Can't sleep and insomnia—could it be depression?

Generally speaking, whether insomnia or difficulty sleeping is related to depression requires a comprehensive assessment based on specific circumstances. If there are any concerns, it is recommended to seek medical advice promptly. Below is a detailed analysis:

If insomnia is accompanied by persistent low mood, loss of interest in activities previously enjoyed, unexplained self-blame or low self-esteem, and this condition lasts for more than two weeks, it is highly likely to be associated with depression. Depression often disrupts sleep rhythms, manifesting as difficulty falling asleep, early morning awakening, or light sleep. Insomnia and emotional issues can influence each other, creating a vicious cycle.

If insomnia is caused solely by recent stress, irregular作息 (sleep schedule), or environmental changes, and there are no obvious signs of low mood or reduced interest, and symptoms gradually improve after adjustments, then it is likely unrelated to depression. This type of insomnia is usually temporary and sleep can return to normal once the triggers are removed.

Before bedtime, avoid electronic devices, strenuous exercise, and stimulating conversations, and create a quiet and comfortable sleep environment. Maintain a regular sleep schedule by going to bed and waking up at consistent times, and engage in appropriate outdoor activities during the day to get fresh air. For diet, avoid overeating at dinner and refrain from consuming coffee, strong tea, and other stimulating beverages. If insomnia persists for more than two weeks and is accompanied by emotional disturbances, it is advisable to seek professional help promptly.