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The antidepressant effect of sleep deprivation

441 点作者 onuralp大约 7 年前

40 条评论

uhhyeahdude大约 7 年前
How very odd for me to find this on HN this evening. I&#x27;m on &quot;day 2&quot; of my once a week sleep fast, which means things are a bit surreal to begin with.<p>For each of the last seven weeks, I stay awake from Thursday morning until my &quot;regular&quot; bedtime hour Friday evening.<p>I do this because it actually seems to be an effective way to avoid falling into a hole of anhedonia and &quot;stuck-ness.&quot; I am hip to many of the cognitive tricks of depression, and can deal, kind of--I am utterly unable to deal with the physical listlessness and absence of drive that comes with it.<p>Skipping sleep on a set schedule seems to work for me. At first I didn&#x27;t think I could keep it up, and I was concerned by potential safety hazards. My concerns are justified, as I am pretty loopy by Friday afternoon, or around the 32 hour mark.<p>Of all the esoteric treatments for my mood, this is perhaps the only real success except for Yoga (BKS-style Ashtanga).<p>I have a feeling I might receive some benefit from ascetic practices in general; and will experiment with caloric restriction, e.g. in future months.<p>I have no idea if I should expect the effects of this practice to remain pronounced, and my experience seems to differ somewhat from that described in the article.<p>I sure hope I continue to benefit, because I don&#x27;t respond well to any of the usual methodologies. Also, I don&#x27;t feel comfortable enough in the onions to do a proper Ketamine trial.<p>&#x2F;&#x2F; I don&#x27;t mean to sound breezy. I only include that last note to emphasize how unendurable my world was becoming.<p>If this makes sense to you, I feel for you. One foot in front of the other...<p>The downside: I am totally sober, but I know my executive function is not working very well, and I may very well regret commenting.<p>edit: some glaring issues with words
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romwell大约 7 年前
I&#x27;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.<p>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.<p>I didn&#x27;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&#x27;t want anything, and what they want, they think they can&#x27;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).<p>That said, sometimes staying up all night just meant sleeping all day -- and I don&#x27;t know to which extent my experience even compares with the one of the people in the article.<p>Still, it&#x27;s something everyone suffering from the symptoms can try for free. Beats a night of restlessness and bad sleep hands down, and there&#x27;s little to lose if you experiment on a weekend.
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perlgeek大约 7 年前
Somehow my quackery detectors go off on this one, but I&#x27;m not quite sure.<p>The article talks about &quot;recent studies&quot; without linking to them. The &quot;references&quot; section at the end links to a single peer-reviewed article (<a href="https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC5447205&#x2F;" rel="nofollow">https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC5447205&#x2F;</a>) in a journal with an impact factor of less then one (compare <a href="https:&#x2F;&#x2F;www.researchgate.net&#x2F;journal&#x2F;0379-5284_Saudi_medical_journal" rel="nofollow">https:&#x2F;&#x2F;www.researchgate.net&#x2F;journal&#x2F;0379-5284_Saudi_medical...</a> for example).<p>If it works, why not give some citations in more reputable journals, for example?<p>Most articles, when searching for depression + sleep deprivation, talk about the correlation between the two, which seems to be pretty well-established. There&#x27;s little on the possible treatment of depression through sleep deprivation.<p>I found a meta-analysis on the subject: <a href="http:&#x2F;&#x2F;europepmc.org&#x2F;abstract&#x2F;med&#x2F;28937707" rel="nofollow">http:&#x2F;&#x2F;europepmc.org&#x2F;abstract&#x2F;med&#x2F;28937707</a><p>&quot;The overall response rate to sleep deprivation was 45% among studies that utilized a randomized control group and 50% among studies that did not. The response to sleep deprivation was not affected significantly by the type of sleep deprivation performed, the nature of the clinical sample, medication status, the definition of response used, or age and gender of the sample.These findings support a significant effect of sleep deprivation and suggest the need for future studies [...]&quot;<p>I don&#x27;t have the qualifications to assess this meta analysis; at least it&#x27;s published in a more popular&#x2F;reputable journal.
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B-Con大约 7 年前
It sounds like the theory behind this is kicking the circadian rhythm to see if it improves.<p>&gt; 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.<p>A classic, almost cliche, way to address &quot;common depression&quot; is to normalize the person&#x27;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.<p>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.
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geoka9大约 7 年前
Haven&#x27;t read the article yet, but it sounds grim, I don&#x27;t think it can be good for me.<p>Instead of forced sleep deprivation, try this for a week: intermittent fasting and calorie restriction, good nutrition (veggies, nuts, olive oil, eggs, etc.), no drinking (at all), going to bed early (like 10 pm), waking up early (at dawn in the summer at 4 am would be perfect), but naturally, without an alarm clock.<p>Doing this, you may find out that you only need 5-6 hours of sleep, especially in the summer. And moderate (outdoors) exercise - this is important.<p>Since a lot of you guys are in the bay area, you have a lot of sun during the year; that makes this routine a lot easier and more rewarding (sunshine increases the feeling of &quot;high&quot; for most people).<p>After doing this for a while, you might find out you&#x27;re naturally high all the time, without going through crashes.
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lkrubner大约 7 年前
For me, the big shock has always been the extent to which sleep can kill a fantastic streak of productivity. I sometimes have weeks of incredible energy, where I work 12 or even 14 hours every day, and I do my best work, and I have deep insights, and invent new products and new kinds of software. And generally, over the course of a week or two, I become more productive each day. And finally I have a day when I am on fire and I&#x27;m writing incredible code and I&#x27;m writing some of my most popular essays, the stuff that continues to be read years later. And I go to sleep thinking that tomorrow will be just as good. And I sleep 9 hours. And I wake up and I am a completely different person. My thoughts don&#x27;t make sense. I&#x27;m a bit disoriented. I drink 3 cups of coffee but I still feel groggy. I have no energy. The magic is gone. I&#x27;m lucky if I get 4 hours of good work done. And the next day is terrible, and the next day is terrible, and the so on. And it is always a shock what a sudden start there is to this prolonged grogginess, and it always seems to start with one night where I sleep a bit too long.
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tombrm大约 7 年前
&quot;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.&quot;<p>Sounds like there&#x27;s a high risk for turning depression into insomnia. Not sure if it&#x27;s an improvement.
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yani大约 7 年前
My personal experience is exactly the opposite. Lack of sleep induces depression. This is also supported by many studies. I recommend this read <a href="http:&#x2F;&#x2F;healthysleep.med.harvard.edu&#x2F;healthy&#x2F;matters&#x2F;consequences" rel="nofollow">http:&#x2F;&#x2F;healthysleep.med.harvard.edu&#x2F;healthy&#x2F;matters&#x2F;conseque...</a>
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peterburkimsher大约 7 年前
My experience is that sleep deprivation amplifies emotion. That can be good or bad feelings. It&#x27;s like an op-amp.<p>Prayer is like a diode. It manages the low emotions.<p>Together, sleeping less and praying more works like an AC-DC rectifier. My average emotion moves above zero, so things are better.
master-litty大约 7 年前
I&#x27;m in the middle of a sleepless night now and am already feeling that familiar high.<p>I&#x27;ve never met anyone beyond family who could relate -- especially about the cognitive improvements, this is when I do my best work! This is an exceptionally interesting post for me.<p>Much of my mother&#x27;s side is bipolar and it continues in me. As long as I can remember noticing, I run through 3 very definitive emotional states:<p>* I am feeling productive and withdraw from society. I get frustrated when I&#x27;m unable to work and often go without sleep to make up lost time<p>* I am feeling social and withdraw from the extreme productivity. I simply don&#x27;t want to sleep when I can have late night company<p>* I am feeling depressed and withdraw from everything and everyone. I am inconsolable and confused by my mood. I eventually and magically get sick of it, often after a sleepless night<p>The sleep deprivation is a critical part of my natural rhythm now that I really think about it. The article rings deeply true.
mjfl大约 7 年前
So the cure for depression is to take hallucinogens like ketamine or deliberately deprive yourself of sleep? It&#x27;s like making yourself happier by making yourself less sharp. Perhaps, then, one is depressed because one is <i>rational</i> - because there are real, serious problems with life that need to be dealt with, not escaped. The recent &quot;cures&quot; sound almost Huxley-an.
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shams93大约 7 年前
Personally I find it&#x27;s the opposite if I&#x27;m not well rested I feeling death and feel super depressed. I had a job that believed this and limited us sometimes to only 90 minutes sleep. I never worked with a more angry group of people. I&#x27;m 46 years old, working like that at 45 almost killed me. Oversleeping can also be a factor in depression but there is a golden sweet spot of just enough sleep and not too much that can vary greatly between individuals you have to find out for yourself what that sweet spot is. Certainly 90 minutes is not enough to sustain health
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adamnemecek大约 7 年前
I’ve experienced this first hand. However the line is very thin as sleep deprivation tends to ricochet in the other direction.
hihungryimdad大约 7 年前
Roughly 2 years ago I fell into a depression because of debilitating anxiety. The anxiety would keep me awake through the night. Low and behold the whole next day the depression and anxiety would be gone. I wouldn&#x27;t be overly tired either, so the trade off was fine. This would happen roughly once or twice a week. Always, the next day following a sleepless night I pretty much felt &#x27;normal&#x27;.<p>Eventually I swallowed my pride and went to the doctor and was prescribed an SSRI &amp; NDRI. I was too afraid to take the SSRI(with anxiety can some OCD, I was obsessed for awhile I was becoming schizophrenic) so only took the NDRI(Wellbutrin, generic). Eventually it pulled me out of my depression and I was began sleeping normally again. I weened off the NDRI about 6 months later.<p>Luckily the depression hasn&#x27;t came back, in full force. I go through cycles of what I would say &quot;mini-depression&quot; every once awhile, but I am able to push through and conquer. The medicine was a must for me to get through my depression and get back on a normal sleep cycle. I don&#x27;t miss the sleepless nights at all, but they sure helped me stay somewhat sane during those rough times.
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amelius大约 7 年前
Ok, so this is <i>one</i> possible thing to try when one has depression. Who is keeping a list of <i>all</i> things to try, and where does this experiment fit in that list?
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cl0ne大约 7 年前
Interesting, this has worked for me on occasion during times of suffering from depression and anxiety and I was wondering about it recently. Sometimes I have trouble sleeping and have noticed positive effects in my mood and energy level the next day after staying up all night.
kevingrahl大约 7 年前
&gt; “We can think of it not as sleep-depriving people, but as modifying or enlarging the period of the sleep–wake cycle from 24 to 48 hours,” says Benedetti. “People go to bed every two nights, but when they go to bed, they can sleep for as long as they want.”<p>That reminds me of the sleep experiments performed by Michel Siffre [1] in the 60‘s &amp; 70‘s who studied the experience of time underground without time cues. He found that without time cues, several people including himself adjusted to a 48-hour rather than a 24-hour cycle.<p>[1] <a href="https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Michel_Siffre" rel="nofollow">https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Michel_Siffre</a><p>[2] www.cabinetmagazine.org&#x2F;issues&#x2F;30&#x2F;foer.php
jokoon大约 7 年前
I have a history of depression and anti depressants. I stopped them some years ago, and I went to a 2 weeks military training 3 years after I stopped those meds.<p>Not only did I love it, but it really gave a big energy boost. Awesome sleep.<p>Maybe depression comes from boredom.
77pt77大约 7 年前
Another way is travelling and getting hit by a considerable time difference.<p>It seems resetting your circadian rhythm can, in some circumstances, have beneficial effect.<p>I knew someone that referred to doing that as &quot;degaussing&quot;.
haywardgb大约 7 年前
I disagree with that study. Myself and a colleague used to go for days on what were called &quot;micro naps&quot;. After a certain amount of practice you can train your mind to hit REM within the first few seconds of shutting your eyes for sleep.<p>Over time it really messes with your head. You become very irritable. Lookup &quot;Peter Tripp, radio DJ&quot;. A very famous story with a very sad ending. Long-term sleep deprivation is very bad for you. I know, I&#x27;ve tried it.
ClassyJacket大约 7 年前
I can anecdotally confirm that for me, sleep deprivation appeared to significantly alleviate symptoms of severe anxiety. Around a year ago I was having what I think you&#x27;d call panic attacks every day and general anxiety all day. I had a breakdown of I think about six weeks, mostly focused on my insecurity about not having a better job, masters degree, etc. Etc. I was non functional.<p>I read about the sleep deprivation studies then. One day I had stayed up very late anyway, so I decided I would just wrap it around and stay up all night. I had no job to go to anyway.<p>That day I had no strong attacks and generally felt far more relaxed. It was a great respite.<p>However, it&#x27;s very temporary. For me it felt like respite, not a cure. A break from attacks and nerves. It came back over the next few days. I wish I&#x27;d kept a more detailed diary. Why I&#x27;m okay now I can&#x27;t say for sure, however I sleep too little and quite badly now, being busy with work, clubbing, parties, and coding in my spare time, so there&#x27;s possibly a correlation there - causation, who knows. I don&#x27;t think eight hours of sleep is bad, I think it&#x27;s beneficial, but I do think over sleeping is harmful to mental health and easy to do - my theory is that like high calorie foods, we didn&#x27;t evolve with unlimited sleep available to us, so getting too much just wasn&#x27;t a thing.<p>Of course, it&#x27;s one data point and could be the placebo effect for coincidence, but, much like my experience using MDMA to improve a depressive attitude (careful: may make it worse for some people), the effect was real enough to me that I personally believe in it and think it can be valuable to at least a subset of people if used carefully.
ada1981大约 7 年前
The most useful model of depression I&#x27;ve found is that it&#x27;s anger directed inward.<p>Essentially, a restriction of emotional freedom and a suppression of feeling all our emotions.<p>This is typically due to trauma or neglect or some other developmental adaptation not to feel fully.<p>This is reinforced by a culture in which people try to fix or cheer you up when sad or angry.<p>In a culture where actually feeling basic human emotions are taboo, feeling said emotions can be extremely isolating.<p>If you&#x27;ve never felt safe fully feeling your emotions, it will be unlikely you will ever learn unless you conciously work on it and build relationships with people who can hold space for your entire range of experience.<p>Psychedelics can help because they loosen the pathways of suppression and can help us reintegrate the parts of ourself that we&#x27;ve been suppressing.<p>Main stream treatments like SSRIs end up making things worse long term because they just reinforce suppressing symptoms.<p>I spent a decade of my life dealing with depression, psychosis, schizophrenia, suicidal thoughts, bipolar, anxiety and panic attacks.<p>The things that helped me were a mindset that feeling all of my emotions was fully was required to be healthy, seeking out people and processes to help me get more embodied and to feel, Psychedelic therapy (specifically to be able to go deeper into emotion), NARM therapy to help me do relationship in a way that was connected; telling the 100% truth in relationship and holding space for the emotions that emerge; falling and staying in love; Gratitude.<p>I&#x27;ve mapped out these states of consciousness enough in myself and in people I&#x27;ve worked with combined with finding enough accounts of others as well as emerging research to believe that we are on the cusp of a fundamental shift in how people deal with mental health.<p>I&#x27;m now in love and enaged, working on a number of creative projects, my relationships are antifragile and honest, I have a practice helping others with relationships &amp; mental health; don&#x27;t take psychiatric medication (occasionally a tune up with psychedelics); and if I encounter a context which triggers something like depression, psychosis, mania, anxiety, etc. I understand how to work with those states to emerge from them even more integrated and connected to myself.<p>The biggest developmental edge now is that once you start healing old traumas, you need to finish the work. Meaning, things will continue to come to the surface for your attention. It&#x27;s not always easy, but the end result is always worth the time and work to release and heal.<p>This last month I&#x27;ve really gotten aware of how being sexually assaulted at 25 really left an imprint. I had remembered what happened intellectually, but realized I never released the somatic memory of it.<p>Residual anger, shame and fear kept coming up during sex with my fiancé and it wasn&#x27;t until I made space to fully go into those emotions that I was able to see the connection with the assault (in grad school a male student got me drunk under the pretext of going to pick up girls and then tried to have sex with me while I was too drunk to move.)<p>So, the work is not done, but man, my life is unrecognizable to where it was when I began this work and my creative life has really opened up to more possibility (we just signed a contract to buy a tropical island in Panama and build a village for visionaries! Please come visit!).<p>Anyhow, I feel its my dharma to share my story and experiences and the personal research I&#x27;ve done, so thanks for giving me a space to do that.
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LeighoBeigho大约 7 年前
On the herbals: Fishoil gel tablets work very well for depression, if you don&#x27;t mind some occasional fish smell. They keep me very clear when I take them. Caveat: If you have MAOI inhibitor issues you gotta make sure you can take certain supplements safely. This is a great discussion and the 2nd time I have heard of the positive impacts of sleep deprivation on depression (SD&#x2F;D). 1st time I didn&#x27;t buy it because lack of sleep, unless I am working on a project, makes me amped up and close to rowdy. I use the rowdiness to workout, walk, skateboard or bike; all of the above manages depression and absorbs high energy. Hearing so many intellectual viewpoints on YC makes the SD&#x2F;D argument more believable.I thought I was the only one with this issue.
tabs_masterrace大约 7 年前
This is good news, but also shows how little we actually understand the complexity of our bodies and our brain in particular. We have good antidepressants, but besides observing the positive effects, there doesn&#x27;t seem much of a consensus on what exactly these psychoactive molecules are doing to help.<p>So no surprise that something seemly simple like sleep deprivation can have a massive effect on the issue. It&#x27;s not like we understand all the mysteries of sleep either.<p>The involved mechanism and chemistry are so complex, and we barley scrap the surface, even with all the advances in medicine. So many people arguing about what depression is, what it&#x27;s causes are, but it would be foolish to assume we have this even remotely figured out, and I would be very open-minded to anything on this issue.
yedpodtrzitko大约 7 年前
inb4 a lot of sources sleep deprivation is hurting your brain in a long term. Not sure what&#x27;s better.
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m3kw9大约 7 年前
If you are tired maybe you don’t think too much, thinking too much is part of depression
alexozer大约 7 年前
Saw this article and decided to try to roll over my half-phase-out-of-sync horrific sleep schedule by staying awake through the next day. My mind was nowhere near fully functional from the period of 6pm the first day through 11:30pm the next, but I somehow managed to experience a sense of urgency and elatedness I may have forgotten how to feel over the last few years, and got some work done to boot.<p>Unfortunately I&#x27;m back as hopeless as ever today, but I would be willing to bet with a little more discipline it&#x27;d be a pretty great way to at the very least quickly restore a sleep-early wake-early sleep schedule.
tda大约 7 年前
&gt; “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.<p>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.
b0rsuk大约 7 年前
I noticed this myself a long time ago. I have major anxiety, stress and depression problems(the last one I mostly fixed).<p>When I stay up very late, or lose most of a night&#x27;s sleep, I no longer care. I&#x27;m very resistant to stress. The downside, aside from numerous all other long term negatives of sleep deprivation, is that I can&#x27;t focus on anything moderately complicated and take loong to get anything done. It&#x27;s like time passes faster. And it&#x27;s really hard to make decisions.
sevenfive大约 7 年前
In retrospect, I&#x27;ve been leveraging this effect constantly since early high school. I suspect this explains many people&#x27;s poor sleep habits. Anyone else?
savanaly大约 7 年前
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&#x27;t have all the answers but it really changed how I thought about the issue.<p>[0] <a href="http:&#x2F;&#x2F;slatestarcodex.com&#x2F;2016&#x2F;12&#x2F;14&#x2F;ssc-journal-club-mental-disorders-as-networks&#x2F;" rel="nofollow">http:&#x2F;&#x2F;slatestarcodex.com&#x2F;2016&#x2F;12&#x2F;14&#x2F;ssc-journal-club-mental...</a>
juanmirocks大约 7 年前
Besides experimenting with polyphasic sleep and such, I could never think that sleep deprivation could become a therapy.<p>Regardless of the validity of these claims, I welcome this new idea into my brain.
krzyk大约 7 年前
Strange, in my case (tested on myself and my wife) sleep deprivation (e.g. sleeping and hour or two less than optimal sleep time) causes depression.
ninjakeyboard大约 7 年前
Ya I used to pull an all nighter once a week. It has a lot of long term deleterious effects but it does the trick for a day break from depression.
m3kw9大约 7 年前
And then there is just a new article posted up there in HN that talks about how bad sleep increases risk of depression
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dorfsmay大约 7 年前
I&#x27;ve successfully managed allergies with sleep deprivation. The issue is that it is obviously not sustainable.
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WheelsAtLarge大约 7 年前
Careful with this, sleep deprivation is known to cause health issues.<p><a href="https:&#x2F;&#x2F;www.webmd.com&#x2F;sleep-disorders&#x2F;features&#x2F;important-sleep-habits#1" rel="nofollow">https:&#x2F;&#x2F;www.webmd.com&#x2F;sleep-disorders&#x2F;features&#x2F;important-sle...</a>
caseymarquis大约 7 年前
This article confuses depression and bipolar disorder quite a bit. They&#x27;re inducing mania through sleep deprivation in patients with bipolar disorder going through a period of depression. This is somewhat dangerous, as mania can have severe consequences. The article even states that there&#x27;s a 95% relapse into depression for those not taking lithium. Only people with BPD take lithium. It&#x27;s not about the lithium, it&#x27;s about that population having BPD.<p>DO NOT TRY THIS IF YOU HAVE BIPOLAR DISORDER WITHOUT MEDICAL SUPERVISION. Inducing mania could ruin your life. If you don&#x27;t have BPD, then this likely won&#x27;t work anyway.<p>I have several family members with BPD. Irregular sleep schedule is a major warning sign that mania is coming on, and interrupted sleep schedule can induce mania.<p>I can see why you might try this in a controlled setting, and I&#x27;m not saying it doesn&#x27;t work. I&#x27;m just saying that this is very dangerous, and should not be done without qualified medical supervision.
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cup-of-tea大约 7 年前
&gt; Sleep deprivation really has opposite effects in healthy people and those with depression<p>I used to &quot;play&quot; with my sleeping pattern a lot. I would stay up extremely late sometimes because it&#x27;s impossible to go to sleep before a bug has been fixed. But being a student I could just sleep in the next day. It had that classic effect which is observed in hackers of drifting &quot;West&quot; and becoming completely out of phase with the Sun&#x27;s cycle.<p>I did suffer from depression. It&#x27;s always difficult to say this, though. How do I know that I <i>really</i> had depression and I wasn&#x27;t just unhappy? I don&#x27;t know. But maybe it suffices to say that I had near constant suicidal thoughts at times.<p>I&#x27;ve since turned my life around and I am no longer depressed. I attribute it to having a much more regimented life which includes regular and sufficient sleep, regular, healthy meals and regular exercise.<p>So the above quotation suggests that I am &quot;healthy&quot;. Presumably as opposed to those that are &quot;unhealthy&quot; and <i>really</i> have depression. But what is the difference really? I have to do this particular thing to avoid depression, and they have to do that particular thing to avoid it? Is it just that my &quot;cure&quot; happens to be the same as everyone else&#x27;s cure? Or am I missing something here?
ebbv大约 7 年前
Huh well whatever works for people. If I don’t get enough sleep I am more prone to depression, not less.