The most effective treatment for depression for most people is often a combination of psychotherapy (counseling or talk therapy) and medication.
Medication tends to work more quickly to decrease symptoms while psychotherapy helps people learn coping strategies to prevent the onset of future depressive symptoms.
Improving depression may itself improve insomnia, although certain antidepressants can promote wakefulness (i.e., secondary tricyclics and some serotonin and norepinephrine reuptake inhibitors).
We frequently find insomnia in patients diagnosed with clinical depression; in fact, sleep disturbance is one of the core symptoms of clinical depression.Excessive sleepiness can be a symptom of depression, but most patients with depression have insomnia.Depression is often associated with disturbances in vegetative functions—the things the body does to keep itself alive, such as eating and sleeping. Food and Drug Administration has not approved most antidepressants for insomnia (other than low-dose doxepin) and their use is not recommended by National Institutes of Health guidelines.Antidepressants’ efficacy in treating insomnia depends on the individual patient and the specific drug itself.