this post was submitted on 10 Oct 2024
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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.

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[–] [email protected] 5 points 2 months 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.