
Sleep Deprivation As A Treatment For Depression
Recent studies have begun to confirm earlier case reports that some
individuals with severe depression are transiently helped by remaining
awake all night. A few individuals have been treated with this
approach alone and are able to maintain a recovery from depression by
continued judicious use of sleep deprivation. Others gain
temporary relief from sleep deprivation alone but require
antidepressant medications to maintain their gains. However, some
do not benefit at all.
The mechanism by which sleep deprivation alleviates depression is
unclear. Some researchers think that most depressed people have a
phase shift in their basic circadian or 24-hour rhythms and that sleep
deprivation helps correct this abnormality.
At this time, sleep deprivation is an experimental treatment
and should not be used to the exclusion of other treatments that have
been proven to be effective. Patients should not treat themselves
with this experimental approach, and only clinicians who are experienced in the use and effects of sleep deprivation should offer this treatment.