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 Published online: February 02, 2018
 
A treatment that provides rapid relief to patients with major depressive disorder and bipolar depression flies under the radar.
 
While it has been known for decades that patients with clinical depression often report feeling better after staying up all night, psychiatrists do not routinely prescribe sleep deprivation as a treatment. In recent years, however, European psychiatrists have begun to explore an approach that manipulates the sleep-wake cycle, known as chronotherapy, as a possible treatment for mood disorders.
 
In the United States chronotherapy is used to treat some types of sleep disorders, but few facilities offer this treatment for mood disorders, including seasonal affective disorders. Chicago Psychiatry Associates (CPA) is one of these clinics, where a regimen called triple chronotherapy is used. The therapy consists of three components: wake therapy, bright light treatment, and sleep phase advancement.
 
A striking feature of chronotherapy is the rapid relief of mood symptoms. “We see patients feel better within 12 to 36 hours after the treatment,” John Gottlieb, M.D., the medical director of CPA, told Psychiatric News. He is also a clinical assistant professor of psychiatry at the Feinberg School of Medicine at Northwestern University.
 
Read in Full:
https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2018.pp1b2


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