Is depression a big cause of insomnia?

This question was asked in Irvine, California on 02/11/2013.
Is it true that depression can be one of the main factors of insomnia? I have been diagnosed with bipolar disorder and have trouble sleeping, but I don't know what the main cause is.

Doctors Answers (2)

Richard J. Schumann Jr., MD
Answered on: 1/18/2012

Depressed patients complain of insomnia in 90% of cases at some point.  Early morning awakenings are seen in unipolar depression and hyper somnia (over sleepiness) is seen in Bipolar depression most commonly.  50% of sleep studies perfomred on patients with depression show abnormalities including increase sleep onset latency and decreased overall REM sleep and slow wave (deep sleep) and fatigue.

Yes, depression and insomnia often coexist. Often, insomnia precedes the depression and may persist after the depression has been treated. Insomnia is a risk factor for depression.