Waking up in the morning: the most difficult time for the person with depression

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The anatomy of depression is different, unique and unique in each person. However, in the midst of these terrible labyrinths deprived of darkness there is an element common to all people: the symptoms of this disease are devastating in the morning, when the day begins and the person feels powerless , without will , without breath …

Patients who suffer from this disorder in all its varieties (major depression, dysthymic disorder, associated with mourning …) also have a common idea. They would like to have another type of illness whose symptoms were more visible, physical. In that way, suffering would be more obvious and could count on more understanding of other people.

“The greater the wound, the more private the pain.” 
 – Isabel Allende –

Let’s say, for example, that someone says something as categorical as, “I am unable to get up in the morning . ” This gives the psychologist or doctor a clear clue as to what may be happening to that person. However, in the eyes of co-workers, friends or even family, something like this can be construed as carelessness, laziness or even an excuse not to take on their personal and work responsibilities.

It’s not easy. Depression is similar to the impact of an internal cyclone : it devastates and changes everything. Most of our body processes slow down, metabolism changes, perception of our reality changes and that neurochemistry causes what is known as “daytime mood variation.”

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Good morning, depression, once again by my side

Andréa is 46 years old and is currently suffering from a relapse of her depression. Two years ago she succeeded in overcoming it with medication and  psychotherapy . She was able to identify the return of this uncomfortable shadow in her life by a very concrete fact: it became increasingly difficult to get up in the morning. Each day she felt more apathetic, discouraged, and with many negative thoughts. She had no more doubts: depression had returned.

This familiar enemy often intensifies his symptoms in the early hours of the morning by a series of very specific processes and dimensions. Are the following:

  • The daytime variation of mood is characterized by a charged awakening of negative feelings, dejection, and a lot of physical fatigue, which usually improve a little during the day.
  • According to several studies, most people with depression have their circadian rhythms altered. Hormones such as melatonin and cortisol are released in a very small amount, or at undue moments. This causes, for example, the person with depression to suffer from insomnia or even experience some daytime drowsiness.
  • In turn, this change in the circadian rhythms of the depressed person may make her feel colder in the morning, experience a very low or nonexistent energy level, or even be unable to react to certain stimuli because of his apathy.

We can add yet another debilitating factor, which is the feeling of not having the strength to face the day that is just beginning. This helplessness and the certainty of not being able to handle their responsibilities further increases the feeling that we are losing control of our lives.

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How to face the most difficult moment of the day

We return again with our protagonist, Andrea, a woman who has to face a new episode of depression that she had not planned and did not expect to try again. Although depression is an old acquaintance in your life, do not hesitate to return to your specialist, so that he prescribes the most appropriate medicine for your case.

“We all ignore our true stature until we have to stand.” 
 – Emily Dickinson –

Something that should be clear is that people who experience more intense symptoms in the early hours of the day need a type of treatment that helps them regulate certain neurotransmitters that alter their circadian rhythms. In addition to drug treatment, Andrea has created a series of routines in his life that will allow him to cope better with his illness.

get out of bed in the morning

Guidelines for Facing the Morning Symptoms of Depression

It is worth remembering that both interpersonal therapy and cognitive-behavioral therapy can be very useful for treating these types of disorders , which none of us are immune to.

Our protagonist decides, firstly, to go to her doctor to make an analysis of what is happening. We know that concrete facts such as a thyroid function problem, low levels of vitamin B12 or even a liver problem can cause or increase this drop in mood and energy in the morning.

  • Then she establishes a daily routine that begins with a series of morning stretches. Before getting up and in your own room, take 10 minutes of gentle yoga exercises.
  • Then she takes a shower and gets dressed.
  • What comes next is as simple as therapeutic: Andrea has someone call every morning on the phone to give her courage, strength and energy. In your case, it’s your mother. However, each of us can count on a friend who always supports us, with a brother or a person of reference able to help us, to motivate us.
  • Andrea has breakfast in a calm and unhurried manner. She is almost never hungry, but she is forced to do so because she knows that the brain needs this morning energy to function better.

Last but not least, it sets a time for meditation : only 15 or 20 minutes are enough. It is an important time to connect with yourself, where you can manage negative thoughts and emotions a little better. Thus, our protagonist gets a little more calm, serenity and motivation to face little by little the challenges of his day.

We believe that these simple tips may also be helpful to you.

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