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How Do Sleep Patterns Differ Between ADHD and Depression? 

Posted
Updated
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Sleep patterns in ADHD vs depression can vary significantly, often leading to confusion in distinguishing between the two conditions. While both may involve disrupted sleep, the nature and impact of these disruptions differ. Understanding these differences is key to better diagnosing and managing each disorder. 

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Exploring Sleep Patterns in ADHD vs Depression 

In ADHD, sleep disturbances are often marked by restlessness and difficulty settling down. Individuals may find it hard to wind down before bed, which can result in insomnia or difficulty falling asleep. Even after falling asleep, people with ADHD may experience frequent awakenings during the night or have trouble staying asleep until morning. 

On the other hand, depression often causes sleep disruptions such as waking up very early in the morning or oversleeping during the day (hypersomnia). While insomnia is common in depression, it is usually accompanied by a sense of fatigue, making it hard to feel rested, even after a full night’s sleep. 

Common Symptoms of Sleep Disturbances in ADHD and Depression 

To better understand the sleep disturbances in both conditions, let’s break down the symptoms you might experience: 

  • Restlessness in ADHD: This includes difficulty sitting still or calming the mind, especially at night. People with ADHD may struggle to unwind before sleep, making bedtime feel restless. Medication and CBT (Cognitive Behavioural Therapy) can help address this behaviour. 
  • Fatigue in Depression: Waking up feeling drained despite sleeping for hours. This is a sign of the excessive tiredness associated with depression, often compounded by emotional exhaustion. Treatment with antidepressants and regular exercise may help alleviate this. 

Understanding the unique sleep patterns in ADHD vs depression can help guide appropriate treatment and improve overall well-being. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Differential Diagnosis of ADHD.

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Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy. 

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