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The Link Between Sleep and Depression

  • Goodwin Health Cafe
  • 2 days ago
  • 3 min read
Two people in a wooden boat on swirling, blue painted waves. The setting is serene and surreal, with textured patterns resembling water.

When you are struggling with depression, restful sleep can feel impossible. You might find yourself lying awake at night with racing thoughts, waking up too early, or sleeping excessively without feeling restored. These sleep issues are not only frustrating but also deeply tied to the course of depression itself.


Understanding the connection between sleep and depression is key to finding the right treatment path. One promising option that addresses both mood and sleep is Transcranial Magnetic Stimulation (TMS). Let’s explore how sleep and depression are linked, and how TMS can offer relief.


The Sleep and Depression Cycle

Sleep problems are one of the most common symptoms of depression. Research shows that nearly 75 percent of people with depression experience insomnia, hypersomnia (sleeping too much), or disrupted sleep. Unfortunately, poor sleep does not just result from depression, it can also worsen it.

This creates a cycle:

  • Depression triggers poor sleep. Stress, low energy, and mood changes interfere with healthy rest.

  • Poor sleep intensifies depression. Lack of restorative sleep weakens mood regulation, focus, and resilience.

Breaking this cycle is essential. Without addressing sleep, treating depression can feel like running in place.


Why Sleep Matters for Mental Health

Sleep is when the brain processes emotions, restores energy, and balances neurotransmitters like serotonin and dopamine. Without enough high-quality sleep, the brain struggles to regulate mood effectively.

People with depression often report:

  • Difficulty falling asleep or staying asleep

  • Nighttime awakenings

  • Waking up earlier than desired

  • Feeling unrefreshed despite long hours of sleep

Over time, these patterns increase fatigue, hopelessness, and cognitive difficulties, all of which deepen depressive symptoms.


Traditional Approaches to Sleep and Depression

Doctors often recommend a combination of therapy, medication, and sleep hygiene strategies. Antidepressants may improve mood and help regulate sleep, but they can also disrupt sleep in some cases. Sleep hygiene tips such as limiting caffeine, reducing screen time before bed, and sticking to a consistent bedtime can help, but they are not always enough.

This is where innovative treatments such as TMS therapy become important.


How TMS Works

Transcranial Magnetic Stimulation (TMS) is a non-invasive, FDA-cleared treatment for major depressive disorder. It uses gentle magnetic pulses to stimulate areas of the brain involved in mood regulation, particularly the dorsolateral prefrontal cortex.

Unlike medications, TMS does not circulate through the bloodstream or cause systemic side effects. Instead, it directly activates underactive brain circuits to guide the brain toward healthier functioning.


The Connection Between TMS and Sleep

So how does TMS influence sleep? Studies suggest that TMS does not just improve mood, it also helps regulate sleep patterns in people with depression. Here is how:

  1. Restoring Brain ActivityDepression often suppresses activity in key brain regions. By stimulating these circuits, TMS helps reset brain rhythms, leading to more consistent sleep-wake cycles.

  2. Improving Mood RegulationAs mood improves, sleep quality often follows. Patients frequently report fewer middle-of-the-night awakenings and deeper, more restorative rest during TMS treatment.

  3. Reducing AnxietyAnxiety is a major disruptor of sleep. TMS has been shown to ease anxious symptoms, making it easier to fall asleep and stay asleep.

  4. Long-Term BenefitsUnlike quick fixes such as sleep aids, the improvements from TMS often last well beyond the course of treatment. Patients find that better mood and healthier sleep continue to support each other.


What Patients Say

While everyone responds differently, many patients describe TMS as a turning point for both their depression and their sleep. Comments often include:

  • “I finally wake up feeling rested.”

  • “I no longer lie awake at night.”

  • “I sleep through the night without relying on medication.”

These experiences highlight how deeply connected mood and rest are, and how addressing one can unlock improvements in the other.


Is TMS Right for You?

If you are struggling with depression and ongoing sleep problems, TMS may be a safe and effective option worth considering. It is especially helpful for those who:

  • Have not responded well to antidepressants

  • Experience side effects from medications

  • Prefer a non-invasive, drug-free treatment option

At Goodwin Health Café, we take a personalized approach to every patient. Our team understands that depression looks different for everyone, and we are here to help you find a path toward relief that supports both your mental health and your sleep.


Final Thoughts

Sleep and depression are closely intertwined, and addressing both is essential for lasting recovery. TMS therapy offers a promising way forward, improving mood while restoring healthier sleep patterns. If you have felt stuck in the cycle of poor sleep and depression, know that new solutions are available.


At Goodwin Health Café, our mission is to bring compassionate, evidence-based care to the Spokane community. We invite you to explore whether TMS is the right option for you.


Learn more about TMS and sleep at Goodwin Health Café5625 N Wall St Suite 100, Spokane, WA 99205, USA

 
 
 

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