Why do i feel depressed in the morning

SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

  • Suggested Resources

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    It's Not Your Fault (NACoA) (PDF | 12 KB)
    Assures teens with parents who abuse alcohol or drugs that, "It's not your fault!" and that they are not alone. Encourages teens to seek emotional support from other adults, school counselors, and youth support groups such as Alateen, and provides a resource list.

    After an Attempt: A Guide for Taking Care of Your Family Member After Treatment in the Emergency Department
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    For additional resources, please visit the SAMHSA Store.

Last Updated: 08/30/2022

SAMHSA Behavioral Health Treatment Services Locator


Welcome to the Behavioral Health Treatment Services Locator, a confidential and anonymous source of information for persons seeking treatment facilities in the United States or U.S. Territories for substance use/addiction and/or mental health problems.

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The Locator is authorized by the 21st Century Cures Act (Public Law 114-255, Section 9006; 42 U.S.C. 290bb-36d). SAMHSA endeavors to keep the Locator current. All information in the Locator is updated annually from facility responses to SAMHSA’s National Substance Use and Mental Health Services Survey (N-SUMHSS). New facilities that have completed an abbreviated survey and met all the qualifications are added monthly. Updates to facility names, addresses, telephone numbers, and services are made weekly for facilities informing SAMHSA of changes. Facilities may request additions or changes to their information by sending an e-mail to [email protected], by calling the BHSIS Project Office at 1-833-888-1553 (Mon-Fri 8-6 ET), or by electronic form submission using the Locator online application form (intended for additions of new facilities).

Chronic fatigue syndrome: signs and treatment

Spleen, apathy, depression - that's what many people call it.
Asthenic syndrome - doctors call it.

What is it? There is such a simple life hack: if symptoms of weakness and lethargy appear right in the morning, then you need to ask yourself when do you feel better in the morning or in the evening? If in the morning, then everything is ok. If in the evening? For example, you went to bed on time, and it’s very difficult to get up in the morning, you have to persuade yourself for a long, long time, while there may be sleep disturbances, you get up as if you didn’t rest, you feel overwhelmed in the morning and this lasts for a long time, then, of course, you need to suspect depression . And here the help of a specialist may be required, very often this condition is a mask of some kind of chronic disease. 9 should work here0010 is not just a psychologist, but a good practitioner who can see the condition that is masked by depression.

The second option

when the condition is not bad in the morning, but it worsens in the evening. I worked quite a bit and was exhausted, I have no more strength, I want to sleep again, and there is still a long day ahead. In such a situation, we must think about organic conditions, most often hormonal. There may, of course, be conditions such as anemia and dysfunction of the gastrointestinal tract, but more often endocrinology. A hormonal examination will allow you to dot the “and” and make adjustments. The third variant should include moments of depression and asthenia that occur after past illnesses. When the body struggled with something, it used up resources and is now exhausted. The end of winter-spring is a period when we often get sick, and the energy reserves in the body are replenished slowly, also because the products that we can find this season are depleted in vitamins and microelements that are necessary for energy processes.

If an asthenic condition has already arisen, then, of course, one change in the diet will not achieve the desired effect. You definitely need vitamin supplements.

Consultation with specialist is required for selection.

Vitamins themselves are not a source of energy, but they activate numerous metabolic processes. Thanks to vitamins, food is properly digested and gives us strength. The metabolism works exactly the way it is supposed to work. The activity of hormonal glands, the cardiovascular, nervous system is regulated, they are involved in hematopoiesis. Vitamins are involved in all body processes, so the deficiency of each affects the deterioration of well-being.

So, vitamins and microelements - activators of energy processes: C, B1, H (biotin), folic acid, vitamin D, Copper, Chromium, Potassium, Magnesium, Iron, Iodine.

Let's see why and what vitamins we need. Why is it necessary in the spring, even if we eat right and include a lot of green and fresh foods in the diet. First of all, of course, vitamin C . He is responsible for immunity, for vitality, for a good mood. Increases the body's resistance to disease. Participates in the exchange of norepinephrine - this is the hormone of courage, thanks to which we kind of internally gather, mobilize, begin to think more clearly, make decisions faster and be effective. Effectively deal with stress.

The second most important vitamin in this respect is vitamin B1 . It helps the regeneration of the nervous system, which affects the emotional state. Participates in the Kreps cycle, this is the main energy station in the body, so it is essential.

Vitamin B7 (Biotin, Vitamin H, Coenzyme R) controls the absorption of nutrients and their conversion into energy. Eliminates the feeling of eternal fatigue even with prolonged exertion, relieves sleep problems and, along with thiamine, determines the human ability to concentrate and mental work.

B9 (folic acid), like vitamin C, promotes the production of norepinephrine, protects against stress, awakens optimism and gives us energy. Including sexy!

Vitamin D orchestrates blood flow. How well he copes with his task depends on whether the cells are fully supplied with oxygen and cleared of decay products in a timely manner, as well as how quickly we can restore our strength after rest.

No less than vitamins, we need minerals:

Copper , the presence of which in the body directly affects metabolism, is involved in the formation of norepinephrine and serotonin.

Iron together with vitamin D is responsible for delivering oxygen to cells.

Selenium strengthens the nervous system and performs many other functions.

Potassium , the lack of which results in muscle weakness and heart rhythm disturbances. In order to avoid potassium deficiency, first of all, it is worth giving up fast food, which contains monosodium glutamate and salts, which are potassium antagonists.

Iodine saves us from chronic fatigue, shattered immunity and mental decline.

Chromium affects the functioning of the brain and the activity of the nervous system.

Magnesium is the “main power engineer” of cells, participates in more than 300 biochemical reactions and metabolic processes, and at the same time provides us with healthy sleep. Its deficiency is expressed in a feeling of permanent fatigue, lethargy and dizziness.

Additionally, we want to say that iron and iodine deficiency also causes a state of apathy and lethargy. Their prescription is recommended by doctors because there are certain restrictions.

If you take vitamins, eat well and properly, but nevertheless you are still covered in spring. There is an even more advanced level, we can test the genetics of vitamin metabolism . This is a simple and quick test, it is cheaper than constantly testing vitamin levels. In genetics and metabolism of vitamins, there can be persistent vitamin-deficiency states, even despite taking medications. There may be features associated with the exchange of vitamins, genetic features in which a person needs higher adjustments than others. Vitamins are coenzymes of many metabolic processes. They are involved in the synthesis of substances-accelerators of metabolic processes. Without them, they are not produced; without them, genomic material cannot be read. We have certain genes that encode all metabolic processes, the synthesis of regulatory proteins, enzymes that ensure the regulation of all metabolic processes. Information from genes may or may not be read due to the fact that there is a deficiency of certain vitamins in the body at the moment. Activation and synthesis of hormones may not occur due to the lack of certain vitamins, there is no reading of genomic material that encode information about the activity of hormones, for example. Therefore, vitamin deficiency is the first thing to be eliminated. This study lifts the veil of chronic conditions: persistent anemia, persistent chronic fatigue syndromes, digestive disorders. Gives simple answers to what needs to be monitored, and correct only what is a stumbling block for each individual person. We would like our readers and patients to know that on a highly scientific level we can give a simple understanding of the processes, a simple answer to this question.

We invite you to consult one of our doctors and choose the best way to take care of your health!

I slept well, but I still feel tired. Why?

It happens to each of us: you sleep well, but in the morning you feel overwhelmed. The reasons can be very different - from sleep inertia, which we have already talked about, to iron deficiency and much more serious problems. We will tell you why we sometimes experience fatigue, even if we have had enough sleep.

If you feel more tired in the morning than last night, you may have disrupted your circadian rhythms. By waking up at the same time every day, we train our body to wake up immediately after waking up, explains American neuroscientist and sleep expert Christopher Winter. If we sleep longer than usual, then we break this habit.

“The body sleeps in cycles,” Winter says. - In a normal rhythm, you get up, do exercises, come to work by eight and go to bed after the evening show. But during the weekend, when you hang out with friends on a Friday and then sleep until noon, your brain suddenly doesn't understand what's going on. The brain first sees the light at noon and thinks that the sun has just risen, and your lunch is breakfast ... "

Another cause of drowsiness is sleep inertia. You can end up in this state if you wake up in the wrong phase. Clinical psychologist Sara Nowakowski says that we typically go through five 90-minute sleep cycles a night, each with four phases. If we disrupt our circadian rhythms, we may wake up not at the end of one of the cycles, but in the middle of one of them. Because of this, you can feel not fully awake and disoriented.

However, there are other reasons why you may be overwhelmed after sleeping through the night. Some of them are harmless, while others can be a signal that it is time for you to see a doctor.

1. You don't move enough

Many people associate physical activity with exhaustion, but this is not always true. Working out in the gym won't necessarily drain all of your energy, but on the contrary, it can improve the quality of your sleep. If you do light exercises at least several times a week, you will have more strength. Regular exercise helps our body and brain work better and reduces sleepiness.

2. You are not drinking enough

Lack of water can lead to dizziness and extreme fatigue. Due to dehydration, the volume of blood in the body decreases, the heart works less efficiently, and we feel exhausted.

3. You are depressed

One of the main signs of depression is fatigue. Due to this mental disorder, fatigue may not leave you, no matter how well you sleep. Often people do not even notice that they are depressed until they realize how sleepy they are constantly experiencing. Pay attention to your feelings and if you think that depression can be the cause of fatigue, contact a psychotherapist.

4. Drinking before bed

A glass of wine before bed can help you relax and fall asleep. However, as Allen Toufay, M.D., points out, “Ultimately, this is how you sabotage the maintenance of [healthy] sleep.” First, alcohol depresses the central nervous system, creating a sedative effect, and then, when the body absorbs alcohol, there is a sharp release of adrenaline. Therefore, after drinking, we can wake up in the middle of the night. Toufai recommends drinking alcohol no later than three to four hours before bedtime.

5. You drink too much coffee

The last cup of coffee is best drunk six hours before bedtime. Coffee blocks adenosine, the substance responsible for fatigue, so we have a harder time falling asleep. In addition, some studies show that caffeine disrupts circadian rhythms.

6. You use your phone before bed

You've probably heard this advice before, but it won't hurt to repeat it. Don't take your phone to bed! The blue light of gadget screens interferes with the production of melatonin, the “sleep hormone”. You may not notice this effect, but your sleep will be less deep as a result.

7. You didn't have breakfast

When we fall asleep, the body continues to use the nutrients from dinner to keep the circulation and oxygen moving in the blood. After waking up, the body needs new fuel to continue its work.

8. You lack nutrients

Maybe you lack iron - its lack leads to fatigue. Or perhaps you need more vitamin B, which is involved in converting food into energy. You may also be deficient in magnesium, which maintains normal glucose levels.

9. You have anxiety

Stress and anxiety also lead to drowsiness. They can make it harder for you to fall asleep and wake up more often, depriving yourself of deep sleep.

10. You have more serious health problems

Fatigue can sometimes be a sign of a serious illness, such as diabetes, thyroid disease, or anemia. Anemia can be caused by iron deficiency, blood loss, or something more dangerous like kidney failure or even cancer. If you feel exhausted for more than a week, see your doctor.

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