Sleep problems and depression can be a vicious cycle, especially during pregnancy − here’s why it’s important to get help

Imagine you got a rough night of sleep. Perhaps you went to bed too late, needed to wake up early or still felt tired when you woke up from what should have been a full night’s sleep.

For the rest of the day, you feel groggy and unfocused. Things that are usually fun or exciting don’t give you the same level of pleasure. You don’t have energy to exercise, so you avoid it. You don’t feel motivated to see friends, so you cancel plans with them. You focus on your rough day as you try to fall asleep that night and start to have anxiety about the next day. Instead of getting the restful night of sleep you need, you have another night of poor sleep. You become caught in a vicious cycle of poor sleep and depressed mood.

Sleep and mental health problems often go hand in hand. Sleep problems are a core symptom of depression. In addition, there is strong evidence that sleep problems contribute to many mental health disorders, including schizophrenia and post-traumatic stress disorder, or PTSD.

Yet our mental health also affects how well we sleep. Issues such as distressing thoughts and trouble relaxing can make it difficult for people to fall asleep or stay asleep, exacerbating sleep problems.

These issues are particularly pronounced during pregnancy, when the circular effects of inadequate sleep and mental health challenges can have harmful effects for mothers and their offspring.

We are a developmental psychologist and a doctoral student in psychology who study sleep and mental health from pregnancy through adulthood. As researchers in this field, we see the impacts of sleep and mental health problems firsthand.

Sleep and mental health problems are so entangled that it is unsurprising that they can each make the other worse. But it does make treating them more challenging.

Researchers and medical professionals know that sleep is essential for the body and brain to function properly.

Sleep is important for establishing circadian rhythms, which optimize alertness during the day and rest at night. When sunlight fades in the evening, the brain produces more of the hormone melatonin, and your core body temperature drops to promote sleep. When the brain detects sunlight, it