An article in The Conversation asks the question, which comes first: sleep deprivation or depression and anxiety?
The majority of evidence suggests the relationship between sleep problems and anxiety and depression is strong and goes both ways.
This means sleep problems can lead to anxiety and depression, and vice versa. For example, worrying and feeling tense during bedtime can make it difficult to fall asleep, but having trouble falling asleep, and in turn not getting enough sleep, can also result in more anxiety.
Sleep disturbance, particularly insomnia, has been shown to follow anxiety and precede depression in some people, but it is also a common symptom of both disorders.
Trying to tease apart which problem comes first, in whom, and under what circumstances, is difficult. It may depend on when in life the problems occur. Emerging evidence shows sleep problems in adolescence might predict depression (and not the other way around). However, this pattern is not as strong in adults.
Get the whole story at www.theconversation.com
My problem is,if I’m playing golf I’m awake all night night before otherwise sleep ok ,tried cbt,hypnotherapy,bwrt & act ,as yet nothing works can you advise please
The findings this article discusses are spot on correct.
Most of the patients I have seen with similar symptoms also have a mandible that is distally displaced.
This pinches nerves in the joint disturbing the nervous system and increasing the risk of anxiety, followed by depression.
The distally displaced mandible forces the tongue back into the throat limiting the airway. Now we also have a sleep problem.
No wonder this person has symptoms.
A CPAP will open the airway to reduce the problems, but will not relieve the pinched nerves. In fact the strap holding the mask tight might force the mandible even further back increasing the pinched nerve problem. This can make the symptoms worse, not better.
An oral appliance to treat sleep supports the mandible more forward relieving both the pinched nerves and the reduced airway.
If a sleep study shows apneas are still present even with the oral appliance, then CPAP can be used in addition to the oral appliance.
I have had excellent, dependable results using this treatment modality with patients having these symptoms.