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The antidepressant effect of sleep deprivation

mosaicscience.com

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Re: The antidepressant effect of sleep deprivation

#3
I've definitely noticed that this works for me on occasion - staying up all night to see the sunrise and then going about as usual seems to be a cleansing experience of sorts.

In such a state, it feels that the mind is too exhausted to lend itself to worry or anxiety. The troubles seem far less consequential through the haze.

I didn't keep track of what happens the day after catching up on sleep, but in general, being lifted even for a single day out of the quagmire is very helpful: one can make plans for the future (in a depressed state, people tend to not make any plans because they don't want anything, and what they want, they think they can't do), and one can feel contrast between their good and bad states of mind (depression tricks people into thinking that their depressed state is actually their normal state).

That said, sometimes staying up all night just meant sleeping all day -- and I don't know to which extent my experience even compares with the one of the people in the article.

Still, it's something everyone suffering from the symptoms can try for free. Beats a night of restlessness and bad sleep hands down, and there's little to lose if you experiment on a weekend.

Re: The antidepressant effect of sleep deprivation

#4
It sounds like the theory behind this is kicking the circadian rhythm to see if it improves.

> Depression is also associated with altered daily rhythms of hormone secretion and body temperature, and the more severe the illness, the greater the degree of disruption. Like the sleep signals, these rhythms are also driven by the body’s circadian system, which itself is driven by a set of interacting proteins, encoded by ‘clock genes’ that are expressed in a rhythmic pattern throughout the day.

A classic, almost cliche, way to address "common depression" is to normalize the person's sleep schedule. Many people keep erratic schedules and participate in activities (eg, playing video games) at end of day that make going to sleep hard. They get poorer quality sleep and have no consistency, which messes up the circadian rhythm and contributes to depression. Such people are advised to at least try keeping a consistent sleep schedule for a couple weeks to see if it helps them.

The technique in the article seems to be the figurative opposite, possibly because regular sleep cycles are either inadequate or infeasible to achieve. They force a short-term horrible sleep cycle to see if they can jolt the circadian rhythm into working better.

Re: The antidepressant effect of sleep deprivation

#6
> “Sleep deprivation really has opposite effects in healthy people and those with depression,” says Benedetti. If you’re healthy and you don’t sleep, you’ll feel in a bad mood. But if you’re depressed, it can prompt an immediate improvement in mood, and in cognitive abilities. But, Benedetti adds, there’s a catch: once you go to sleep and catch up on those missed hours of sleep, you’ll have a 95 per cent chance of relapse.

This is really counter intuitive to me. The article goes on explaining that using a combination of skipping sleep, lithium and light treatment the results are much better.

Re: The antidepressant effect of sleep deprivation

#7
"if you’re depressed, [sleep deprivation] can prompt an immediate improvement in mood, and in cognitive abilities. But, Benedetti adds, there’s a catch: once you go to sleep and catch up on those missed hours of sleep, you’ll have a 95 per cent chance of relapse."

Sounds like there's a high risk for turning depression into insomnia. Not sure if it's an improvement.

Re: The antidepressant effect of sleep deprivation

#8
So the cure for depression is to take hallucinogens like ketamine or deliberately deprive yourself of sleep? It's like making yourself happier by making yourself less sharp. Perhaps, then, one is depressed because one is rational - because there are real, serious problems with life that need to be dealt with, not escaped. The recent "cures" sound almost Huxley-an.

Re: The antidepressant effect of sleep deprivation

#9
Whenever I read about this sleep-cures-depression topic on HN (and it seems to come up relatively often) I think about and often go back and read this post. [0] Definitely doesn't have all the answers but it really changed how I thought about the issue.

[0] http://slatestarcodex.com/2016/12/14/ssc-journal-club-mental...

Re: The antidepressant effect of sleep deprivation

#10
post #8

So the cure for depression is to take hallucinogens like ketamine or deliberately deprive yourself of sleep? It's like making yourself happier by making yourself less sharp. Perhaps, then, one is depressed because one is rational - because there are real, serious problems with life that need to be dealt with, not escaped. The recent "cures" sound almost Huxley-an.

I’ve known depression through a relationship with a significant other.

Their worries were not solely based on rational issues. They would be depressed at a mall because it wasn’t in a city. Then depressed in a city because they felt removed from their comfort zone.

Depression is a mental illness and it sucks. Much of the medicine for depression causes depression to worsen.

I hope we unlock a cure in our lifetime.

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