Why do i wake up 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

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Top 11 reasons why you wake up tired and exhausted every day

NewsHealth

Photos a little, at least 5-10 minutes. Waking up early in the morning is hard, especially if you went to bed late, ate too much dinner, or were nervous the day before. But a contrast shower, exercise, a delicious breakfast, a walk with the dog can help cheer up and cheer you up. Yes, getting out of a warm bed is not the easiest task, but pleasant morning rituals really help to feel better.

It's another matter when every morning is a real test for you. You wake up already tired, broken, with a heavy head and complete unwillingness to do anything. Neither your favorite coffee with a delicious breakfast, nor conversations with your family can cheer you up. I want to go back to bed and fall asleep sooner, so as not to live today. Such a condition may indicate disorders and even diseases, says psychotherapist Ekaterina Misevich. For example, people often suffer from asthenia without even realizing it.

Psychotherapist, narcologist

“Asthenia is a state of decline in physical and mental strength with minimal exertion. The feeling of being overwhelmed does not go away after sleeping at night or resting during the day. It is characterized by a subjective feeling of a decrease in the level of vital energy by 30–50 percent. Asthenia can be a sign of an imbalance between work and rest, an adaptation disorder, an organic brain lesion, the doctor told Evening Moscow.

The second reason for this condition is depression. This is a serious disease that cannot be dealt with on your own, here you need the help of a psychotherapist. Usually people who suffer from depression wake up without an alarm at 3-5 in the morning and cannot fall asleep. They have a depressed mood, especially in the first half of the day, and morning for them is the worst time of the day. A person also constantly feels guilty about all the troubles, he has no motivation to work and do what he loves.

Another cause of morning fatigue is an anxiety disorder. It most often develops when one stressful situation is immediately followed by another. The brain gives a signal: "it's dangerous around", the autonomic nervous system goes into a mode of increased excitability. Every organ from the top of the head to the tips of the fingers is preparing to activate the person's ability to escape or defend himself. A person cannot relax in any way, he does not sleep well, he may be tormented by nightmares, and in the morning he feels as if he had not slept all night, but was doing hard physical work.

If you begin to notice that every morning you are looking for an excuse to just get out of bed and start doing things, you are constantly in a bad mood, attacks of aggression, or, conversely, complete indifference to everything, then be sure to make an appointment with a psychotherapist. The specialist will determine the cause and, if necessary, sign you up for therapy.

Pathologies that have nothing to do with your mental health may be to blame for the fact that you wake up hard and feel tired. So, for example, you can develop iron deficiency anemia. In this case, severe weakness will be constantly present, dizziness and shortness of breath may appear.

Another option is apnea . Thinking about this problem is for people who constantly snore. It can also be:

  • problems with the thyroid gland;

  • celiac disease;

  • chronic fatigue syndrome;

  • diabetes mellitus;

  • restless leg syndrome;

  • infectious mononucleosis.

How these diseases develop and what other symptoms can indicate them, you can read HERE.

Sofya Khromova


Tags

  • Neurology

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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 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. Here should work not just a psychologist, but a good practitioner who can see the condition that is masked by depression.

The second option is

, 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.

In addition, 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-deficient conditions, despite even 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 opens 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.


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