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Why is Sleep Stabilization Important in Accurate Mental Health Assessment

  • Writer: Anissa Bell, LMFT
    Anissa Bell, LMFT
  • Mar 31
  • 4 min read

Updated: 1 day ago

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Sleep is considered the bedrock of mental and physical health, yet it might be neglected when diagnosing mental health issues.Symptoms of insomnia or poor sleep often mimic symptoms of anxiety, depression, and other mental disorders which could result in missing or wrong diagnoses. Sleep stabilization does not only mean feeling rested – it is critical in unearthing the real causes of sleep problems and the underlying mental health disorders.


Let’s see the importance of stabilizing sleep, how it affects evaluation of mental health, and why addressing underlying causes of sleep disturbances is important for well being in the long term.


The Circle of Insomnia and Mental Health

Both mental health and sleep are interdependent. Sleep deprivation can worsen mental health symptoms and poor mental health, in turn, makes sleep challenging. This forms an unending loop which is difficult to break.


In Which Way Does Insomnia Impact a Mental Health Diagnosis?

  1. Blurred lines: Chronic sleep deprivation can lead to symptoms like chronic irritability, lack of focus, and inability to control one’s emotions - also possible indicators of anxiety and depression. All of these symptoms, while clearly linked to chronic insomnia, also highlight the difficulty in distinguishing between sleep issues and mental health problems

  2. Emotional Reactivity: A lack of sleep hinders the brain's capacity to manage emotions, which makes pre-existing mental health conditions feel even worse.

  3. Cognitive Impairment: Difficulty in remembering things, making simple decisions, or concentrating due to lack of sleep can make diagnosing someone with ADHD or depression more challenging.


Let’s Dig Deeper Into the Sources of Sleep Problems

Insomnia is often treated through intervention methods such as sleep medication which may not properly target the underlying causes. Medications are useful in the short term, but addressing the underlying reason for sleep disruption goes a long way in stabilizing insomnia long-term.


Mental Health Causes of Insomnia

1. Anxiety Disorders

Racing thoughts combined with physical symptoms of anxiety can lead to a sleepless night. Anxiety usually is related to the difficulties of falling asleep initially once a person goes into bed. It can also show up if you wake up too early and your brain starts "working", making it impossible to go back to sleep!


2. Depression

Insomnia and hypersomnia (excessive sleep) can occur as a result of depression, which then disrupts the body’s natural sleep-wake cycles. Chronic early morning wakeups and the accompanying difficulty to go back to sleep post early waking is strongly associated with depression.


3. Stress and Burnout

Chronic stress keeps the body in a state of "fight or flight" hyper-alertness and makes it hard to relax and sleep. Stress triggers the release of cortisol which is useful in helping you tackle the stressor. Unfortunately, these hormones make it extremely difficult to calm down your nervous system before it's time for bed - leading to potential insomnia.


4.Trauma and PTSD

Trauma and PTSD can make sleep feel unsafe, leading to nightmares, hypervigilance, and frequent awakenings due to an overactive stress response. This cycle of poor sleep and heightened anxiety can worsen PTSD symptoms, creating a vicious loop that’s difficult to break without proper treatment.



Medical Causes of Sleep

Medical disorders or conditions not properly diagnosed contribute to the sleep disorders which accompany mental health issues.


• Sleep Apnea

Obstructive sleep apnea (OSA) is a condition where a patient’s breathing stops and starts irregularly while they are asleep, leading to insufficient quality of sleep and extreme tiredness during the waking hours. If not treated, this condition can increase anxiety and worsen depression.


• Restless Leg Syndrome (RLS)

This condition is characterized by an overwhelming urge to move the legs in order to relieve uncomfortable sensations. The sensation is more pronounced during night time and leads to insomnia.


• Chronic Pain

Certain diseases such as fibromyalgia, arthritis or chronic migraine make it difficult to find favorable positions for sleep leading to less quality sleep.


• Digestive Issues

Some forms of acid reflux or irritable bowel syndrome (IBS) can become more severe through the night leading to disrupted sleep and poor quality overall rest.


• Fluctuations in Hormones

Problems like PCOS, menopause, or thyroid problems can most certainly affect sleep patterns and cause discomfort.


Talk to your medical professional to rule out any medical causes of insomnia and sleep disruption.


How to stabilize sleep and deal with root causes

1. Comprehensive Sleep Assessment

Collaborate with specialists in sleep medicine to eliminate the possibility of medical problems like apnea, restless leg syndrome, and other causes of inadequate sleep.


2. CBT-I (Cognitive Behavioral Therapy for Insomnia)

This type of therapy is widely accepted as the gold standard for treating chronic insomnia in adults, and seeks to treat the underlying negative feelings, thoughts and stimulates behaviors that impede effective sleep. Read more HERE on how CBT-I can improve your sleep.


3. Changes in Living Habits

  • Sleep Hygiene: Follow the same times for going to bed and waking up, minimize caffeine consumption and screen time prior to sleeping, and optimize your surroundings to be conducive to sleep.

  • Stress Management: Add relaxing practices such as mindfulness, slow deep breathing, or yoga exercises as part of your daily activities.


4. Medical Conditions

Talk to your medical provider for options to treat conditions such as chronic pain, apnea, restless leg syndrome, digestive issues and hormonal imbalance - paving the way for healthier sleep.


Summary

Proper sleep management includes addressing and correcting a diagnosis of mental health illness; therefore the management of these conditions is not to be taken lightly. Supporting insomnia management through appropriate care and therapy can empower individuals to change their experience of poor sleep and mental health outcomes.


If you have chronic insomnia, don't rely on quick fixes. It's best to work with a practitioner who will take the time to really examine your sleep and mental health so you can improve them.


For more tips and professional support, visit www.sandiego-therapy.com.



DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.


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Anissa Bell, LMFT

(858) 400-4646

Offering online therapy services throughout California

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