It’s been like 3 weeks now that I’ve woken up at 4am without good reason. Have tried physical activity, melatonin, going to bed earlier… nothing seems to work. Any advice is appreciated.

  • dillydogg
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    1 month ago

    In medicine we are taught that the first line treatment for insomnia is treating the underlying illness—in your case, potentially depression— otherwise, CBT-i (cognitive behavioral therapy - insomnia).

    So my first recommendation is to seek care from your physician for your depression.

    Otherwise, there are well described self taught classes for CBT-i. I have told patients to check out the VA’s website for this: https://mobile.va.gov/app/cbt-i-coach

    It is a lot of the sleep hygeine described in another excellent post hew.