I sometimes ask other people to write for the blog. Here is one such post.
Understanding Morning Blues: A Saddict’s Perspective
Mornings have always been the hardest part of the day for me. For years, waking up felt like dragging myself out of a dark pit, and some mornings, the effort seemed impossible. I’m Chris M., a member of Depressed Anonymous (DA) since June 2023. My journey into DA began after a three-year severe depressive episode that culminated in a crisis—a decision to end my pain. Thankfully, that decision resulted in my hospitalization under a 51/50 order, where I was diagnosed with complex PTSD (cPTSD), Major Depressive Disorder (MDD), and ADHD.
After 22 weeks of Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP), I found solace in DA, and it’s here that I’ve come to call myself a Saddict—someone who struggles with and seeks to overcome the grip of depression. My interest in why mornings hit so hard led me to explore the biology and psychology of what we often refer to in DA as the “morning blues.”
This blog reflects my own research and lived experience, highlighting the factors that contribute to these morning struggles and offering strategies to cope with them. Continuity in approach has been a lifesaver for me, and I hope the insights shared here resonate with fellow Saddicts.
Why Are Mornings So Difficult?
Mornings are a challenge for many dealing with depression, and there are biological, psychological, and behavioral factors at play. By understanding these elements, we can identify strategies to make the start of the day less daunting. Here’s a breakdown:
- Disrupted Circadian Rhythms
Depression often disrupts the body’s internal clock, leading to an imbalance in sleep-wake cycles. This can result in waking up feeling out of sync with the day ahead, amplifying feelings of lethargy and disorientation. - Hormonal Fluctuations
Cortisol, the body’s stress hormone, peaks in the morning as part of the natural waking process. For those with depression, this spike can feel overwhelming, triggering heightened anxiety or emotional distress. - Sleep Disturbances
Sleep is rarely restful for those of us battling depression. Insomnia, fragmented sleep, or oversleeping all contribute to starting the day in a state of exhaustion, making the simplest tasks seem insurmountable. - Low Energy and Motivation
Fatigue is a hallmark of depression. Combine that with a lack of motivation, and the effort to get out of bed can feel like climbing a mountain. - Negative Thought Patterns
Mornings often bring a flood of ruminative thoughts—anticipatory anxiety about the day ahead or harsh self-criticism. These thought patterns deepen the sense of dread many of us experience upon waking. - Reduced Exposure to Natural Light
Especially during darker months, a lack of sunlight can affect serotonin levels, a key neurotransmitter for mood regulation. This deficit contributes to a deeper sense of gloom in the mornings. - Lack of Morning Routine
Without structure, mornings can feel aimless, reinforcing feelings of inadequacy or low productivity. A chaotic start often sets the tone for the rest of the day.
The Role of Brain Chemistry
As someone with a keen interest in how brain chemistry impacts depression, I found the following factors particularly compelling:
- Cortisol Awakening Response (CAR): For individuals with depression, the natural morning cortisol surge can feel like being hit by an emotional freight train. This exaggerated response compounds feelings of stress and anxiety.
- Serotonin Levels: Serotonin plays a vital role in mood stabilization. Low levels, often linked to depression, are particularly problematic in the morning when the body transitions from sleep to wakefulness.
- Dopamine Dysregulation: Dopamine drives motivation and reward. Reduced dopamine activity can make starting the day feel pointless, further fueling depressive inertia.
- Melatonin Imbalance: High melatonin levels in the morning can lead to grogginess and make it difficult to engage with the day.
- Inflammatory Response: Chronic low-grade inflammation, common in depression, contributes to fatigue and malaise, often more pronounced upon waking.
- Glucose Metabolism Disruption: Poor regulation of blood sugar can cause irritability and low energy, particularly noticeable in the morning.
- Thyroid Hormone Imbalances: Thyroid dysfunctions, such as hypothyroidism, slow metabolism and exacerbate morning fatigue.
Strategies to Alleviate Morning Blues
While mornings are a struggle, there are evidence-based approaches that can help us Saddicts face the day with a bit more ease. These techniques have been instrumental in my own journey:
- Radical Acceptance
Instead of fighting against the difficulty of mornings, practice acknowledging them without judgment. Accepting “what is” can reduce the additional emotional toll of wishing things were different. - Opposite Action
When every fiber of your being wants to stay in bed, challenge yourself to do the opposite. Even small actions, like sitting up or stepping into sunlight, can help disrupt the depressive inertia. - Morning Routine
Creating a structured morning routine can provide a sense of purpose. Include small wins like making your bed, journaling, or sipping a comforting cup of tea. - Exposure to Natural Light
Open your curtains or step outside to soak in natural light. This can help regulate serotonin and improve your mood. - Movement
Gentle physical activity, like stretching or a short walk, can boost endorphins and energize you for the day ahead. - Nutrition
Start the day with a balanced meal to stabilize blood sugar levels and provide energy. Including protein, healthy fats, and whole grains can make a noticeable difference. - Mindfulness and Grounding Exercises
Use techniques like deep breathing, body scans, or grounding exercises to center yourself and reduce morning anxiety.
A Continuity of Approach
Mornings are hard, but the strategies above can make them less so. As Saddicts, we know that continuity is key—whether it’s sticking to a routine, practicing DBT techniques, or simply showing up for ourselves each day. Recovery isn’t about perfection; it’s about persistence. If you’re struggling with morning blues, know that you’re not alone, and there are tools and a community here to support you.
Yours,
Chris M.
Dialectical Behavior Therapy (DBT) is a form of cognitive-behavioral therapy that combines acceptance and change strategies. Originally created for borderline personality disorder, DBT has proven effective for treating depression, anxiety, PTSD, and other conditions involving intense emotions. It focuses on developing skills in four key areas: mindfulness, emotional regulation, distress tolerance, and interpersonal effectiveness, helping individuals build resilience and improve their quality of life.