9 doctors weighed in:

Questions about depression. Can you have depression and be sleepless, or is that a manic symptom?

9 doctors weighed in
Dr. Claude Sassoon
Clinical Psychology
5 doctors agree

In brief: Sad or stimulated ?

Insomnia is a symptom of depression.
People who are depressed can have difficulty falling asleep. However, they will usually wake up early and have difficulty sleeping again. People who have mania do not have difficulty sleeping. They just have a decreased need for sleep. For example, they could feel rested after only three hours of sleep. They are too stimulated to feel the need for much sleep.

In brief: Sad or stimulated ?

Insomnia is a symptom of depression.
People who are depressed can have difficulty falling asleep. However, they will usually wake up early and have difficulty sleeping again. People who have mania do not have difficulty sleeping. They just have a decreased need for sleep. For example, they could feel rested after only three hours of sleep. They are too stimulated to feel the need for much sleep.
Dr. Claude Sassoon
Dr. Claude Sassoon
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Dr. Paul Schwartz
Psychiatry
4 doctors agree

In brief: May be mixed episode

Excellent question.
Major depression is often associated with marked insomnia. However, when major depression is associated with marked sleeplessness and other symptoms of mania (e.g. Racing thoughts, irritability, psychomotor agitation, hostility), then the depression could be part of a mixed manic episode, which requires very different treatment than unipolar depression. See a psychiatrist.

In brief: May be mixed episode

Excellent question.
Major depression is often associated with marked insomnia. However, when major depression is associated with marked sleeplessness and other symptoms of mania (e.g. Racing thoughts, irritability, psychomotor agitation, hostility), then the depression could be part of a mixed manic episode, which requires very different treatment than unipolar depression. See a psychiatrist.
Dr. Paul Schwartz
Dr. Paul Schwartz
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Dr. Andrew Berry
Clinical Psychology

In brief: Both

Yes, people who are depressed and sleepless because of racing thoughts, among other things.
Manic people also suffer from sleep loss, but because of being uncontrollably energized, and not depressed.

In brief: Both

Yes, people who are depressed and sleepless because of racing thoughts, among other things.
Manic people also suffer from sleep loss, but because of being uncontrollably energized, and not depressed.
Dr. Andrew Berry
Dr. Andrew Berry
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