multiple ocasions.
>
> Let me just make it clear that I don't have anything wrong with the notion of taking chemical medications. The problem I have with them is that I just don't feel like myself on them. At high doses, they only seem to work marginally, and they often take away my ability to do school work, or play the piano.
>
> I was interested in wellbutrin, since it is supposedly freer of certain side effects, but I am not so sure it would be all that great for my symptoms.
>
>
>
>
> Linkadge
>
>
>
I wish to God I could get through my life without drugs. Boy do I wish. Your statement about not feeling like yourself, and not being able to engage in some activities is very descriptive. I couldn't have said it better myself. They way I feel on drugs has never really felt like before all of this.Bob
Posted by SLS on September 2, 2006, at 16:12:37
In reply to Re: Majority feel more depressed in the morning » SLS, posted by linkadge on September 2, 2006, at 15:11:16
> For several weeks, I have been completely free from work, school, or any major responsability. When I wake up, I am not filled with anxiety at all, but rather I feel like I am dying, or perhaps already dead. Its a strange sadness that is hard to explain, feelings of life and how beautiful and precious it is, but that I just can't have it. Feelings like life is passing me by. Everything seems meaningless.
It sounds like something to be addressed psychologically as well as pharmacologically. I don't know.
- Scott
Posted by Maximus on September 2, 2006, at 18:00:16
In reply to Re: Most depressed in morning » Maximus, posted by linkadge on September 2, 2006, at 15:18:23
> Now now. I have taken chemical drugs on multiple ocasions.
>
> Let me just make it clear that I don't have anything wrong with the notion of taking chemical medications. The problem I have with them is that I just don't feel like myself on them. At high doses, they only seem to work marginally, and they often take away my ability to do school work, or play the piano.
>
> I was interested in wellbutrin, since it is supposedly freer of certain side effects, but I am not so sure it would be all that great for my symptoms.
>
I know that, i was just teasing you ;-)Serotoninergic drugs tend to "anesthesize" us. It is a trade off, but with perseverance this side effect often disappears by itself.
Now if you want to preserve your sharpness, Wellbutrin could be a clever choice. It is very activating, so go easy with the dose. Bye.
Posted by nafazodone lifer on September 2, 2006, at 19:14:08
In reply to Most depressed in morning, posted by linkadge on September 1, 2006, at 6:51:10
Oh my gosh that is TEXTBOOK Major Depression - I suffered that bigtime till I started SERZONE 9 years ago, now I am on Generic Version NEFAZODONE, it helps me sleep better, thus making me happier in the morning, but I know the feeling of awaking in the morning only to have a MAJOR Dark feeling make me not even able to budge or stand the thought of a new day. You can beat it tho, tell yourself you will get the right med, and open them blinds let that SUNLIGHT shine in. LIGHT is like a drug to me, I need it, I crave it it helps fight depression for me.
Best Wishes, yours truly - Nefazodone Lifer
Posted by Phillipa on September 2, 2006, at 19:52:03
In reply to Re: Majority feel more depressed in the morning, posted by linkadge on September 2, 2006, at 14:59:58
Me neither I'm never hungry and just stay up late until l or 2 am. So l0am would be 8 hours of sleep. Love Phillipa ps that's why I'm backing off ad's and just sticking to the benzos that eliminate my symtoms.
Posted by Phillipa on September 2, 2006, at 19:58:43
In reply to Re: Majority feel more depressed in the morning, posted by Bob on September 2, 2006, at 15:20:58
It's boredom for me. I don't want to clean. Don't want to shop. But do something fun and my mood improves. I think we control our own thinking so much. Love Phillipa why does everyone seem to need a label of depression to experience these things? And shift work means an early riser can work then, a 3-ll worker functions best then. And some people just love working nights.
Posted by fuchsia on September 3, 2006, at 0:33:36
In reply to Re: Majority feel more depressed in the morning » SLS, posted by linkadge on September 2, 2006, at 15:11:16
> For several weeks, I have been completely free from work, school, or any major responsability. When I wake up, I am not filled with anxiety at all, but rather I feel like I am dying, or perhaps already dead. Its a strange sadness that is hard to explain, feelings of life and how beautiful and precious it is, but that I just can't have it. Feelings like life is passing me by. Everything seems meaningless.
>
> Perhaps its common, I don't know, but the emotions are impossalbe to process. Very strong, but impossable to process.
>I also had a sensation of feeling like I was dying or dead. It was the worst when I was withdrawing from diazepam.
It was so so strong; if I hadn't read that people with depression could have this delusion then I would have thought it might be true that I was dead. Part of me knew it must be a brain state while the other part of me was experiencing being dead or being a ghost.
I was visiting my parents and I really felt sad that I was on the 'other side' as one might call it. They were alive and I was a wraith; it was strange that they could even see me.
I wonder if that is psychotic depression? It couldn't be if one part of you knows you aren't really dead, could it? I never even believed in ghosts but maybe I do now.
fuchsia
Posted by linkadge on September 3, 2006, at 3:38:28
In reply to Re: Majority feel more depressed in the morning, posted by SLS on September 2, 2006, at 16:12:37
>It sounds like something to be addressed >psychologically as well as pharmacologically. I >don't know.
I never close doors to treatment options.
Linkadge
Posted by linkadge on September 3, 2006, at 3:41:07
In reply to Re: Most depressed in morning » linkadge, posted by Maximus on September 2, 2006, at 18:00:16
Thats the problem, it only seems to come in time released nowadays. I guess they want you hooked on the highest dose, and don't want people cutting their tablets to find what dose is right for them.
Its a pain, cause I feel that even the lowest time released dose would be too much, I'm only 135 pounds, I don't need to loose any more. I've lost 15-20 pounds over the last few years. Im only 23 I wonder.
Linkadge
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