There is a natural way to produce rapid relief of depression: wake therapy with sleep phase advance therapy, and with light therapy. The sleep deprivation (wake) may consist of wakefulness for an entire night with return to sleep early the following evening. Or it may involve deprivation of sleep only during the latter half of the night, which studies show is more effective than deprivation during the first half. The deprivation may occur once weekly, thrice weekly, or some other frequency, depending upon both feasibility and clinical urgency. A patient may continue a regular schedule of deprivation or do it in pulses with periods of normal sleep in between. Sleep phase advance therapy may extend the benefits of sleep deprivation, with or without light therapy. After the sleep deprivation, patients may continue to delay bedtime by one hour each succeeding evening and will arise each morning one hour later than the previous morning until normal bedtime. Potentially anyone suffering from depression can benefit from these approaches. Exceptions include those with a mixed bipolar state, meaning a simultaneous combination of depression and hypomania. Sleep deprivation is unlikely to work if you take sedating bedtime medications or antipsychotics on a regular basis. It is best to do under psychiatric supervision. Do not treat yourself if your depression may be part of a bipolar disorder. If it is, the above “chronotherapy” may still help you enormously, but there is a small risk that these techniques will trigger a hypomanic or manic episode or a worsening of your mood swings. Source: http://www.greenpsychiatrist.com/
有一种自然的方式快速缓解抑郁症：唤醒疗法与睡眠时相提前疗法和光疗法。睡眠剥夺（唤醒）可包括一整夜清醒，并在第二天晚上早点恢复睡眠。或者可只在后半夜剥夺睡眠，研究显示比上半夜剥夺更为有效。可每周剥夺睡眠一次，或每周三次等，取决于可行性和临床紧迫性。患者可经常进行有规律性的剥夺，或在正常睡眠周期之间间断进行。睡眠时相提前疗法可延长睡眠剥夺的益处，加或不加光疗。睡眠剥夺后，患者可在每晚比前晚持续推迟睡眠一个小时，且每天早上比前一天早上晚起床一个小时，直到正常的就寝时间。任何患有抑郁症者均可受益于这些方法。例外包括患有混合性躁郁症者，即同时有抑郁与轻躁狂。如果经常服用镇静药物或抗精神病药物，睡眠剥夺不太可能有用。最好在精神病监护下进行。若抑郁症可能是躁郁症的一部分，不要自我治疗。即便如此，上述“时间疗法”可能仍会大大有助于您，但是这些方法有点儿引发轻躁狂或躁狂发作，或情绪波动恶化的风险。来源：http://www.greenpsychiatrist.com/
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