[piano97]

What do people know about, how do you treat it, etc.

[~Christina]

My understanding is having a very strict sleep schedule and sleep hygiene can be of huge help for many. But then again ....it’s the same advice given to anyone with Bipolar.

I absolutely loathe mornings, I’ve hated them all my life but I always worked day jobs because of my career field. I function much better as a night owl. Living in a huge city made nights special just the quietness was a huge blessing on the weekends or rare vacations.

Since moving to the country and it’s quiet 24/7 , but I still love staying up late.

What has your Pdoc said about this?? Are s/he giving you other medical options to try ?? medications or Therapy wise?

I’m sure others will come by with much better advice.. I’m very curious to read it all.

[still_crazy]

Diurnal mood variation in outpatients with major depressive disorder. - PubMed - NCBI Diurnal mood variation in outpatients with major depressive disorder: implications for DSM-V from an analysis of the Sequenced Treatment Alternativ... - PubMed - NCBI [Severe forms of depression: the efficacy of escitalopram]. - PubMed - NCBI

[still_crazy]

looks like Lexapro is highly recommended (I'm thinking the manufacturer funded that...), dual-acting agents....my hazy recollection of the info suggests tricyclics, probably Tofranil or Elavil....

a friend did well on lexapro and wellbutrin, with ambien to help sleep. the lexapro was too apathy-making, the ambien stopped working after 6 months, and the wellbutrin has been replaced by a stimulant plus 'mood stabilizer,' but...

for a while there, it got the job done. when i had severe depression, a psych brought up amoxapine. didn't happen, but...it is supposedly the thing to do for severe and/or psychotic depression. just thought id mention it.

sorry you're suffering. :-(

[Pookyl]

Ive found good sleep hygiene and a waking up routine work ok.
I’m someone who needs all the lights on to wake up and get moving.

[wiretwister]

a strict sleep schedule , a fan to deaden sound and a completely dark room . . . since it is so dark , I can wake early but just take my time getting up . . . works for me . .

[piano97]

It didn't clear up at all in the evening yesterday like it has been, and really struggling today. I had been feeling better some in evenings.
I already have good sleep hygiene habits, that's not the problem.
I think this is just 'depression' and the first time I've had it since off lamictal, and it sucks.
I think maybe I've been a little more 'up' in recent weeks/months than I realized but to me was just feeling good at the time.