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Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 157 (from laksa023)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa157.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.verywellmind.com/maybe-its-not-depression-2330495\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.verywellmind.com/maybe-its-not-depression-2330495\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.verywellmind.com\/maybe-its-not-depression-2330495","crawl_time":1776092304,"first_indexed_time":1517940806,"http_code":200,"src_unparsed":"com,verywellmind!www,\/maybe-its-not-depression-2330495 s443","src_root_hash":"10064058272378209957","history_drop_reason":null,"meta_title":"13 Possible Reasons Why You're Tired All the Time","meta_descriptions":["If you’re low on energy and just want to sleep all the time, learn the physical and psychological factors that may be contributing to your symptoms."],"attrs_boilerpipe_text":"Key Takeaways\nFeeling tired all the time can be caused by a lack of sleep, stress, iron-deficiency anemia, an underactive thyroid, depression, and more.\nTo boost your energy, exercise regularly, establish a consistent bedtime routine, and avoid caffeine, alcohol, and other stimulants before bed.\nIf your energy levels don't improve, you should consult a healthcare provider to rule out underlying health issues.\nDepression is a\ncommon cause of fatigue\n, so you might be wondering whether your fatigue is a result of depression. But just because you're tired all the time doesn't necessarily mean that you're depressed.\nThe fact is there are many underlying conditions that could be responsible for\nfeeling tired all the time\n. From\nmood disorders\nto issues affecting your physical health like\nchronic fatigue syndrome\n, the following psychiatric and medical conditions are some of the most common ailments associated with fatigue.\nBut first, it's important to note that many of these conditions share symptoms similar to depression, so we'll start there. By understanding the distinctions between depression and other factors that cause fatigue, you can seek out the right treatment and start to feel like your energetic self again.\nVerywell \/ Nusha Ashjaee\nPsychiatric Factors\nDepression\nDepression, which research suggests is associated with an imbalance of\nneurotransmitters\nin the brain, is commonly linked with fatigue.\nThe condition is also associated with\ndisturbed sleep\n, which can also significantly contribute to\ntiredness\n. While some people may have difficulty falling asleep or staying asleep, others may oversleep. Both of these sleep disturbances can leave you feeling apathetic and sluggish.\nOther\nsymptoms\nassociated with depression include:\nAppetite and\/or weight changes\nDifficulty thinking, concentrating, or making decisions\nFatigue or loss of energy\nFeelings of guilt or worthlessness\nLack of interest in activities normally enjoyed\nPersistent sad, anxious, or “empty” mood\nThoughts of death or suicide\nIf you think you may be experiencing depression, talk to your doctor. They can refer you to a\ntherapist\nwho can help you manage your emotions or another mental health professional such as a\npsychiatrist\nwho may also recommend\nantidepressants\n. Don't let depression go untreated.\nAnxiety\nAnxiety and anxiety disorders are often associated with fatigue as well as sleep disturbances.\nSleep deprivation\nmay also contribute to feelings of anxiety, which perpetuates a cycle of both anxiety and sleeplessness. This, of course, can make it difficult to manage both conditions.\nThe following are common anxiety disorders that may be associated with sleep disruptions and fatigue:\nGeneralized anxiety disorder (GAD)\n:\nFatigue is a\ncommon symptom of GAD, which is characterized by excessive worry about a number of events and activities accompanied by a variety of physical and emotional symptoms.\nSocial anxiety disorder (SAD)\n:\nPeople with SAD have excessive fear about certain social situations that might expose them to possible scrutiny.\nObsessive-compulsive disorder (OCD)\n: A person's internal obsessions and compulsive behaviors can be draining and impact sleep. OCD and depression are often comorbid conditions.\nPost-traumatic stress disorder (PTSD)\n:\nFlashbacks and nightmares are commonly associated with PTSD,\nwhich can develop following a traumatic event and lead to debilitating levels of anxiety. The increased arousal and anxiety as well as the sleep disturbances that are part of PTSD can leave one feeling depleted and tired.\nPanic disorder\n: The excessive worry associated with panic disorder can cause insomnia and fatigue. Those with panic disorders may also experience\nnocturnal panic attacks\n.\nSpecific phobias\n:\nThose with specific phobias have an intense, usually irrational fear associated with a particular trigger.\nStress\nStress can lead to sleepless nights. Stress can also wear you down and cause you to feel fatigued. We've all experienced the repercussions of stress at one time or another. If left unmanaged, stress can also wreak havoc on your mood. Stress can be a trigger for depression and anxiety disorders.\nLike anxiety, stress can contribute to poor sleep and poor sleep can\ncreate stress\n. For instance, you know that you need to get a good night's sleep so that you have energy the next day, but you might have trouble falling asleep because you are worried that you aren't going to get enough sleep.\nFortunately, there are many ways to combat stress that don't require sleep aids or medications. mind-body techniques such as\nyoga nidra\n, or \"yogic sleep,\" and\nmeditation\ncan help you manage stress and sleep better so you can wake up feeling refreshed with more energy.\nBipolar Disorder\nBipolar disorder\nis characterized by extreme shifts in mood, energy, and activity. Insomnia, nightmares, and erratic sleep-wake cycles are common among people with bipolar disorder, contributing to fatigue and general tiredness.\nIf you have bipolar disorder and are experiencing sleep disturbances, talk to your doctor about appropriate treatment for your disorder.\nAttention-Deficit\/Hyperactivity Disorder\nAttention-deficit\/hyperactivity disorder (ADHD)\n is a common psychiatric condition among both children and adults and is commonly associated with a variety of sleep disturbances that can contribute to daytime sleepiness. Many of the medications used to treat ADHD can also impact sleep.\nSleep patterns and habits are usually assessed when treating ADHD. In fact, research has shown that interventions to improve sleep hygiene can help reduce the severity of ADHD symptoms and increase the person's overall quality of life.\nPhysical Health Factors\nOften, physical health issues such as thyroid problems and chronic fatigue syndrome can result in fatigue symptoms resembling depression.\nIt's also possible that fibromyalgia, sleep apnea, or an autoimmune disorder such as rheumatoid arthritis or lupus could cause you to feel tired all the time.\nHere are some physical factors that could be draining your energy and what you can do about it.\nUnderactive Thyroid\nIf you have an underactive thyroid (hypothyroidism) simple activities can leave you feeling wiped out. Your thyroid is a small gland in the front of your neck that produces hormones that regulate your metabolism. When it's not producing enough of these hormones, your metabolism slows down. This can lead to fatigue, weight gain, and even depression.\nSome research suggests that over 60% of people with thyroid disorders may experience symptoms of depression.\nThe traditional treatment for hypothyroidism involves medications that increase thyroid levels in your body. Symptoms of fatigue may get better or go away once the thyroid condition has been treated appropriately with medication. To confirm the diagnosis, your doctor will use\nblood tests\nto look at your levels of thyroid hormones including thyroxine and thyroid-stimulating hormone (TSH).\nChronic Fatigue Syndrome\nChronic fatigue syndrome, now known as myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS), is a condition characterized by a reduction in the ability to engage in activities, along with profound fatigue. This is often accompanied by unrefreshing sleep, cognitive issues, and changes in blood pressure and pulse.\nThose with chronic fatigue still have an interest in activities but lack the energy and capacity to do them. Because CFS shares symptoms with other medical and psychiatric illnesses, it is not uncommon for it to be diagnosed as depression or another psychiatric condition. People may also experience both CFS and a psychiatric condition at the same time.\nThe underlying cause of chronic fatigue syndrome is not yet fully understood, and treatment may involve certain medications and lifestyle interventions.\nFibromyalgia\nFibromyalgia seems to overlap with chronic fatigue, but people with this disorder also have chronic pain all over their bodies.\n\n The disorder is usually diagnosed by tender points in certain muscles that respond with pain when touched a certain way. Sleep disturbance is also common in chronic fatigue and fibromyalgia. Research is ongoing into the causes of fibromyalgia. \nEstimates suggest that 40% of people with fibromyalgia also have a co-occurring major depressive disorder.\n\n\nThere is no specific test that can diagnose fibromyalgia. Instead, doctors must rely on an assessment of your health history and symptoms. Diagnosis typically requires the presence of widespread chronic pain, fatigue, and sleep disturbance. Treatment for fibromyalgia usually involves a combination of medication and lifestyle changes.\n\n\nAutoimmune Disorders\nAutoimmune disorders involve the immune system attacking the body. Rheumatoid arthritis,\nlupus\n, and\nceliac disease\nare examples of autoimmune disorders. Autoimmune processes have also been implicated in certain types of diabetes and multiple sclerosis (MS).\nWhile these conditions aren't as common as depression, they can present with similar symptoms. In fact, according to some research, depression-like symptoms are present in up to 50% of patients with autoimmune disorders.\n These symptoms typically emerge over the course of the disease and are associated with psychosocial factors,\nchronic pain\n, and long periods of disability.\nDealing with an autoimmune disorder can also increase your risk of developing depression. Results of one large study showed that a prior hospital contact because of an autoimmune disease increased the subsequent risk of mood disorder diagnosis by 45%.\nSleep Apnea\nSleep disorders, such as obstructive sleep apnea, can also cause many symptoms similar to those of depression. Obstructive sleep apnea is a condition where your breathing is interrupted during sleep for longer than 10 seconds. This can happen many times an hour.\nThese frequent interruptions interfere with your sleep quality, resulting in daytime fatigue, morning headaches, and poor concentration.\nIt can also have a serious impact on your mood. One study found that approximately 46% of people with sleep apnea have symptoms of depression.\nIf you think you have a sleep disorder, speak with your doctor. In addition to reviewing your symptoms, your doctor will likely take your medical history, conduct a physical exam, and may recommend a sleep study. They may also order additional tests to rule out other medical conditions that may be causing your symptoms.\n\n\nIron-Deficiency Anemia\nYour body uses iron to make hemoglobin, the part of the red blood cell that carries oxygen to all the parts of your body.\nWhen you don't have enough iron, your blood can't carry enough oxygen to your body. This can leave you feeling sluggish, fatigued, and lightheaded. You may also have dull or pale skin and experience headaches, dizziness, and shortness of breath. \nThere are many potential causes that can lead to anemia aside from iron\ndeficiency\n, so your doctor may ask you further questions about your diet and lifestyle and order more tests if needed.\nDehydration and Inadequate Nutrition\nStaying hydrated and getting proper nutrition is important for keeping your energy levels up. Research shows that a lack of fluid intake is associated with sleep issues, fatigue, and alertness.\nNot getting enough calories in your diet can also leave you feeling tired all the time, as can eating too many refined carbohydrates\nor not getting enough protein.\nAllergies to foods such as wheat or dairy may also contribute to tiredness.\nLifestyle Factors\nIf you don't seem to have enough energy, it could be because you're not getting enough physical activity. Research shows a sedentary lifestyle can lead to fatigue and difficulty sleeping.\n\n\nCigarettes and alcohol can also affect sleep quality and leave you feeling groggy the next day.\n\n\nTips for More Energy\nDepending on the severity of your symptoms and whether you've been diagnosed with a psychiatric or medical condition, there are a few habits anyone can do to improve their quality of sleep and have more energy the next day.\nExercise regularly\n.\nThere's plenty of evidence to show that regular exercise is good for your\nmental and physical health\n.\nYou'll have more energy and sleep better, too.\nTake short naps\n. Tired as you may be,\nsleeping too much\nduring the day can affect your ability to fall or stay asleep at night. Taking\nshort, 20- to 30-minute naps\ncan give you a quick burst of rest without hindering your ability to fall asleep at bedtime.\nEstablish a bedtime routine\n. Prepare for slumber each night with rituals to help you unwind. Take a hot shower or bath, read a paperback book, or meditate to calm your body and mind. Follow your bedtime routine each night to set the stage for a solid night’s sleep. Be sure to make your bedroom as dark as possible, too.\nAvoid caffeine, alcohol, and other stimulants before bed\n. Drinking coffee, soda, or other caffeinated beverages in the late afternoon or evening can make it difficult to fall asleep and stay asleep, as can drinking alcohol.\nIf you smoke cigarettes,\nconsider quitting\n.\nPower down your devices\n. Leave the screens in another room.\nScrolling before bedtime can make it more difficult for your mind to wind down and prepare for sleep. The light your device produces can also negatively impact your sleep. Make the bedroom a no-phone zone, if possible.","attrs_markdown":"[Skip to content](https:\/\/www.verywellmind.com\/maybe-its-not-depression-2330495#skip-to-content)\n\nMenu\n\n- [Conditions A-Z](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n  - [Addiction](https:\/\/www.verywellmind.com\/addiction-overview-4581803)\n  - [Depression](https:\/\/www.verywellmind.com\/depression-4157261)\n  - [ADHD](https:\/\/www.verywellmind.com\/adhd-overview-4581801)\n  - [Anxiety](https:\/\/www.verywellmind.com\/anxiety-7508391)\n  - [Bipolar Disorder](https:\/\/www.verywellmind.com\/bipolar-disorder-4157274)\n  - [PTSD](https:\/\/www.verywellmind.com\/ptsd-4157229)\n  - [View All](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n- [Therapy](https:\/\/www.verywellmind.com\/therapy-4581775)\n  - [Therapy Center](https:\/\/www.verywellmind.com\/therapy-7092217)\n  - [When To See a Therapist](https:\/\/www.verywellmind.com\/how-to-know-when-it-s-time-to-see-a-therapist-5077040)\n  - [Types of Therapy](https:\/\/www.verywellmind.com\/how-to-choose-the-best-type-of-therapy-for-you-6500320)\n  - [Best Online Therapy](https:\/\/www.verywellmind.com\/best-online-therapy-4691206)\n  - [Best Couples Therapy](https:\/\/www.verywellmind.com\/best-online-marriage-counseling-4691952)\n- [Living Well](https:\/\/www.verywellmind.com\/living-well-7510832)\n  - [Managing Stress](https:\/\/www.verywellmind.com\/stress-management-overview-4581770)\n  - [Meditation](https:\/\/www.verywellmind.com\/meditation-and-mindfulness-4581783)\n  - [Sleep and Dreaming](https:\/\/www.verywellmind.com\/sleep-and-dreaming-4157166)\n  - [Understanding Emotions](https:\/\/www.verywellmind.com\/emotions-4157165)\n  - [Self-Improvement](https:\/\/www.verywellmind.com\/self-improvement-4157212)\n- [Relationships](https:\/\/www.verywellmind.com\/relationships-4157190)\n  - [Healthy Relationships](https:\/\/www.verywellmind.com\/strengthening-relationships-4162997)\n  - [Dating](https:\/\/www.verywellmind.com\/dating-tips-and-strategies-7511571)\n  - [Intimacy](https:\/\/www.verywellmind.com\/sex-and-relationships-7511610)\n- [Psychology](https:\/\/www.verywellmind.com\/psychology-4157187)\n  - [Theories](https:\/\/www.verywellmind.com\/theories-of-psychology-4157184)\n  - [Student Resources](https:\/\/www.verywellmind.com\/student-resources-overview-4581768)\n  - [Personality Types](https:\/\/www.verywellmind.com\/the-myers-briggs-type-indicator-2795583)\n- [Trending](https:\/\/www.verywellmind.com\/news-latest-research-and-trending-topics-4846421)\n  - [Quizzes](https:\/\/www.verywellmind.com\/quizzes-8609222)\n  - [Guided Meditations](https:\/\/www.verywellmind.com\/guided-meditations-8609227)\n  - [Verywell Mind Insights](https:\/\/www.verywellmind.com\/mental-health-data-insights-5185693)\n  - [2024 Verywell Mind 25](https:\/\/www.verywellmind.com\/the-verywell-mind-25-2024-7484480)\n  - [Mental Health in the Classroom](https:\/\/www.verywellmind.com\/mental-health-in-the-classroom-survey-7569880)\n- [About Us](https:\/\/www.verywellmind.com\/about-us-5184564)\n  - [Editorial Process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n  - [Meet Our Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n  - [Crisis Support](https:\/\/www.verywellmind.com\/crisis-support-6666353)\n\nSearch\n\n- [Conditions A-Z](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n  - [Addiction](https:\/\/www.verywellmind.com\/addiction-overview-4581803)\n  - [Depression](https:\/\/www.verywellmind.com\/depression-4157261)\n  - [ADHD](https:\/\/www.verywellmind.com\/adhd-overview-4581801)\n  - [Anxiety](https:\/\/www.verywellmind.com\/anxiety-7508391)\n  - [Bipolar Disorder](https:\/\/www.verywellmind.com\/bipolar-disorder-4157274)\n  - [PTSD](https:\/\/www.verywellmind.com\/ptsd-4157229)\n  - [View All](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n- [Therapy](https:\/\/www.verywellmind.com\/therapy-4581775)\n  - [Therapy Center](https:\/\/www.verywellmind.com\/therapy-7092217)\n  - [When To See a Therapist](https:\/\/www.verywellmind.com\/how-to-know-when-it-s-time-to-see-a-therapist-5077040)\n  - [Types of Therapy](https:\/\/www.verywellmind.com\/how-to-choose-the-best-type-of-therapy-for-you-6500320)\n  - [Best Online Therapy](https:\/\/www.verywellmind.com\/best-online-therapy-4691206)\n  - [Best Couples Therapy](https:\/\/www.verywellmind.com\/best-online-marriage-counseling-4691952)\n  - [View All](https:\/\/www.verywellmind.com\/therapy-4581775)\n- [Living Well](https:\/\/www.verywellmind.com\/living-well-7510832)\n  - [Managing Stress](https:\/\/www.verywellmind.com\/stress-management-overview-4581770)\n  - [Meditation](https:\/\/www.verywellmind.com\/meditation-and-mindfulness-4581783)\n  - [Sleep and Dreaming](https:\/\/www.verywellmind.com\/sleep-and-dreaming-4157166)\n  - [Understanding Emotions](https:\/\/www.verywellmind.com\/emotions-4157165)\n  - [Self-Improvement](https:\/\/www.verywellmind.com\/self-improvement-4157212)\n  - [View All](https:\/\/www.verywellmind.com\/living-well-7510832)\n- [Relationships](https:\/\/www.verywellmind.com\/relationships-4157190)\n  - [Healthy Relationships](https:\/\/www.verywellmind.com\/strengthening-relationships-4162997)\n  - [Dating](https:\/\/www.verywellmind.com\/dating-tips-and-strategies-7511571)\n  - [Intimacy](https:\/\/www.verywellmind.com\/sex-and-relationships-7511610)\n  - [View All](https:\/\/www.verywellmind.com\/relationships-4157190)\n- [Psychology](https:\/\/www.verywellmind.com\/psychology-4157187)\n  - [Theories](https:\/\/www.verywellmind.com\/theories-of-psychology-4157184)\n  - [Student Resources](https:\/\/www.verywellmind.com\/student-resources-overview-4581768)\n  - [Personality Types](https:\/\/www.verywellmind.com\/the-myers-briggs-type-indicator-2795583)\n  - [View All](https:\/\/www.verywellmind.com\/psychology-4157187)\n- [Trending](https:\/\/www.verywellmind.com\/news-latest-research-and-trending-topics-4846421)\n  - [Quizzes](https:\/\/www.verywellmind.com\/quizzes-8609222)\n  - [Guided Meditations](https:\/\/www.verywellmind.com\/guided-meditations-8609227)\n  - [Verywell Mind Insights](https:\/\/www.verywellmind.com\/mental-health-data-insights-5185693)\n  - [2024 Verywell Mind 25](https:\/\/www.verywellmind.com\/the-verywell-mind-25-2024-7484480)\n  - [Mental Health in the Classroom](https:\/\/www.verywellmind.com\/mental-health-in-the-classroom-survey-7569880)\n  - [View All](https:\/\/www.verywellmind.com\/news-latest-research-and-trending-topics-4846421)\n\n[More in Depression](https:\/\/www.verywellmind.com\/depression-4157261)\n\n- [Symptoms and Diagnosis](https:\/\/www.verywellmind.com\/depression-symptoms-and-diagnosis-4157260)\n- [Living With](https:\/\/www.verywellmind.com\/living-with-depression-7508413)\n- [Causes](https:\/\/www.verywellmind.com\/depression-causes-4157256)\n- [Treatment](https:\/\/www.verywellmind.com\/depression-treatment-4157258)\n- [Types](https:\/\/www.verywellmind.com\/depression-types-4157254)\n- [Childhood Depression](https:\/\/www.verywellmind.com\/childhood-depression-4157255)\n- [Suicide](https:\/\/www.verywellmind.com\/suicide-4157253)\n\n[View More](https:\/\/www.verywellmind.com\/depression-4157261)\n\n- [About Us](https:\/\/www.verywellmind.com\/about-us-5184564)\n- [Editorial Process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n- [Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n- [Crisis Support](https:\/\/www.verywellmind.com\/crisis-support-6666353)\n\nVerywell Mind's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\n# 13 Possible Reasons Why You're Tired All the Time\nLow on energy? It may not be depression\n\nBy\n\n[Leonard Holmes, PhD](https:\/\/www.verywellmind.com\/leonard-holmes-4705345)\n\n[Leonard Holmes, PhD](https:\/\/www.verywellmind.com\/leonard-holmes-4705345)\n\nLeonard Holmes, PhD, is a pioneer of the online therapy field and a clinical psychologist specializing in chronic pain and anxiety.\n\nLearn about our  [editorial process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n\nUpdated on October 26, 2025\n\nMedically reviewed\n\nVerywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. [Learn more](https:\/\/www.verywellmind.com\/review-board-4796494).\n\nby\n\n[Steven Gans, MD](https:\/\/www.verywellmind.com\/steven-gans-md-4779222)\n\n![Steven Gans]()\n\n![Steven Gans](https:\/\/www.verywellmind.com\/thmb\/fZ_tk7yoILxKtKtadDqryfeRKaE=\/200x200\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/steven-gans-1000-51582b7f23b6462f8713961deb74959f.jpg)\n\nMedically reviewed by [Steven Gans, MD](https:\/\/www.verywellmind.com\/steven-gans-md-4779222)\n\nSteven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.\n\nLearn about our  [Medical Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n\nTable of Contents\n\nView All\n\nTable of Contents\n\n- [Psychiatric Factors](https:\/\/www.verywellmind.com\/maybe-its-not-depression-2330495#toc-psychiatric-factors)\n- [Physical Health Factors](https:\/\/www.verywellmind.com\/maybe-its-not-depression-2330495#toc-physical-health-factors)\n- [Tips for More Energy](https:\/\/www.verywellmind.com\/maybe-its-not-depression-2330495#toc-tips-for-more-energy)\n\nClose\n\n### Key Takeaways\n- Feeling tired all the time can be caused by a lack of sleep, stress, iron-deficiency anemia, an underactive thyroid, depression, and more.\n- To boost your energy, exercise regularly, establish a consistent bedtime routine, and avoid caffeine, alcohol, and other stimulants before bed.\n- If your energy levels don't improve, you should consult a healthcare provider to rule out underlying health issues.\n\nDepression is a [common cause of fatigue](https:\/\/www.verywellmind.com\/sleep-inertia-7255244), so you might be wondering whether your fatigue is a result of depression. But just because you're tired all the time doesn't necessarily mean that you're depressed.\n\nThe fact is there are many underlying conditions that could be responsible for [feeling tired all the time](https:\/\/www.verywellmind.com\/anergia-lack-of-energy-7368884). From [mood disorders](https:\/\/www.verywellmind.com\/mood-disorder-1067175) to issues affecting your physical health like [chronic fatigue syndrome](https:\/\/www.verywellmind.com\/chronic-fatigue-syndrome-myalgic-encephalomyelitis-7368473), the following psychiatric and medical conditions are some of the most common ailments associated with fatigue.\n\nBut first, it's important to note that many of these conditions share symptoms similar to depression, so we'll start there. By understanding the distinctions between depression and other factors that cause fatigue, you can seek out the right treatment and start to feel like your energetic self again.\n\n[Depression Recovery: How to Know You're Making Progress](https:\/\/www.verywellmind.com\/how-do-i-know-if-my-depression-is-getting-better-1066881)\n\n![Illnesses that cause depression-like symptoms]()\n\n![Illnesses that cause depression-like symptoms](https:\/\/www.verywellmind.com\/thmb\/ej30luFlEpNM0uFZeKUJ1ID9uO0=\/1500x0\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/maybe-its-not-depression-2330495_final-d346e528da714baea1c97e1e94a31ba0.png)\n\nVerywell \/ Nusha Ashjaee\n## Psychiatric Factors\n### Depression\nDepression, which research suggests is associated with an imbalance of [neurotransmitters](https:\/\/www.verywellmind.com\/what-is-a-neurotransmitter-2795394) in the brain, is commonly linked with fatigue. The condition is also associated with [disturbed sleep](https:\/\/www.verywellmind.com\/coping-with-sleep-disturbances-during-depression-4161015), which can also significantly contribute to [tiredness](https:\/\/www.verywellmind.com\/lethargy-characteristics-causes-diagnosis-and-treatment-5322851). While some people may have difficulty falling asleep or staying asleep, others may oversleep. Both of these sleep disturbances can leave you feeling apathetic and sluggish.\n\nOther [symptoms](https:\/\/www.verywellmind.com\/top-depression-symptoms-1066910) associated with depression include:\n\n- Appetite and\/or weight changes\n- Difficulty thinking, concentrating, or making decisions\n- Fatigue or loss of energy\n- Feelings of guilt or worthlessness\n- Lack of interest in activities normally enjoyed\n- Persistent sad, anxious, or “empty” mood\n- Thoughts of death or suicide\n\nIf you are having suicidal thoughts, contact the [National Suicide Prevention Lifeline](https:\/\/suicidepreventionlifeline.org\/) at **988** for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.\n\nFor more mental health resources, see our [National Helpline Database](https:\/\/www.verywellmind.com\/national-helpline-database-4799696).\n\nIf you think you may be experiencing depression, talk to your doctor. They can refer you to a [therapist](https:\/\/www.webmd.com\/depression\/treatment-resistant-depression-psychotherapy) who can help you manage your emotions or another mental health professional such as a [psychiatrist](https:\/\/www.verywellmind.com\/psychiatrist-a-career-overview-2795641) who may also recommend [antidepressants](https:\/\/www.verywellmind.com\/what-are-the-major-classes-of-antidepressants-1065086). Don't let depression go untreated.\n\n[Discover the Treatment Options for Depression](https:\/\/www.verywellmind.com\/treatments-for-depression-1065502)\n\n### Anxiety\nAnxiety and anxiety disorders are often associated with fatigue as well as sleep disturbances. [Sleep deprivation](https:\/\/www.verywellmind.com\/stress-related-insomnia-3144827) may also contribute to feelings of anxiety, which perpetuates a cycle of both anxiety and sleeplessness. This, of course, can make it difficult to manage both conditions.\n\nThe following are common anxiety disorders that may be associated with sleep disruptions and fatigue:\n\n- [**Generalized anxiety disorder (GAD)**](https:\/\/www.verywellmind.com\/dsm-5-criteria-for-generalized-anxiety-disorder-1393147):Fatigue is acommon symptom of GAD, which is characterized by excessive worry about a number of events and activities accompanied by a variety of physical and emotional symptoms.\n- [**Social anxiety disorder (SAD)**](https:\/\/www.verywellmind.com\/social-anxiety-disorder-symptoms-and-diagnosis-4157219):People with SAD have excessive fear about certain social situations that might expose them to possible scrutiny.\n- [**Obsessive-compulsive disorder (OCD)**](https:\/\/www.verywellmind.com\/what-is-obsessive-compulsive-disorder-ocd-2510675): A person's internal obsessions and compulsive behaviors can be draining and impact sleep. OCD and depression are often comorbid conditions.\n- [**Post-traumatic stress disorder (PTSD)**](https:\/\/www.verywellmind.com\/requirements-for-ptsd-diagnosis-2797637):Flashbacks and nightmares are commonly associated with PTSD, which can develop following a traumatic event and lead to debilitating levels of anxiety. The increased arousal and anxiety as well as the sleep disturbances that are part of PTSD can leave one feeling depleted and tired.\n- [**Panic disorder**](https:\/\/www.verywellmind.com\/what-is-a-panic-disorder-2795468): The excessive worry associated with panic disorder can cause insomnia and fatigue. Those with panic disorders may also experience [nocturnal panic attacks](https:\/\/www.verywellmind.com\/how-to-sleep-with-anxiety-5224455).\n- [**Specific phobias**](https:\/\/www.verywellmind.com\/list-of-phobias-2795453):Those with specific phobias have an intense, usually irrational fear associated with a particular trigger.\n\n[Therapy for Anxiety Disorders](https:\/\/www.verywellmind.com\/anxiety-therapy-4692759)\n\n### Stress\nStress can lead to sleepless nights. Stress can also wear you down and cause you to feel fatigued. We've all experienced the repercussions of stress at one time or another. If left unmanaged, stress can also wreak havoc on your mood. Stress can be a trigger for depression and anxiety disorders.\n\nLike anxiety, stress can contribute to poor sleep and poor sleep can [create stress](https:\/\/www.verywellmind.com\/stress-and-your-memory-4158323). For instance, you know that you need to get a good night's sleep so that you have energy the next day, but you might have trouble falling asleep because you are worried that you aren't going to get enough sleep.\n\nFortunately, there are many ways to combat stress that don't require sleep aids or medications. mind-body techniques such as [yoga nidra](https:\/\/www.verywellmind.com\/how-yoga-can-help-reduce-stress-3567211), or \"yogic sleep,\" and [meditation](https:\/\/www.verywellmind.com\/meditation-4157199) can help you manage stress and sleep better so you can wake up feeling refreshed with more energy.\n\n### Mindful Moment\nFeeling sluggish? Take this free [3-minute meditation to boost your energy](https:\/\/www.verywellmind.com\/3-minute-video-meditation-to-boost-energy-8553401)—or choose from our [guided meditation library](https:\/\/www.verywellmind.com\/guided-meditations-8609227) to find another one that will help you feel your best.\n\n[Why Am I So Tired After Work?](https:\/\/www.verywellmind.com\/why-am-i-so-tired-after-work-6741246)\n\n### Bipolar Disorder\n[Bipolar disorder](https:\/\/www.verywellmind.com\/how-sleep-and-bipolar-disorder-interact-379019) is characterized by extreme shifts in mood, energy, and activity. Insomnia, nightmares, and erratic sleep-wake cycles are common among people with bipolar disorder, contributing to fatigue and general tiredness.\n\nIf you have bipolar disorder and are experiencing sleep disturbances, talk to your doctor about appropriate treatment for your disorder.\n\n### Attention-Deficit\/Hyperactivity Disorder\n[Attention-deficit\/hyperactivity disorder (ADHD)](https:\/\/www.verywellmind.com\/adhd-symptoms-4157281) is a common psychiatric condition among both children and adults and is commonly associated with a variety of sleep disturbances that can contribute to daytime sleepiness. Many of the medications used to treat ADHD can also impact sleep.\n\nSleep patterns and habits are usually assessed when treating ADHD. In fact, research has shown that interventions to improve sleep hygiene can help reduce the severity of ADHD symptoms and increase the person's overall quality of life.\n\n[How to Fall Asleep With ADHD](https:\/\/www.verywellmind.com\/tips-for-better-sleep-with-add-20704)\n\n## Physical Health Factors\nOften, physical health issues such as thyroid problems and chronic fatigue syndrome can result in fatigue symptoms resembling depression. It's also possible that fibromyalgia, sleep apnea, or an autoimmune disorder such as rheumatoid arthritis or lupus could cause you to feel tired all the time.\n\nHere are some physical factors that could be draining your energy and what you can do about it.\n\n### Underactive Thyroid\nIf you have an underactive thyroid (hypothyroidism) simple activities can leave you feeling wiped out. Your thyroid is a small gland in the front of your neck that produces hormones that regulate your metabolism. When it's not producing enough of these hormones, your metabolism slows down. This can lead to fatigue, weight gain, and even depression.\n\nSome research suggests that over 60% of people with thyroid disorders may experience symptoms of depression.\n\nThe traditional treatment for hypothyroidism involves medications that increase thyroid levels in your body. Symptoms of fatigue may get better or go away once the thyroid condition has been treated appropriately with medication. To confirm the diagnosis, your doctor will use [blood tests](https:\/\/www.verywellmind.com\/is-there-a-blood-test-for-depression-1066915) to look at your levels of thyroid hormones including thyroxine and thyroid-stimulating hormone (TSH).\n\n### Chronic Fatigue Syndrome\nChronic fatigue syndrome, now known as myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS), is a condition characterized by a reduction in the ability to engage in activities, along with profound fatigue. This is often accompanied by unrefreshing sleep, cognitive issues, and changes in blood pressure and pulse.\n\nThose with chronic fatigue still have an interest in activities but lack the energy and capacity to do them. Because CFS shares symptoms with other medical and psychiatric illnesses, it is not uncommon for it to be diagnosed as depression or another psychiatric condition. People may also experience both CFS and a psychiatric condition at the same time.\n\nThe underlying cause of chronic fatigue syndrome is not yet fully understood, and treatment may involve certain medications and lifestyle interventions.\n\n### Fibromyalgia\nFibromyalgia seems to overlap with chronic fatigue, but people with this disorder also have chronic pain all over their bodies. The disorder is usually diagnosed by tender points in certain muscles that respond with pain when touched a certain way. Sleep disturbance is also common in chronic fatigue and fibromyalgia. Research is ongoing into the causes of fibromyalgia.\n\nEstimates suggest that 40% of people with fibromyalgia also have a co-occurring major depressive disorder.\n\nThere is no specific test that can diagnose fibromyalgia. Instead, doctors must rely on an assessment of your health history and symptoms. Diagnosis typically requires the presence of widespread chronic pain, fatigue, and sleep disturbance. Treatment for fibromyalgia usually involves a combination of medication and lifestyle changes.\n\n### Autoimmune Disorders\nAutoimmune disorders involve the immune system attacking the body. Rheumatoid arthritis, [lupus](https:\/\/www.verywellmind.com\/mood-disorder-1067175), and [celiac disease](https:\/\/www.verywellmind.com\/what-causes-anxiety-attacks-5221721) are examples of autoimmune disorders. Autoimmune processes have also been implicated in certain types of diabetes and multiple sclerosis (MS).\n\nWhile these conditions aren't as common as depression, they can present with similar symptoms. In fact, according to some research, depression-like symptoms are present in up to 50% of patients with autoimmune disorders. These symptoms typically emerge over the course of the disease and are associated with psychosocial factors, [chronic pain](https:\/\/www.verywellmind.com\/how-to-cope-when-your-partner-has-a-chronic-health-issue-5193847), and long periods of disability.\n\nDealing with an autoimmune disorder can also increase your risk of developing depression. Results of one large study showed that a prior hospital contact because of an autoimmune disease increased the subsequent risk of mood disorder diagnosis by 45%.\n\n### Sleep Apnea\nSleep disorders, such as obstructive sleep apnea, can also cause many symptoms similar to those of depression. Obstructive sleep apnea is a condition where your breathing is interrupted during sleep for longer than 10 seconds. This can happen many times an hour.\n\nThese frequent interruptions interfere with your sleep quality, resulting in daytime fatigue, morning headaches, and poor concentration. It can also have a serious impact on your mood. One study found that approximately 46% of people with sleep apnea have symptoms of depression.\n\nIf you think you have a sleep disorder, speak with your doctor. In addition to reviewing your symptoms, your doctor will likely take your medical history, conduct a physical exam, and may recommend a sleep study. They may also order additional tests to rule out other medical conditions that may be causing your symptoms.\n\n[What Is Chronic Sleep Deprivation?](https:\/\/www.verywellmind.com\/an-overview-of-chronic-sleep-deprivation-4770156)\n\n### Iron-Deficiency Anemia\nYour body uses iron to make hemoglobin, the part of the red blood cell that carries oxygen to all the parts of your body.\n\nWhen you don't have enough iron, your blood can't carry enough oxygen to your body. This can leave you feeling sluggish, fatigued, and lightheaded. You may also have dull or pale skin and experience headaches, dizziness, and shortness of breath.\n\nThere are many potential causes that can lead to anemia aside from iron [deficiency](https:\/\/www.verywellmind.com\/vitamin-for-depression-1065211), so your doctor may ask you further questions about your diet and lifestyle and order more tests if needed.\n\n### Dehydration and Inadequate Nutrition\nStaying hydrated and getting proper nutrition is important for keeping your energy levels up. Research shows that a lack of fluid intake is associated with sleep issues, fatigue, and alertness.\n\nNot getting enough calories in your diet can also leave you feeling tired all the time, as can eating too many refined carbohydrates or not getting enough protein. Allergies to foods such as wheat or dairy may also contribute to tiredness.\n\n### Lifestyle Factors\nIf you don't seem to have enough energy, it could be because you're not getting enough physical activity. Research shows a sedentary lifestyle can lead to fatigue and difficulty sleeping.\n\nCigarettes and alcohol can also affect sleep quality and leave you feeling groggy the next day.\n\n[Sleep Problems Associated With Alcohol Misuse](https:\/\/www.verywellmind.com\/sleep-problems-in-recovering-alcoholics-63200)\n\n## Tips for More Energy\nDepending on the severity of your symptoms and whether you've been diagnosed with a psychiatric or medical condition, there are a few habits anyone can do to improve their quality of sleep and have more energy the next day.\n\n- **Exercise regularly**.There's plenty of evidence to show that regular exercise is good for your [mental and physical health](https:\/\/www.verywellmind.com\/exercise-and-improving-your-mood-2223781). You'll have more energy and sleep better, too.\n- **Take short naps**. Tired as you may be, [sleeping too much](https:\/\/www.verywellmind.com\/excessive-sleeping-definition-symptoms-traits-causes-treatment-6745965) during the day can affect your ability to fall or stay asleep at night. Taking [short, 20- to 30-minute naps](https:\/\/www.verywellmind.com\/power-napping-health-benefits-and-tips-stress-3144702) can give you a quick burst of rest without hindering your ability to fall asleep at bedtime.\n- **Establish a bedtime routine**. Prepare for slumber each night with rituals to help you unwind. Take a hot shower or bath, read a paperback book, or meditate to calm your body and mind. Follow your bedtime routine each night to set the stage for a solid night’s sleep. Be sure to make your bedroom as dark as possible, too.\n- **Avoid caffeine, alcohol, and other stimulants before bed**. Drinking coffee, soda, or other caffeinated beverages in the late afternoon or evening can make it difficult to fall asleep and stay asleep, as can drinking alcohol. If you smoke cigarettes, [consider quitting](https:\/\/www.verywellmind.com\/a-day-in-the-life-of-an-ex-smoker-two-weeks-2825293).\n- **Power down your devices**. Leave the screens in another room.Scrolling before bedtime can make it more difficult for your mind to wind down and prepare for sleep. The light your device produces can also negatively impact your sleep. Make the bedroom a no-phone zone, if possible.\n\n[The Military Sleep Method: Benefits and How It Works](https:\/\/www.verywellmind.com\/military-sleep-method-7111161)\n\nRead more:\n\n- [Conditions A-Z](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n- [Depression](https:\/\/www.verywellmind.com\/depression-4157261)\n- [Symptoms and Diagnosis](https:\/\/www.verywellmind.com\/depression-symptoms-and-diagnosis-4157260)\n\n31 Sources\n\nVerywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.\n\n1. Ghanean H, Ceniti AK, Kennedy SH. [Fatigue in patients with major depressive disorder: Prevalence, burden and pharmacological approaches to management](https:\/\/doi.org\/10.1007\/s40263-018-0490-z). *CNS Drugs*. 2018;32(1):65-74. doi:10.1007\/s40263-018-0490-z\n2. American Psychiatric Association. [*Diagnostic and Statistical Manual of Mental Disorders*](https:\/\/doi.org\/10.1176\/appi.books.9780890425596). 5th ed. American Psychiatric Association; 2013.\n3. Timpano KR, Carbonella JY, Bernert RA, Schmidt NB. [Obsessive compulsive symptoms and sleep difficulties: Exploring the unique relationship between insomnia and obsessions](https:\/\/doi.org\/10.1016\/j.jpsychires.2014.06.021). *J Psychiatr Res*. 2014;57:101-7. doi:10.1016\/j.jpsychires.2014.06.021\n4. - Koffel E, Khawaja IS, Germain A. [Sleep disturbances in posttraumatic stress disorder: Updated review and implications for treatment](https:\/\/doi.org\/10.3928\/00485713-20160125-01). *Psychiatr Ann*. 2016;46(3):173-176. doi:10.3928\/00485713-20160125-01\n5. Enns MW, Bernstein CN, Kroeker K, et al. [The association of fatigue, pain, depression and anxiety with work and activity impairment in immune mediated inflammatory diseases](https:\/\/doi.org\/10.1371\/journal.pone.0198975). *PLoS One*. 2018;13(6):e0198975. doi:10.1371\/journal.pone.0198975\n6. Datta K, Tripathi M, Mallick HN. [Yoga nidra: An innovative approach for management of chronic insomnia- A case report](https:\/\/doi.org\/10.1186\/s41606-017-0009-4). *Sleep Sci Pract.* 2017;1(7). doi:10.1186\/s41606-017-0009-4\n7. Gold AK, Sylvia LG. [The role of sleep in bipolar disorder](https:\/\/doi.org\/10.2147\/NSS.S85754). *Nat Sci Sleep*. 2016;8:207-214. doi:10.2147\/NSS.S85754\n8. Peppers KH, Eisbach S, Atkins S, Poole JM, Derouin A. [An intervention to promote sleep and reduce adhd symptoms](https:\/\/doi.org\/10.1016\/j.pedhc.2016.07.008). *J Pediatr Health Care*. 2016;30(6):e43-e48. doi:10.1016\/j.pedhc.2016.07.008\n9. Vassend O, Røysamb E, Nielsen CS, Czajkowski NO. [Fatigue symptoms in relation to neuroticism, anxiety-depression, and musculoskeletal pain. A longitudinal twin study](https:\/\/doi.org\/10.1371\/journal.pone.0198594). *PLoS One*. 2018;13(6):e0198594. doi:10.1371\/journal.pone.0198594\n10. Gaitonde DY, Rowley KD, Sweeney LB. [Hypothyroidism: An update](https:\/\/pubmed-ncbi-nlm-nih-gov.proxy.libraries.rutgers.edu\/22962987\/). *Am Fam Physician*. 2012;86(3):244-251.\n11. Hage MP, Azar ST. [The link between thyroid function and depression](https:\/\/doi.org\/10.1155\/2012\/590648). *J Thyroid Res*. 2012;2012:590648. doi:10.1155\/2012\/590648\n12. Roberts D. [Chronic fatigue syndrome and quality of life](https:\/\/doi.org\/10.2147\/PROM.S155642). *Patient Relat Outcome Meas*. 2018;9:253-262. doi:10.2147\/PROM.S155642\n13. Yancey JR, Thomas SM. [Chronic fatigue syndrome: Diagnosis and treatment](https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23062157). *Am Fam Physician*. 2012;86(8):741-746.\n14. Bellato E, Marini E, Castoldi F, et al. [Fibromyalgia syndrome: Etiology, pathogenesis, diagnosis, and treatment](https:\/\/doi.org\/10.1155\/2012\/426130). *Pain Res Treat*. 2012;2012:426130. doi:10.1155\/2012\/426130\n15. Gracely, RH, Ceko, M, and Bushness, MC. [Fibromyalgia and depression](https:\/\/doi.org\/10.1155\/2012\/486590). *Pain Res Treat.* 2012; 486590. doi:10.1155\/2012\/486590\n16. Kodner C. [Common questions about the diagnosis and management of fibromyalgia](https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25884747). *Am Fam Physician*. 2015;91(7):472-478.\n17. Pryce CR, Fontana A. [Depression in autoimmune diseases](https:\/\/doi.org\/10.1007\/7854_2016_7). *Curr Top Behav Neurosci.* 2017;31:139-154. doi:10.1007\/7854\\_2016\\_7\n18. Yanjun L, Tang X. [Depressive syndromes in autoimmune disorders of the nervous system: Prevalence, etiology, and influence](https:\/\/doi.org\/10.3389\/fpsyt.2018.00451). *Frontiers in Psychiatry.* 2018;9:451. doi:10.3389\/fpsyt.2018.00451\n19. Benros ME, Waltoft BL, Nordentoft M, et al. [Autoimmune diseases and severe infections as risk factors for mood disorders: A nationwide study](https:\/\/doi.org\/10.1001\/jamapsychiatry.2013.1111). *JAMA Psychiatry*. 2013;70(8):812-820. doi:10.1001\/jamapsychiatry.2013.1111\n20. Ejaz SM, Khawaja IS, Bhatia S, Hurwitz TD. [Obstructive sleep apnea and depression: A review](https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21922066). *Innov Clin Neurosci.* 2011;8(8):17-25.\n21. Rezaeitalab F, Moharrari F, Saberi S, Asadpour H, Rezaeetalab F. [The correlation of anxiety and depression with obstructive sleep apnea syndrome](https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4061640\/). *J Res Med Sci.* 2014;19(3):205-10.\n22. Semelka M, Wilson J, Floyd R. [Diagnosis and treatment of obstructive sleep apnea in adults](https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27583421). *Am Fam Physician*. 2016;94(5):355-360.\n23. Pross N, Demazières A, Girard N, et al. [Influence of progressive fluid restriction on mood and physiological markers of dehydration in women](https:\/\/doi.org\/10.1017\/S0007114512001080). *Br J Nutr*. 2013;109(2):313-321. doi:10.1017\/S0007114512001080\n24. - Khong TK, Selvanayagam VS, Sidhu SK, Yusof A. [Role of carbohydrate in central fatigue: A systematic review](https:\/\/doi.org\/10.1111\/sms.12754). *Scand J Med Sci Sports*. 2017;27(4):376-384. doi:10.1111\/sms.12754\n25. Pezeshki A, Zapata RC, Singh A, Yee NJ, Chelikani PK. [Low protein diets produce divergent effects on energy balance](https:\/\/doi.org\/10.1038\/srep25145). *Sci Rep*. 2016;6:25145. doi:10.1038\/srep25145\n26. Yu W, Freeland DMH, Nadeau KC. [Food allergy: immune mechanisms, diagnosis and immunotherapy](https:\/\/doi.org\/10.1038\/nri.2016.111). *Nat Rev Immunol*. 2016;16(12):751-765. doi:10.1038\/nri.2016.111\n27. - Yang Y, Shin JC, Li D, An R. [Sedentary behavior and sleep problems: A systematic review and meta-analysis](https:\/\/doi.org\/10.1007\/s12529-016-9609-0). *Int J Behav Med*. 2017;24(4):481-492. doi:10.1007\/s12529-016-9609-0\n28. Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. [The role of sleep hygiene in promoting public health: A review of empirical evidence](https:\/\/doi.org\/10.1016\/j.smrv.2014.10.001). *Sleep Med Rev*. 2015;22:23-36. doi:10.1016\/j.smrv.2014.10.001\n29. Harvard Health Publishing. [Tips for beating anxiety to get a better night’s sleep](https:\/\/www.health.harvard.edu\/mind-and-mood\/tips-for-beating-anxiety-to-get-a-better-nights-sleep).\n30. Herbert C, Meixner F, Wiebking C, Gilg V. [Regular physical activity, short-term exercise, mental health, and well-being among university students: The results of an online and a laboratory study](https:\/\/doi.org\/10.3389\/fpsyg.2020.00509). *Front Psychol*. 2020;11:509. doi:10.3389\/fpsyg.2020.00509\n31. Ogeil RP, Phillips JG. [Commonly used stimulants: Sleep problems, dependence and psychological distress](https:\/\/doi.org\/10.1016\/j.drugalcdep.2015.05.036). *Drug Alcohol Depend*. 2015;153:145-151. doi:10.1016\/j.drugalcdep.2015.05.036\n\nBy [Leonard Holmes, PhD](https:\/\/www.verywellmind.com\/leonard-holmes-4705345)   \n Leonard Holmes, PhD, is a pioneer of the online therapy field and a clinical psychologist specializing in chronic pain and anxiety.\n\n[See Our Editorial Process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n\n[Meet Our Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n\nShare Feedback\n\nWas this page helpful?\n\nThanks for your feedback\\!\n\nWhat is your feedback?\n\nHelpful\n\nReport an Error\n\nOther\n\nRelated Articles\n\n[![Illustration outlining reasons someone may feel like something is wrong with them]() ![Illustration outlining reasons someone may feel like something is wrong with them](https:\/\/www.verywellmind.com\/thmb\/YhlA9J9WN1hWqoRLD5Z5eCp5tzU=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/what-is-wrong-with-me-5094673_final2-b1fbada4cfb442c8b6ba83ae57be2adb.png) 'What Is Wrong With Me?' 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depressed.](https:\/\/www.verywellmind.com\/thmb\/ek8dek4CJt0y0GCWOP1NWfLK3Nw=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1214516643-58742f207e144e3b8dc87eb719415617.jpg) Is Your Depression Coming Back?](https:\/\/www.verywellmind.com\/depression-coming-back-signs-of-a-relapse-5094675)\n\n[![Reasons for feeling empty]() ![Reasons for feeling empty](https:\/\/www.verywellmind.com\/thmb\/5B9LiXqdoXwTXst3ubLIMbr5KPU=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/i-feel-empty-5195295-2795963-Final-03587d19bcb44caa8a8b56b687026162.png) Why Do I Feel Empty Inside?](https:\/\/www.verywellmind.com\/i-feel-empty-5195295)\n\n[![Man sleeping in bed.]() ![Man sleeping in bed.](https:\/\/www.verywellmind.com\/thmb\/8d0wgVttGIU9BTW2OMNbzmvaogM=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-75164570-d9c7ad034e2b4e23958f5a9f74f2ac72.jpg) How to Identify Depression Naps](https:\/\/www.verywellmind.com\/what-are-depression-naps-5094065)\n\n[![Black male looking sad against a blue background]() ![Black male looking sad against a blue background](https:\/\/www.verywellmind.com\/thmb\/YqGjyeGAd41OEOhKeUuQA0IfBpI=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-648538841-cc95d7b3a4aa40678b02b28a56febd59.jpg) Why Can't I Cry Even Though I'm Sad?](https:\/\/www.verywellmind.com\/reasons-why-you-aren-t-crying-5324069)\n\n[![Sad woman at a party.]() ![Sad woman at a party.](https:\/\/www.verywellmind.com\/thmb\/QlmUNDCyamqoLGxFwo2AVHxgcR0=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1372514466-4848f812e56841cda50bc529d8557504.jpg) Why Can't I Be Happy Even When Life Is Going Great?](https:\/\/www.verywellmind.com\/why-cant-i-be-happy-6891279)\n\n[![Woman lying on the couch depressed.]() ![Woman lying on the couch depressed.](https:\/\/www.verywellmind.com\/thmb\/PSVCazCfhzAToBbR7Vv2ZGcdl48=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1366023753-846cf46a099a4492bb659f8fe52db3c4.jpg) What Is the Beck Depression Inventory and How Do I Use It?](https:\/\/www.verywellmind.com\/what-is-the-beck-depression-inventory-5294126)\n\n[![What Are antidepressants?]() ![What Are antidepressants?](https:\/\/www.verywellmind.com\/thmb\/AtHWilyMM1k-lRFKTvml1vSEj7o=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/what-are-the-major-classes-of-antidepressants-1065086_no_text-85790b1ac6384f69a7031ca58a50b809.png) The 5 Types of Antidepressants](https:\/\/www.verywellmind.com\/what-are-the-major-classes-of-antidepressants-1065086)\n\n[![What to do when you feel irritable]() ![What to do when you feel irritable](https:\/\/www.verywellmind.com\/thmb\/7eGkdOwlyIyCDLBd1Zh8cYw4Ho8=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/8-things-to-do-if-you-feel-irritable-5081875_final2-19e64ecde9674cfbae9d4411322561fc.png) 8 Things to Do If You Feel Irritable](https:\/\/www.verywellmind.com\/8-things-to-do-if-you-feel-irritable-5081875)\n\n[![woman in the kitchen washing the dishes with yellow gloves]() ![woman in the kitchen washing the dishes with yellow gloves](https:\/\/www.verywellmind.com\/thmb\/e1oVVaMKd3VOWOuwSHGhnjX-bH4=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/Stocksy_txp0c6d6160YHf300_Medium_36710541-5bdf547592b54ec7b66f7810a0960f20.jpg) 7 Tips for Staying Motivated to Clean Your House When You Are Depressed](https:\/\/www.verywellmind.com\/tips-for-keeping-a-clean-house-when-you-are-depressed-1066833)\n\n- [Conditions A-Z](https:\/\/www.verywellmind.com\/conditions-a-z-4797402)\n- [Therapy](https:\/\/www.verywellmind.com\/therapy-4581775)\n- [Living Well](https:\/\/www.verywellmind.com\/living-well-7510832)\n- [Relationships](https:\/\/www.verywellmind.com\/relationships-4157190)\n- [Psychology](https:\/\/www.verywellmind.com\/psychology-4157187)\n- [Trending](https:\/\/www.verywellmind.com\/news-latest-research-and-trending-topics-4846421)\n\n- [Meet Our Review Board](https:\/\/www.verywellmind.com\/review-board-4796494)\n- [About Us](https:\/\/www.verywellmind.com\/about-us-5184564)\n- [Editorial Process](https:\/\/www.verywellmind.com\/our-editorial-process-4778006)\n- [Privacy Policy](https:\/\/www.people.inc\/brands-privacy)\n- [In the News](https:\/\/www.verywellmind.com\/in-the-news-4782525)\n- [Advertise](https:\/\/www.people.inc\/advertising)\n- [Terms of Service](https:\/\/www.people.inc\/brands-termsofservice)\n- [Careers](https:\/\/www.people.inc\/careers)\n- [Contact](https:\/\/www.verywellmind.com\/about-us-5184564#toc-contact-us)\n- [Crisis Support](https:\/\/www.verywellmind.com\/crisis-support-6666353)\n\nFollow Us\n\nVerywell Mind's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\nVerywell Mind is part of the [People Inc.](https:\/\/www.people.inc\/) publishing family.","attrs_readable_markdown":"### Key Takeaways\n- Feeling tired all the time can be caused by a lack of sleep, stress, iron-deficiency anemia, an underactive thyroid, depression, and more.\n- To boost your energy, exercise regularly, establish a consistent bedtime routine, and avoid caffeine, alcohol, and other stimulants before bed.\n- If your energy levels don't improve, you should consult a healthcare provider to rule out underlying health issues.\n\nDepression is a [common cause of fatigue](https:\/\/www.verywellmind.com\/sleep-inertia-7255244), so you might be wondering whether your fatigue is a result of depression. But just because you're tired all the time doesn't necessarily mean that you're depressed.\n\nThe fact is there are many underlying conditions that could be responsible for [feeling tired all the time](https:\/\/www.verywellmind.com\/anergia-lack-of-energy-7368884). From [mood disorders](https:\/\/www.verywellmind.com\/mood-disorder-1067175) to issues affecting your physical health like [chronic fatigue syndrome](https:\/\/www.verywellmind.com\/chronic-fatigue-syndrome-myalgic-encephalomyelitis-7368473), the following psychiatric and medical conditions are some of the most common ailments associated with fatigue.\n\nBut first, it's important to note that many of these conditions share symptoms similar to depression, so we'll start there. By understanding the distinctions between depression and other factors that cause fatigue, you can seek out the right treatment and start to feel like your energetic self again.\n\nVerywell \/ Nusha Ashjaee\n\n## Psychiatric Factors\n### Depression\nDepression, which research suggests is associated with an imbalance of [neurotransmitters](https:\/\/www.verywellmind.com\/what-is-a-neurotransmitter-2795394) in the brain, is commonly linked with fatigue. The condition is also associated with [disturbed sleep](https:\/\/www.verywellmind.com\/coping-with-sleep-disturbances-during-depression-4161015), which can also significantly contribute to [tiredness](https:\/\/www.verywellmind.com\/lethargy-characteristics-causes-diagnosis-and-treatment-5322851). While some people may have difficulty falling asleep or staying asleep, others may oversleep. Both of these sleep disturbances can leave you feeling apathetic and sluggish.\n\nOther [symptoms](https:\/\/www.verywellmind.com\/top-depression-symptoms-1066910) associated with depression include:\n\n- Appetite and\/or weight changes\n- Difficulty thinking, concentrating, or making decisions\n- Fatigue or loss of energy\n- Feelings of guilt or worthlessness\n- Lack of interest in activities normally enjoyed\n- Persistent sad, anxious, or “empty” mood\n- Thoughts of death or suicide\n\nIf you think you may be experiencing depression, talk to your doctor. They can refer you to a [therapist](https:\/\/www.webmd.com\/depression\/treatment-resistant-depression-psychotherapy) who can help you manage your emotions or another mental health professional such as a [psychiatrist](https:\/\/www.verywellmind.com\/psychiatrist-a-career-overview-2795641) who may also recommend [antidepressants](https:\/\/www.verywellmind.com\/what-are-the-major-classes-of-antidepressants-1065086). Don't let depression go untreated.\n\n### Anxiety\nAnxiety and anxiety disorders are often associated with fatigue as well as sleep disturbances. [Sleep deprivation](https:\/\/www.verywellmind.com\/stress-related-insomnia-3144827) may also contribute to feelings of anxiety, which perpetuates a cycle of both anxiety and sleeplessness. This, of course, can make it difficult to manage both conditions.\n\nThe following are common anxiety disorders that may be associated with sleep disruptions and fatigue:\n\n- [**Generalized anxiety disorder (GAD)**](https:\/\/www.verywellmind.com\/dsm-5-criteria-for-generalized-anxiety-disorder-1393147):Fatigue is acommon symptom of GAD, which is characterized by excessive worry about a number of events and activities accompanied by a variety of physical and emotional symptoms.\n- [**Social anxiety disorder (SAD)**](https:\/\/www.verywellmind.com\/social-anxiety-disorder-symptoms-and-diagnosis-4157219):People with SAD have excessive fear about certain social situations that might expose them to possible scrutiny.\n- [**Obsessive-compulsive disorder (OCD)**](https:\/\/www.verywellmind.com\/what-is-obsessive-compulsive-disorder-ocd-2510675): A person's internal obsessions and compulsive behaviors can be draining and impact sleep. OCD and depression are often comorbid conditions.\n- [**Post-traumatic stress disorder (PTSD)**](https:\/\/www.verywellmind.com\/requirements-for-ptsd-diagnosis-2797637):Flashbacks and nightmares are commonly associated with PTSD, which can develop following a traumatic event and lead to debilitating levels of anxiety. The increased arousal and anxiety as well as the sleep disturbances that are part of PTSD can leave one feeling depleted and tired.\n- [**Panic disorder**](https:\/\/www.verywellmind.com\/what-is-a-panic-disorder-2795468): The excessive worry associated with panic disorder can cause insomnia and fatigue. Those with panic disorders may also experience [nocturnal panic attacks](https:\/\/www.verywellmind.com\/how-to-sleep-with-anxiety-5224455).\n- [**Specific phobias**](https:\/\/www.verywellmind.com\/list-of-phobias-2795453):Those with specific phobias have an intense, usually irrational fear associated with a particular trigger.\n### Stress\nStress can lead to sleepless nights. Stress can also wear you down and cause you to feel fatigued. We've all experienced the repercussions of stress at one time or another. If left unmanaged, stress can also wreak havoc on your mood. Stress can be a trigger for depression and anxiety disorders.\n\nLike anxiety, stress can contribute to poor sleep and poor sleep can [create stress](https:\/\/www.verywellmind.com\/stress-and-your-memory-4158323). For instance, you know that you need to get a good night's sleep so that you have energy the next day, but you might have trouble falling asleep because you are worried that you aren't going to get enough sleep.\n\nFortunately, there are many ways to combat stress that don't require sleep aids or medications. mind-body techniques such as [yoga nidra](https:\/\/www.verywellmind.com\/how-yoga-can-help-reduce-stress-3567211), or \"yogic sleep,\" and [meditation](https:\/\/www.verywellmind.com\/meditation-4157199) can help you manage stress and sleep better so you can wake up feeling refreshed with more energy.\n\n### Bipolar Disorder\n[Bipolar disorder](https:\/\/www.verywellmind.com\/how-sleep-and-bipolar-disorder-interact-379019) is characterized by extreme shifts in mood, energy, and activity. Insomnia, nightmares, and erratic sleep-wake cycles are common among people with bipolar disorder, contributing to fatigue and general tiredness.\n\nIf you have bipolar disorder and are experiencing sleep disturbances, talk to your doctor about appropriate treatment for your disorder.\n\n### Attention-Deficit\/Hyperactivity Disorder\n[Attention-deficit\/hyperactivity disorder (ADHD)](https:\/\/www.verywellmind.com\/adhd-symptoms-4157281) is a common psychiatric condition among both children and adults and is commonly associated with a variety of sleep disturbances that can contribute to daytime sleepiness. Many of the medications used to treat ADHD can also impact sleep.\n\nSleep patterns and habits are usually assessed when treating ADHD. In fact, research has shown that interventions to improve sleep hygiene can help reduce the severity of ADHD symptoms and increase the person's overall quality of life.\n\n## Physical Health Factors\nOften, physical health issues such as thyroid problems and chronic fatigue syndrome can result in fatigue symptoms resembling depression. It's also possible that fibromyalgia, sleep apnea, or an autoimmune disorder such as rheumatoid arthritis or lupus could cause you to feel tired all the time.\n\nHere are some physical factors that could be draining your energy and what you can do about it.\n\n### Underactive Thyroid\nIf you have an underactive thyroid (hypothyroidism) simple activities can leave you feeling wiped out. Your thyroid is a small gland in the front of your neck that produces hormones that regulate your metabolism. When it's not producing enough of these hormones, your metabolism slows down. This can lead to fatigue, weight gain, and even depression.\n\nSome research suggests that over 60% of people with thyroid disorders may experience symptoms of depression.\n\nThe traditional treatment for hypothyroidism involves medications that increase thyroid levels in your body. Symptoms of fatigue may get better or go away once the thyroid condition has been treated appropriately with medication. To confirm the diagnosis, your doctor will use [blood tests](https:\/\/www.verywellmind.com\/is-there-a-blood-test-for-depression-1066915) to look at your levels of thyroid hormones including thyroxine and thyroid-stimulating hormone (TSH).\n\n### Chronic Fatigue Syndrome\nChronic fatigue syndrome, now known as myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS), is a condition characterized by a reduction in the ability to engage in activities, along with profound fatigue. This is often accompanied by unrefreshing sleep, cognitive issues, and changes in blood pressure and pulse.\n\nThose with chronic fatigue still have an interest in activities but lack the energy and capacity to do them. Because CFS shares symptoms with other medical and psychiatric illnesses, it is not uncommon for it to be diagnosed as depression or another psychiatric condition. People may also experience both CFS and a psychiatric condition at the same time.\n\nThe underlying cause of chronic fatigue syndrome is not yet fully understood, and treatment may involve certain medications and lifestyle interventions.\n\n### Fibromyalgia\nFibromyalgia seems to overlap with chronic fatigue, but people with this disorder also have chronic pain all over their bodies. The disorder is usually diagnosed by tender points in certain muscles that respond with pain when touched a certain way. Sleep disturbance is also common in chronic fatigue and fibromyalgia. Research is ongoing into the causes of fibromyalgia.\n\nEstimates suggest that 40% of people with fibromyalgia also have a co-occurring major depressive disorder.\n\nThere is no specific test that can diagnose fibromyalgia. Instead, doctors must rely on an assessment of your health history and symptoms. Diagnosis typically requires the presence of widespread chronic pain, fatigue, and sleep disturbance. Treatment for fibromyalgia usually involves a combination of medication and lifestyle changes.\n\n### Autoimmune Disorders\nAutoimmune disorders involve the immune system attacking the body. Rheumatoid arthritis, [lupus](https:\/\/www.verywellmind.com\/mood-disorder-1067175), and [celiac disease](https:\/\/www.verywellmind.com\/what-causes-anxiety-attacks-5221721) are examples of autoimmune disorders. Autoimmune processes have also been implicated in certain types of diabetes and multiple sclerosis (MS).\n\nWhile these conditions aren't as common as depression, they can present with similar symptoms. In fact, according to some research, depression-like symptoms are present in up to 50% of patients with autoimmune disorders. These symptoms typically emerge over the course of the disease and are associated with psychosocial factors, [chronic pain](https:\/\/www.verywellmind.com\/how-to-cope-when-your-partner-has-a-chronic-health-issue-5193847), and long periods of disability.\n\nDealing with an autoimmune disorder can also increase your risk of developing depression. Results of one large study showed that a prior hospital contact because of an autoimmune disease increased the subsequent risk of mood disorder diagnosis by 45%.\n\n### Sleep Apnea\nSleep disorders, such as obstructive sleep apnea, can also cause many symptoms similar to those of depression. Obstructive sleep apnea is a condition where your breathing is interrupted during sleep for longer than 10 seconds. This can happen many times an hour.\n\nThese frequent interruptions interfere with your sleep quality, resulting in daytime fatigue, morning headaches, and poor concentration. It can also have a serious impact on your mood. One study found that approximately 46% of people with sleep apnea have symptoms of depression.\n\nIf you think you have a sleep disorder, speak with your doctor. In addition to reviewing your symptoms, your doctor will likely take your medical history, conduct a physical exam, and may recommend a sleep study. They may also order additional tests to rule out other medical conditions that may be causing your symptoms.\n\n### Iron-Deficiency Anemia\nYour body uses iron to make hemoglobin, the part of the red blood cell that carries oxygen to all the parts of your body.\n\nWhen you don't have enough iron, your blood can't carry enough oxygen to your body. This can leave you feeling sluggish, fatigued, and lightheaded. You may also have dull or pale skin and experience headaches, dizziness, and shortness of breath.\n\nThere are many potential causes that can lead to anemia aside from iron [deficiency](https:\/\/www.verywellmind.com\/vitamin-for-depression-1065211), so your doctor may ask you further questions about your diet and lifestyle and order more tests if needed.\n\n### Dehydration and Inadequate Nutrition\nStaying hydrated and getting proper nutrition is important for keeping your energy levels up. Research shows that a lack of fluid intake is associated with sleep issues, fatigue, and alertness.\n\nNot getting enough calories in your diet can also leave you feeling tired all the time, as can eating too many refined carbohydrates or not getting enough protein. Allergies to foods such as wheat or dairy may also contribute to tiredness.\n\n### Lifestyle Factors\nIf you don't seem to have enough energy, it could be because you're not getting enough physical activity. Research shows a sedentary lifestyle can lead to fatigue and difficulty sleeping.\n\nCigarettes and alcohol can also affect sleep quality and leave you feeling groggy the next day.\n\n## Tips for More Energy\nDepending on the severity of your symptoms and whether you've been diagnosed with a psychiatric or medical condition, there are a few habits anyone can do to improve their quality of sleep and have more energy the next day.\n\n- **Exercise regularly**.There's plenty of evidence to show that regular exercise is good for your [mental and physical health](https:\/\/www.verywellmind.com\/exercise-and-improving-your-mood-2223781). You'll have more energy and sleep better, too.\n- **Take short naps**. Tired as you may be, [sleeping too much](https:\/\/www.verywellmind.com\/excessive-sleeping-definition-symptoms-traits-causes-treatment-6745965) during the day can affect your ability to fall or stay asleep at night. Taking [short, 20- to 30-minute naps](https:\/\/www.verywellmind.com\/power-napping-health-benefits-and-tips-stress-3144702) can give you a quick burst of rest without hindering your ability to fall asleep at bedtime.\n- **Establish a bedtime routine**. Prepare for slumber each night with rituals to help you unwind. Take a hot shower or bath, read a paperback book, or meditate to calm your body and mind. Follow your bedtime routine each night to set the stage for a solid night’s sleep. Be sure to make your bedroom as dark as possible, too.\n- **Avoid caffeine, alcohol, and other stimulants before bed**. Drinking coffee, soda, or other caffeinated beverages in the late afternoon or evening can make it difficult to fall asleep and stay asleep, as can drinking alcohol. If you smoke cigarettes, [consider quitting](https:\/\/www.verywellmind.com\/a-day-in-the-life-of-an-ex-smoker-two-weeks-2825293).\n- **Power down your devices**. Leave the screens in another room.Scrolling before bedtime can make it more difficult for your mind to wind down and prepare for sleep. The light your device produces can also negatively impact your sleep. Make the bedroom a no-phone zone, if possible.","meta_canonical":null}

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Boilerpipe Text	Key Takeaways Feeling tired all the time can be caused by a lack of sleep, stress, iron-deficiency anemia, an underactive thyroid, depression, and more. To boost your energy, exercise regularly, establish a consistent bedtime routine, and avoid caffeine, alcohol, and other stimulants before bed. If your energy levels don't improve, you should consult a healthcare provider to rule out underlying health issues. Depression is a common cause of fatigue , so you might be wondering whether your fatigue is a result of depression. But just because you're tired all the time doesn't necessarily mean that you're depressed. The fact is there are many underlying conditions that could be responsible for feeling tired all the time . From mood disorders to issues affecting your physical health like chronic fatigue syndrome , the following psychiatric and medical conditions are some of the most common ailments associated with fatigue. But first, it's important to note that many of these conditions share symptoms similar to depression, so we'll start there. By understanding the distinctions between depression and other factors that cause fatigue, you can seek out the right treatment and start to feel like your energetic self again. Verywell / Nusha Ashjaee Psychiatric Factors Depression Depression, which research suggests is associated with an imbalance of neurotransmitters in the brain, is commonly linked with fatigue. The condition is also associated with disturbed sleep , which can also significantly contribute to tiredness . While some people may have difficulty falling asleep or staying asleep, others may oversleep. Both of these sleep disturbances can leave you feeling apathetic and sluggish. Other symptoms associated with depression include: Appetite and/or weight changes Difficulty thinking, concentrating, or making decisions Fatigue or loss of energy Feelings of guilt or worthlessness Lack of interest in activities normally enjoyed Persistent sad, anxious, or “empty” mood Thoughts of death or suicide If you think you may be experiencing depression, talk to your doctor. They can refer you to a therapist who can help you manage your emotions or another mental health professional such as a psychiatrist who may also recommend antidepressants . Don't let depression go untreated. Anxiety Anxiety and anxiety disorders are often associated with fatigue as well as sleep disturbances. Sleep deprivation may also contribute to feelings of anxiety, which perpetuates a cycle of both anxiety and sleeplessness. This, of course, can make it difficult to manage both conditions. The following are common anxiety disorders that may be associated with sleep disruptions and fatigue: Generalized anxiety disorder (GAD) : Fatigue is a common symptom of GAD, which is characterized by excessive worry about a number of events and activities accompanied by a variety of physical and emotional symptoms. Social anxiety disorder (SAD) : People with SAD have excessive fear about certain social situations that might expose them to possible scrutiny. Obsessive-compulsive disorder (OCD) : A person's internal obsessions and compulsive behaviors can be draining and impact sleep. OCD and depression are often comorbid conditions. Post-traumatic stress disorder (PTSD) : Flashbacks and nightmares are commonly associated with PTSD, which can develop following a traumatic event and lead to debilitating levels of anxiety. The increased arousal and anxiety as well as the sleep disturbances that are part of PTSD can leave one feeling depleted and tired. Panic disorder : The excessive worry associated with panic disorder can cause insomnia and fatigue. Those with panic disorders may also experience nocturnal panic attacks . Specific phobias : Those with specific phobias have an intense, usually irrational fear associated with a particular trigger. Stress Stress can lead to sleepless nights. Stress can also wear you down and cause you to feel fatigued. We've all experienced the repercussions of stress at one time or another. If left unmanaged, stress can also wreak havoc on your mood. Stress can be a trigger for depression and anxiety disorders. Like anxiety, stress can contribute to poor sleep and poor sleep can create stress . For instance, you know that you need to get a good night's sleep so that you have energy the next day, but you might have trouble falling asleep because you are worried that you aren't going to get enough sleep. Fortunately, there are many ways to combat stress that don't require sleep aids or medications. mind-body techniques such as yoga nidra , or "yogic sleep," and meditation can help you manage stress and sleep better so you can wake up feeling refreshed with more energy. Bipolar Disorder Bipolar disorder is characterized by extreme shifts in mood, energy, and activity. Insomnia, nightmares, and erratic sleep-wake cycles are common among people with bipolar disorder, contributing to fatigue and general tiredness. If you have bipolar disorder and are experiencing sleep disturbances, talk to your doctor about appropriate treatment for your disorder. Attention-Deficit/Hyperactivity Disorder Attention-deficit/hyperactivity disorder (ADHD) is a common psychiatric condition among both children and adults and is commonly associated with a variety of sleep disturbances that can contribute to daytime sleepiness. Many of the medications used to treat ADHD can also impact sleep. Sleep patterns and habits are usually assessed when treating ADHD. In fact, research has shown that interventions to improve sleep hygiene can help reduce the severity of ADHD symptoms and increase the person's overall quality of life. Physical Health Factors Often, physical health issues such as thyroid problems and chronic fatigue syndrome can result in fatigue symptoms resembling depression. It's also possible that fibromyalgia, sleep apnea, or an autoimmune disorder such as rheumatoid arthritis or lupus could cause you to feel tired all the time. Here are some physical factors that could be draining your energy and what you can do about it. Underactive Thyroid If you have an underactive thyroid (hypothyroidism) simple activities can leave you feeling wiped out. Your thyroid is a small gland in the front of your neck that produces hormones that regulate your metabolism. When it's not producing enough of these hormones, your metabolism slows down. This can lead to fatigue, weight gain, and even depression. Some research suggests that over 60% of people with thyroid disorders may experience symptoms of depression. The traditional treatment for hypothyroidism involves medications that increase thyroid levels in your body. Symptoms of fatigue may get better or go away once the thyroid condition has been treated appropriately with medication. To confirm the diagnosis, your doctor will use blood tests to look at your levels of thyroid hormones including thyroxine and thyroid-stimulating hormone (TSH). Chronic Fatigue Syndrome Chronic fatigue syndrome, now known as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), is a condition characterized by a reduction in the ability to engage in activities, along with profound fatigue. This is often accompanied by unrefreshing sleep, cognitive issues, and changes in blood pressure and pulse. Those with chronic fatigue still have an interest in activities but lack the energy and capacity to do them. Because CFS shares symptoms with other medical and psychiatric illnesses, it is not uncommon for it to be diagnosed as depression or another psychiatric condition. People may also experience both CFS and a psychiatric condition at the same time. The underlying cause of chronic fatigue syndrome is not yet fully understood, and treatment may involve certain medications and lifestyle interventions. Fibromyalgia Fibromyalgia seems to overlap with chronic fatigue, but people with this disorder also have chronic pain all over their bodies. The disorder is usually diagnosed by tender points in certain muscles that respond with pain when touched a certain way. Sleep disturbance is also common in chronic fatigue and fibromyalgia. Research is ongoing into the causes of fibromyalgia. Estimates suggest that 40% of people with fibromyalgia also have a co-occurring major depressive disorder. There is no specific test that can diagnose fibromyalgia. Instead, doctors must rely on an assessment of your health history and symptoms. Diagnosis typically requires the presence of widespread chronic pain, fatigue, and sleep disturbance. Treatment for fibromyalgia usually involves a combination of medication and lifestyle changes. Autoimmune Disorders Autoimmune disorders involve the immune system attacking the body. Rheumatoid arthritis, lupus , and celiac disease are examples of autoimmune disorders. Autoimmune processes have also been implicated in certain types of diabetes and multiple sclerosis (MS). While these conditions aren't as common as depression, they can present with similar symptoms. In fact, according to some research, depression-like symptoms are present in up to 50% of patients with autoimmune disorders. These symptoms typically emerge over the course of the disease and are associated with psychosocial factors, chronic pain , and long periods of disability. Dealing with an autoimmune disorder can also increase your risk of developing depression. Results of one large study showed that a prior hospital contact because of an autoimmune disease increased the subsequent risk of mood disorder diagnosis by 45%. Sleep Apnea Sleep disorders, such as obstructive sleep apnea, can also cause many symptoms similar to those of depression. Obstructive sleep apnea is a condition where your breathing is interrupted during sleep for longer than 10 seconds. This can happen many times an hour. These frequent interruptions interfere with your sleep quality, resulting in daytime fatigue, morning headaches, and poor concentration. It can also have a serious impact on your mood. One study found that approximately 46% of people with sleep apnea have symptoms of depression. If you think you have a sleep disorder, speak with your doctor. In addition to reviewing your symptoms, your doctor will likely take your medical history, conduct a physical exam, and may recommend a sleep study. They may also order additional tests to rule out other medical conditions that may be causing your symptoms. Iron-Deficiency Anemia Your body uses iron to make hemoglobin, the part of the red blood cell that carries oxygen to all the parts of your body. When you don't have enough iron, your blood can't carry enough oxygen to your body. This can leave you feeling sluggish, fatigued, and lightheaded. You may also have dull or pale skin and experience headaches, dizziness, and shortness of breath. There are many potential causes that can lead to anemia aside from iron deficiency , so your doctor may ask you further questions about your diet and lifestyle and order more tests if needed. Dehydration and Inadequate Nutrition Staying hydrated and getting proper nutrition is important for keeping your energy levels up. Research shows that a lack of fluid intake is associated with sleep issues, fatigue, and alertness. Not getting enough calories in your diet can also leave you feeling tired all the time, as can eating too many refined carbohydrates or not getting enough protein. Allergies to foods such as wheat or dairy may also contribute to tiredness. Lifestyle Factors If you don't seem to have enough energy, it could be because you're not getting enough physical activity. Research shows a sedentary lifestyle can lead to fatigue and difficulty sleeping. Cigarettes and alcohol can also affect sleep quality and leave you feeling groggy the next day. Tips for More Energy Depending on the severity of your symptoms and whether you've been diagnosed with a psychiatric or medical condition, there are a few habits anyone can do to improve their quality of sleep and have more energy the next day. Exercise regularly . There's plenty of evidence to show that regular exercise is good for your mental and physical health . You'll have more energy and sleep better, too. Take short naps . Tired as you may be, sleeping too much during the day can affect your ability to fall or stay asleep at night. Taking short, 20- to 30-minute naps can give you a quick burst of rest without hindering your ability to fall asleep at bedtime. Establish a bedtime routine . Prepare for slumber each night with rituals to help you unwind. Take a hot shower or bath, read a paperback book, or meditate to calm your body and mind. Follow your bedtime routine each night to set the stage for a solid night’s sleep. Be sure to make your bedroom as dark as possible, too. Avoid caffeine, alcohol, and other stimulants before bed . Drinking coffee, soda, or other caffeinated beverages in the late afternoon or evening can make it difficult to fall asleep and stay asleep, as can drinking alcohol. If you smoke cigarettes, consider quitting . Power down your devices . Leave the screens in another room. Scrolling before bedtime can make it more difficult for your mind to wind down and prepare for sleep. The light your device produces can also negatively impact your sleep. Make the bedroom a no-phone zone, if possible.
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Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Ⓒ 2026 People Inc. — All rights reserved # 13 Possible Reasons Why You're Tired All the Time Low on energy? It may not be depression By [Leonard Holmes, PhD](https://www.verywellmind.com/leonard-holmes-4705345) [Leonard Holmes, PhD](https://www.verywellmind.com/leonard-holmes-4705345) Leonard Holmes, PhD, is a pioneer of the online therapy field and a clinical psychologist specializing in chronic pain and anxiety. Learn about our [editorial process](https://www.verywellmind.com/our-editorial-process-4778006) Updated on October 26, 2025 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. [Learn more](https://www.verywellmind.com/review-board-4796494). by [Steven Gans, MD](https://www.verywellmind.com/steven-gans-md-4779222) ![Steven Gans]() ![Steven Gans](https://www.verywellmind.com/thmb/fZ_tk7yoILxKtKtadDqryfeRKaE=/200x200/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/steven-gans-1000-51582b7f23b6462f8713961deb74959f.jpg) Medically reviewed by [Steven Gans, MD](https://www.verywellmind.com/steven-gans-md-4779222) Steven Gans, MD, is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our [Medical Review Board](https://www.verywellmind.com/review-board-4796494) Table of Contents View All Table of Contents - [Psychiatric Factors](https://www.verywellmind.com/maybe-its-not-depression-2330495#toc-psychiatric-factors) - [Physical Health Factors](https://www.verywellmind.com/maybe-its-not-depression-2330495#toc-physical-health-factors) - [Tips for More Energy](https://www.verywellmind.com/maybe-its-not-depression-2330495#toc-tips-for-more-energy) Close ### Key Takeaways - Feeling tired all the time can be caused by a lack of sleep, stress, iron-deficiency anemia, an underactive thyroid, depression, and more. - To boost your energy, exercise regularly, establish a consistent bedtime routine, and avoid caffeine, alcohol, and other stimulants before bed. - If your energy levels don't improve, you should consult a healthcare provider to rule out underlying health issues. Depression is a [common cause of fatigue](https://www.verywellmind.com/sleep-inertia-7255244), so you might be wondering whether your fatigue is a result of depression. But just because you're tired all the time doesn't necessarily mean that you're depressed. The fact is there are many underlying conditions that could be responsible for [feeling tired all the time](https://www.verywellmind.com/anergia-lack-of-energy-7368884). From [mood disorders](https://www.verywellmind.com/mood-disorder-1067175) to issues affecting your physical health like [chronic fatigue syndrome](https://www.verywellmind.com/chronic-fatigue-syndrome-myalgic-encephalomyelitis-7368473), the following psychiatric and medical conditions are some of the most common ailments associated with fatigue. But first, it's important to note that many of these conditions share symptoms similar to depression, so we'll start there. By understanding the distinctions between depression and other factors that cause fatigue, you can seek out the right treatment and start to feel like your energetic self again. [Depression Recovery: How to Know You're Making Progress](https://www.verywellmind.com/how-do-i-know-if-my-depression-is-getting-better-1066881) ![Illnesses that cause depression-like symptoms]() ![Illnesses that cause depression-like symptoms](https://www.verywellmind.com/thmb/ej30luFlEpNM0uFZeKUJ1ID9uO0=/1500x0/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/maybe-its-not-depression-2330495_final-d346e528da714baea1c97e1e94a31ba0.png) Verywell / Nusha Ashjaee ## Psychiatric Factors ### Depression Depression, which research suggests is associated with an imbalance of [neurotransmitters](https://www.verywellmind.com/what-is-a-neurotransmitter-2795394) in the brain, is commonly linked with fatigue. The condition is also associated with [disturbed sleep](https://www.verywellmind.com/coping-with-sleep-disturbances-during-depression-4161015), which can also significantly contribute to [tiredness](https://www.verywellmind.com/lethargy-characteristics-causes-diagnosis-and-treatment-5322851). While some people may have difficulty falling asleep or staying asleep, others may oversleep. Both of these sleep disturbances can leave you feeling apathetic and sluggish. Other [symptoms](https://www.verywellmind.com/top-depression-symptoms-1066910) associated with depression include: - Appetite and/or weight changes - Difficulty thinking, concentrating, or making decisions - Fatigue or loss of energy - Feelings of guilt or worthlessness - Lack of interest in activities normally enjoyed - Persistent sad, anxious, or “empty” mood - Thoughts of death or suicide If you are having suicidal thoughts, contact the [National Suicide Prevention Lifeline](https://suicidepreventionlifeline.org/) at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our [National Helpline Database](https://www.verywellmind.com/national-helpline-database-4799696). If you think you may be experiencing depression, talk to your doctor. They can refer you to a [therapist](https://www.webmd.com/depression/treatment-resistant-depression-psychotherapy) who can help you manage your emotions or another mental health professional such as a [psychiatrist](https://www.verywellmind.com/psychiatrist-a-career-overview-2795641) who may also recommend [antidepressants](https://www.verywellmind.com/what-are-the-major-classes-of-antidepressants-1065086). Don't let depression go untreated. [Discover the Treatment Options for Depression](https://www.verywellmind.com/treatments-for-depression-1065502) ### Anxiety Anxiety and anxiety disorders are often associated with fatigue as well as sleep disturbances. [Sleep deprivation](https://www.verywellmind.com/stress-related-insomnia-3144827) may also contribute to feelings of anxiety, which perpetuates a cycle of both anxiety and sleeplessness. This, of course, can make it difficult to manage both conditions. The following are common anxiety disorders that may be associated with sleep disruptions and fatigue: - [Generalized anxiety disorder (GAD)](https://www.verywellmind.com/dsm-5-criteria-for-generalized-anxiety-disorder-1393147):Fatigue is acommon symptom of GAD, which is characterized by excessive worry about a number of events and activities accompanied by a variety of physical and emotional symptoms. - [Social anxiety disorder (SAD)](https://www.verywellmind.com/social-anxiety-disorder-symptoms-and-diagnosis-4157219):People with SAD have excessive fear about certain social situations that might expose them to possible scrutiny. - [Obsessive-compulsive disorder (OCD)](https://www.verywellmind.com/what-is-obsessive-compulsive-disorder-ocd-2510675): A person's internal obsessions and compulsive behaviors can be draining and impact sleep. OCD and depression are often comorbid conditions. - [Post-traumatic stress disorder (PTSD)](https://www.verywellmind.com/requirements-for-ptsd-diagnosis-2797637):Flashbacks and nightmares are commonly associated with PTSD, which can develop following a traumatic event and lead to debilitating levels of anxiety. The increased arousal and anxiety as well as the sleep disturbances that are part of PTSD can leave one feeling depleted and tired. - [Panic disorder](https://www.verywellmind.com/what-is-a-panic-disorder-2795468): The excessive worry associated with panic disorder can cause insomnia and fatigue. Those with panic disorders may also experience [nocturnal panic attacks](https://www.verywellmind.com/how-to-sleep-with-anxiety-5224455). - [Specific phobias](https://www.verywellmind.com/list-of-phobias-2795453):Those with specific phobias have an intense, usually irrational fear associated with a particular trigger. [Therapy for Anxiety Disorders](https://www.verywellmind.com/anxiety-therapy-4692759) ### Stress Stress can lead to sleepless nights. Stress can also wear you down and cause you to feel fatigued. We've all experienced the repercussions of stress at one time or another. If left unmanaged, stress can also wreak havoc on your mood. Stress can be a trigger for depression and anxiety disorders. Like anxiety, stress can contribute to poor sleep and poor sleep can [create stress](https://www.verywellmind.com/stress-and-your-memory-4158323). For instance, you know that you need to get a good night's sleep so that you have energy the next day, but you might have trouble falling asleep because you are worried that you aren't going to get enough sleep. Fortunately, there are many ways to combat stress that don't require sleep aids or medications. mind-body techniques such as [yoga nidra](https://www.verywellmind.com/how-yoga-can-help-reduce-stress-3567211), or "yogic sleep," and [meditation](https://www.verywellmind.com/meditation-4157199) can help you manage stress and sleep better so you can wake up feeling refreshed with more energy. ### Mindful Moment Feeling sluggish? Take this free [3-minute meditation to boost your energy](https://www.verywellmind.com/3-minute-video-meditation-to-boost-energy-8553401)—or choose from our [guided meditation library](https://www.verywellmind.com/guided-meditations-8609227) to find another one that will help you feel your best. [Why Am I So Tired After Work?](https://www.verywellmind.com/why-am-i-so-tired-after-work-6741246) ### Bipolar Disorder [Bipolar disorder](https://www.verywellmind.com/how-sleep-and-bipolar-disorder-interact-379019) is characterized by extreme shifts in mood, energy, and activity. Insomnia, nightmares, and erratic sleep-wake cycles are common among people with bipolar disorder, contributing to fatigue and general tiredness. If you have bipolar disorder and are experiencing sleep disturbances, talk to your doctor about appropriate treatment for your disorder. ### Attention-Deficit/Hyperactivity Disorder [Attention-deficit/hyperactivity disorder (ADHD)](https://www.verywellmind.com/adhd-symptoms-4157281) is a common psychiatric condition among both children and adults and is commonly associated with a variety of sleep disturbances that can contribute to daytime sleepiness. Many of the medications used to treat ADHD can also impact sleep. Sleep patterns and habits are usually assessed when treating ADHD. In fact, research has shown that interventions to improve sleep hygiene can help reduce the severity of ADHD symptoms and increase the person's overall quality of life. [How to Fall Asleep With ADHD](https://www.verywellmind.com/tips-for-better-sleep-with-add-20704) ## Physical Health Factors Often, physical health issues such as thyroid problems and chronic fatigue syndrome can result in fatigue symptoms resembling depression. It's also possible that fibromyalgia, sleep apnea, or an autoimmune disorder such as rheumatoid arthritis or lupus could cause you to feel tired all the time. Here are some physical factors that could be draining your energy and what you can do about it. ### Underactive Thyroid If you have an underactive thyroid (hypothyroidism) simple activities can leave you feeling wiped out. Your thyroid is a small gland in the front of your neck that produces hormones that regulate your metabolism. When it's not producing enough of these hormones, your metabolism slows down. This can lead to fatigue, weight gain, and even depression. Some research suggests that over 60% of people with thyroid disorders may experience symptoms of depression. The traditional treatment for hypothyroidism involves medications that increase thyroid levels in your body. Symptoms of fatigue may get better or go away once the thyroid condition has been treated appropriately with medication. To confirm the diagnosis, your doctor will use [blood tests](https://www.verywellmind.com/is-there-a-blood-test-for-depression-1066915) to look at your levels of thyroid hormones including thyroxine and thyroid-stimulating hormone (TSH). ### Chronic Fatigue Syndrome Chronic fatigue syndrome, now known as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), is a condition characterized by a reduction in the ability to engage in activities, along with profound fatigue. This is often accompanied by unrefreshing sleep, cognitive issues, and changes in blood pressure and pulse. Those with chronic fatigue still have an interest in activities but lack the energy and capacity to do them. Because CFS shares symptoms with other medical and psychiatric illnesses, it is not uncommon for it to be diagnosed as depression or another psychiatric condition. People may also experience both CFS and a psychiatric condition at the same time. The underlying cause of chronic fatigue syndrome is not yet fully understood, and treatment may involve certain medications and lifestyle interventions. ### Fibromyalgia Fibromyalgia seems to overlap with chronic fatigue, but people with this disorder also have chronic pain all over their bodies. The disorder is usually diagnosed by tender points in certain muscles that respond with pain when touched a certain way. Sleep disturbance is also common in chronic fatigue and fibromyalgia. Research is ongoing into the causes of fibromyalgia. Estimates suggest that 40% of people with fibromyalgia also have a co-occurring major depressive disorder. There is no specific test that can diagnose fibromyalgia. Instead, doctors must rely on an assessment of your health history and symptoms. Diagnosis typically requires the presence of widespread chronic pain, fatigue, and sleep disturbance. Treatment for fibromyalgia usually involves a combination of medication and lifestyle changes. ### Autoimmune Disorders Autoimmune disorders involve the immune system attacking the body. Rheumatoid arthritis, [lupus](https://www.verywellmind.com/mood-disorder-1067175), and [celiac disease](https://www.verywellmind.com/what-causes-anxiety-attacks-5221721) are examples of autoimmune disorders. Autoimmune processes have also been implicated in certain types of diabetes and multiple sclerosis (MS). While these conditions aren't as common as depression, they can present with similar symptoms. In fact, according to some research, depression-like symptoms are present in up to 50% of patients with autoimmune disorders. These symptoms typically emerge over the course of the disease and are associated with psychosocial factors, [chronic pain](https://www.verywellmind.com/how-to-cope-when-your-partner-has-a-chronic-health-issue-5193847), and long periods of disability. Dealing with an autoimmune disorder can also increase your risk of developing depression. Results of one large study showed that a prior hospital contact because of an autoimmune disease increased the subsequent risk of mood disorder diagnosis by 45%. ### Sleep Apnea Sleep disorders, such as obstructive sleep apnea, can also cause many symptoms similar to those of depression. Obstructive sleep apnea is a condition where your breathing is interrupted during sleep for longer than 10 seconds. This can happen many times an hour. These frequent interruptions interfere with your sleep quality, resulting in daytime fatigue, morning headaches, and poor concentration. It can also have a serious impact on your mood. One study found that approximately 46% of people with sleep apnea have symptoms of depression. If you think you have a sleep disorder, speak with your doctor. In addition to reviewing your symptoms, your doctor will likely take your medical history, conduct a physical exam, and may recommend a sleep study. They may also order additional tests to rule out other medical conditions that may be causing your symptoms. [What Is Chronic Sleep Deprivation?](https://www.verywellmind.com/an-overview-of-chronic-sleep-deprivation-4770156) ### Iron-Deficiency Anemia Your body uses iron to make hemoglobin, the part of the red blood cell that carries oxygen to all the parts of your body. When you don't have enough iron, your blood can't carry enough oxygen to your body. This can leave you feeling sluggish, fatigued, and lightheaded. You may also have dull or pale skin and experience headaches, dizziness, and shortness of breath. There are many potential causes that can lead to anemia aside from iron [deficiency](https://www.verywellmind.com/vitamin-for-depression-1065211), so your doctor may ask you further questions about your diet and lifestyle and order more tests if needed. ### Dehydration and Inadequate Nutrition Staying hydrated and getting proper nutrition is important for keeping your energy levels up. Research shows that a lack of fluid intake is associated with sleep issues, fatigue, and alertness. Not getting enough calories in your diet can also leave you feeling tired all the time, as can eating too many refined carbohydrates or not getting enough protein. Allergies to foods such as wheat or dairy may also contribute to tiredness. ### Lifestyle Factors If you don't seem to have enough energy, it could be because you're not getting enough physical activity. Research shows a sedentary lifestyle can lead to fatigue and difficulty sleeping. Cigarettes and alcohol can also affect sleep quality and leave you feeling groggy the next day. [Sleep Problems Associated With Alcohol Misuse](https://www.verywellmind.com/sleep-problems-in-recovering-alcoholics-63200) ## Tips for More Energy Depending on the severity of your symptoms and whether you've been diagnosed with a psychiatric or medical condition, there are a few habits anyone can do to improve their quality of sleep and have more energy the next day. - Exercise regularly.There's plenty of evidence to show that regular exercise is good for your [mental and physical health](https://www.verywellmind.com/exercise-and-improving-your-mood-2223781). You'll have more energy and sleep better, too. - Take short naps. Tired as you may be, [sleeping too much](https://www.verywellmind.com/excessive-sleeping-definition-symptoms-traits-causes-treatment-6745965) during the day can affect your ability to fall or stay asleep at night. Taking [short, 20- to 30-minute naps](https://www.verywellmind.com/power-napping-health-benefits-and-tips-stress-3144702) can give you a quick burst of rest without hindering your ability to fall asleep at bedtime. - Establish a bedtime routine. Prepare for slumber each night with rituals to help you unwind. Take a hot shower or bath, read a paperback book, or meditate to calm your body and mind. Follow your bedtime routine each night to set the stage for a solid night’s sleep. Be sure to make your bedroom as dark as possible, too. - Avoid caffeine, alcohol, and other stimulants before bed. Drinking coffee, soda, or other caffeinated beverages in the late afternoon or evening can make it difficult to fall asleep and stay asleep, as can drinking alcohol. If you smoke cigarettes, [consider quitting](https://www.verywellmind.com/a-day-in-the-life-of-an-ex-smoker-two-weeks-2825293). - Power down your devices. Leave the screens in another room.Scrolling before bedtime can make it more difficult for your mind to wind down and prepare for sleep. The light your device produces can also negatively impact your sleep. Make the bedroom a no-phone zone, if possible. [The Military Sleep Method: Benefits and How It Works](https://www.verywellmind.com/military-sleep-method-7111161) Read more: - [Conditions A-Z](https://www.verywellmind.com/conditions-a-z-4797402) - [Depression](https://www.verywellmind.com/depression-4157261) - [Symptoms and Diagnosis](https://www.verywellmind.com/depression-symptoms-and-diagnosis-4157260) 31 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https://www.verywellmind.com/our-editorial-process-4778006) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 1. Ghanean H, Ceniti AK, Kennedy SH. [Fatigue in patients with major depressive disorder: Prevalence, burden and pharmacological approaches to management](https://doi.org/10.1007/s40263-018-0490-z). CNS Drugs. 2018;32(1):65-74. doi:10.1007/s40263-018-0490-z 2. American Psychiatric Association. [Diagnostic and Statistical Manual of Mental Disorders](https://doi.org/10.1176/appi.books.9780890425596). 5th ed. American Psychiatric Association; 2013. 3. Timpano KR, Carbonella JY, Bernert RA, Schmidt NB. [Obsessive compulsive symptoms and sleep difficulties: Exploring the unique relationship between insomnia and obsessions](https://doi.org/10.1016/j.jpsychires.2014.06.021). J Psychiatr Res. 2014;57:101-7. doi:10.1016/j.jpsychires.2014.06.021 4. - Koffel E, Khawaja IS, Germain A. [Sleep disturbances in posttraumatic stress disorder: Updated review and implications for treatment](https://doi.org/10.3928/00485713-20160125-01). Psychiatr Ann. 2016;46(3):173-176. doi:10.3928/00485713-20160125-01 5. Enns MW, Bernstein CN, Kroeker K, et al. [The association of fatigue, pain, depression and anxiety with work and activity impairment in immune mediated inflammatory diseases](https://doi.org/10.1371/journal.pone.0198975). PLoS One. 2018;13(6):e0198975. doi:10.1371/journal.pone.0198975 6. Datta K, Tripathi M, Mallick HN. [Yoga nidra: An innovative approach for management of chronic insomnia- A case report](https://doi.org/10.1186/s41606-017-0009-4). Sleep Sci Pract. 2017;1(7). doi:10.1186/s41606-017-0009-4 7. Gold AK, Sylvia LG. [The role of sleep in bipolar disorder](https://doi.org/10.2147/NSS.S85754). Nat Sci Sleep. 2016;8:207-214. doi:10.2147/NSS.S85754 8. Peppers KH, Eisbach S, Atkins S, Poole JM, Derouin A. [An intervention to promote sleep and reduce adhd symptoms](https://doi.org/10.1016/j.pedhc.2016.07.008). J Pediatr Health Care. 2016;30(6):e43-e48. doi:10.1016/j.pedhc.2016.07.008 9. Vassend O, Røysamb E, Nielsen CS, Czajkowski NO. [Fatigue symptoms in relation to neuroticism, anxiety-depression, and musculoskeletal pain. A longitudinal twin study](https://doi.org/10.1371/journal.pone.0198594). PLoS One. 2018;13(6):e0198594. doi:10.1371/journal.pone.0198594 10. Gaitonde DY, Rowley KD, Sweeney LB. [Hypothyroidism: An update](https://pubmed-ncbi-nlm-nih-gov.proxy.libraries.rutgers.edu/22962987/). Am Fam Physician. 2012;86(3):244-251. 11. Hage MP, Azar ST. [The link between thyroid function and depression](https://doi.org/10.1155/2012/590648). J Thyroid Res. 2012;2012:590648. doi:10.1155/2012/590648 12. Roberts D. [Chronic fatigue syndrome and quality of life](https://doi.org/10.2147/PROM.S155642). Patient Relat Outcome Meas. 2018;9:253-262. doi:10.2147/PROM.S155642 13. Yancey JR, Thomas SM. [Chronic fatigue syndrome: Diagnosis and treatment](https://www.ncbi.nlm.nih.gov/pubmed/23062157). Am Fam Physician. 2012;86(8):741-746. 14. Bellato E, Marini E, Castoldi F, et al. [Fibromyalgia syndrome: Etiology, pathogenesis, diagnosis, and treatment](https://doi.org/10.1155/2012/426130). Pain Res Treat. 2012;2012:426130. doi:10.1155/2012/426130 15. Gracely, RH, Ceko, M, and Bushness, MC. [Fibromyalgia and depression](https://doi.org/10.1155/2012/486590). Pain Res Treat. 2012; 486590. doi:10.1155/2012/486590 16. Kodner C. [Common questions about the diagnosis and management of fibromyalgia](https://www.ncbi.nlm.nih.gov/pubmed/25884747). Am Fam Physician. 2015;91(7):472-478. 17. Pryce CR, Fontana A. [Depression in autoimmune diseases](https://doi.org/10.1007/7854_2016_7). Curr Top Behav Neurosci. 2017;31:139-154. doi:10.1007/7854\_2016\_7 18. Yanjun L, Tang X. [Depressive syndromes in autoimmune disorders of the nervous system: Prevalence, etiology, and influence](https://doi.org/10.3389/fpsyt.2018.00451). Frontiers in Psychiatry. 2018;9:451. doi:10.3389/fpsyt.2018.00451 19. Benros ME, Waltoft BL, Nordentoft M, et al. [Autoimmune diseases and severe infections as risk factors for mood disorders: A nationwide study](https://doi.org/10.1001/jamapsychiatry.2013.1111). JAMA Psychiatry. 2013;70(8):812-820. doi:10.1001/jamapsychiatry.2013.1111 20. Ejaz SM, Khawaja IS, Bhatia S, Hurwitz TD. [Obstructive sleep apnea and depression: A review](https://www.ncbi.nlm.nih.gov/pubmed/21922066). Innov Clin Neurosci. 2011;8(8):17-25. 21. Rezaeitalab F, Moharrari F, Saberi S, Asadpour H, Rezaeetalab F. [The correlation of anxiety and depression with obstructive sleep apnea syndrome](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061640/). J Res Med Sci. 2014;19(3):205-10. 22. Semelka M, Wilson J, Floyd R. [Diagnosis and treatment of obstructive sleep apnea in adults](https://www.ncbi.nlm.nih.gov/pubmed/27583421). Am Fam Physician. 2016;94(5):355-360. 23. Pross N, Demazières A, Girard N, et al. [Influence of progressive fluid restriction on mood and physiological markers of dehydration in women](https://doi.org/10.1017/S0007114512001080). Br J Nutr. 2013;109(2):313-321. doi:10.1017/S0007114512001080 24. - Khong TK, Selvanayagam VS, Sidhu SK, Yusof A. [Role of carbohydrate in central fatigue: A systematic review](https://doi.org/10.1111/sms.12754). Scand J Med Sci Sports. 2017;27(4):376-384. doi:10.1111/sms.12754 25. Pezeshki A, Zapata RC, Singh A, Yee NJ, Chelikani PK. [Low protein diets produce divergent effects on energy balance](https://doi.org/10.1038/srep25145). Sci Rep. 2016;6:25145. doi:10.1038/srep25145 26. Yu W, Freeland DMH, Nadeau KC. [Food allergy: immune mechanisms, diagnosis and immunotherapy](https://doi.org/10.1038/nri.2016.111). Nat Rev Immunol. 2016;16(12):751-765. doi:10.1038/nri.2016.111 27. - Yang Y, Shin JC, Li D, An R. [Sedentary behavior and sleep problems: A systematic review and meta-analysis](https://doi.org/10.1007/s12529-016-9609-0). Int J Behav Med. 2017;24(4):481-492. doi:10.1007/s12529-016-9609-0 28. Irish LA, Kline CE, Gunn HE, Buysse DJ, Hall MH. [The role of sleep hygiene in promoting public health: A review of empirical evidence](https://doi.org/10.1016/j.smrv.2014.10.001). Sleep Med Rev. 2015;22:23-36. doi:10.1016/j.smrv.2014.10.001 29. Harvard Health Publishing. [Tips for beating anxiety to get a better night’s sleep](https://www.health.harvard.edu/mind-and-mood/tips-for-beating-anxiety-to-get-a-better-nights-sleep). 30. Herbert C, Meixner F, Wiebking C, Gilg V. [Regular physical activity, short-term exercise, mental health, and well-being among university students: The results of an online and a laboratory study](https://doi.org/10.3389/fpsyg.2020.00509). Front Psychol. 2020;11:509. doi:10.3389/fpsyg.2020.00509 31. Ogeil RP, Phillips JG. [Commonly used stimulants: Sleep problems, dependence and psychological distress](https://doi.org/10.1016/j.drugalcdep.2015.05.036). Drug Alcohol Depend. 2015;153:145-151. doi:10.1016/j.drugalcdep.2015.05.036 By [Leonard Holmes, PhD](https://www.verywellmind.com/leonard-holmes-4705345) Leonard Holmes, PhD, is a pioneer of the online therapy field and a clinical psychologist specializing in chronic pain and anxiety. 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Readable Markdown	### Key Takeaways - Feeling tired all the time can be caused by a lack of sleep, stress, iron-deficiency anemia, an underactive thyroid, depression, and more. - To boost your energy, exercise regularly, establish a consistent bedtime routine, and avoid caffeine, alcohol, and other stimulants before bed. - If your energy levels don't improve, you should consult a healthcare provider to rule out underlying health issues. Depression is a [common cause of fatigue](https://www.verywellmind.com/sleep-inertia-7255244), so you might be wondering whether your fatigue is a result of depression. But just because you're tired all the time doesn't necessarily mean that you're depressed. The fact is there are many underlying conditions that could be responsible for [feeling tired all the time](https://www.verywellmind.com/anergia-lack-of-energy-7368884). From [mood disorders](https://www.verywellmind.com/mood-disorder-1067175) to issues affecting your physical health like [chronic fatigue syndrome](https://www.verywellmind.com/chronic-fatigue-syndrome-myalgic-encephalomyelitis-7368473), the following psychiatric and medical conditions are some of the most common ailments associated with fatigue. But first, it's important to note that many of these conditions share symptoms similar to depression, so we'll start there. By understanding the distinctions between depression and other factors that cause fatigue, you can seek out the right treatment and start to feel like your energetic self again. Verywell / Nusha Ashjaee ## Psychiatric Factors ### Depression Depression, which research suggests is associated with an imbalance of [neurotransmitters](https://www.verywellmind.com/what-is-a-neurotransmitter-2795394) in the brain, is commonly linked with fatigue. The condition is also associated with [disturbed sleep](https://www.verywellmind.com/coping-with-sleep-disturbances-during-depression-4161015), which can also significantly contribute to [tiredness](https://www.verywellmind.com/lethargy-characteristics-causes-diagnosis-and-treatment-5322851). While some people may have difficulty falling asleep or staying asleep, others may oversleep. Both of these sleep disturbances can leave you feeling apathetic and sluggish. Other [symptoms](https://www.verywellmind.com/top-depression-symptoms-1066910) associated with depression include: - Appetite and/or weight changes - Difficulty thinking, concentrating, or making decisions - Fatigue or loss of energy - Feelings of guilt or worthlessness - Lack of interest in activities normally enjoyed - Persistent sad, anxious, or “empty” mood - Thoughts of death or suicide If you think you may be experiencing depression, talk to your doctor. They can refer you to a [therapist](https://www.webmd.com/depression/treatment-resistant-depression-psychotherapy) who can help you manage your emotions or another mental health professional such as a [psychiatrist](https://www.verywellmind.com/psychiatrist-a-career-overview-2795641) who may also recommend [antidepressants](https://www.verywellmind.com/what-are-the-major-classes-of-antidepressants-1065086). Don't let depression go untreated. ### Anxiety Anxiety and anxiety disorders are often associated with fatigue as well as sleep disturbances. [Sleep deprivation](https://www.verywellmind.com/stress-related-insomnia-3144827) may also contribute to feelings of anxiety, which perpetuates a cycle of both anxiety and sleeplessness. This, of course, can make it difficult to manage both conditions. The following are common anxiety disorders that may be associated with sleep disruptions and fatigue: - [Generalized anxiety disorder (GAD)](https://www.verywellmind.com/dsm-5-criteria-for-generalized-anxiety-disorder-1393147):Fatigue is acommon symptom of GAD, which is characterized by excessive worry about a number of events and activities accompanied by a variety of physical and emotional symptoms. - [Social anxiety disorder (SAD)](https://www.verywellmind.com/social-anxiety-disorder-symptoms-and-diagnosis-4157219):People with SAD have excessive fear about certain social situations that might expose them to possible scrutiny. - [Obsessive-compulsive disorder (OCD)](https://www.verywellmind.com/what-is-obsessive-compulsive-disorder-ocd-2510675): A person's internal obsessions and compulsive behaviors can be draining and impact sleep. OCD and depression are often comorbid conditions. - [Post-traumatic stress disorder (PTSD)](https://www.verywellmind.com/requirements-for-ptsd-diagnosis-2797637):Flashbacks and nightmares are commonly associated with PTSD, which can develop following a traumatic event and lead to debilitating levels of anxiety. The increased arousal and anxiety as well as the sleep disturbances that are part of PTSD can leave one feeling depleted and tired. - [Panic disorder](https://www.verywellmind.com/what-is-a-panic-disorder-2795468): The excessive worry associated with panic disorder can cause insomnia and fatigue. Those with panic disorders may also experience [nocturnal panic attacks](https://www.verywellmind.com/how-to-sleep-with-anxiety-5224455). - [Specific phobias](https://www.verywellmind.com/list-of-phobias-2795453):Those with specific phobias have an intense, usually irrational fear associated with a particular trigger. ### Stress Stress can lead to sleepless nights. Stress can also wear you down and cause you to feel fatigued. We've all experienced the repercussions of stress at one time or another. If left unmanaged, stress can also wreak havoc on your mood. Stress can be a trigger for depression and anxiety disorders. Like anxiety, stress can contribute to poor sleep and poor sleep can [create stress](https://www.verywellmind.com/stress-and-your-memory-4158323). For instance, you know that you need to get a good night's sleep so that you have energy the next day, but you might have trouble falling asleep because you are worried that you aren't going to get enough sleep. Fortunately, there are many ways to combat stress that don't require sleep aids or medications. mind-body techniques such as [yoga nidra](https://www.verywellmind.com/how-yoga-can-help-reduce-stress-3567211), or "yogic sleep," and [meditation](https://www.verywellmind.com/meditation-4157199) can help you manage stress and sleep better so you can wake up feeling refreshed with more energy. ### Bipolar Disorder [Bipolar disorder](https://www.verywellmind.com/how-sleep-and-bipolar-disorder-interact-379019) is characterized by extreme shifts in mood, energy, and activity. Insomnia, nightmares, and erratic sleep-wake cycles are common among people with bipolar disorder, contributing to fatigue and general tiredness. If you have bipolar disorder and are experiencing sleep disturbances, talk to your doctor about appropriate treatment for your disorder. ### Attention-Deficit/Hyperactivity Disorder [Attention-deficit/hyperactivity disorder (ADHD)](https://www.verywellmind.com/adhd-symptoms-4157281) is a common psychiatric condition among both children and adults and is commonly associated with a variety of sleep disturbances that can contribute to daytime sleepiness. Many of the medications used to treat ADHD can also impact sleep. Sleep patterns and habits are usually assessed when treating ADHD. In fact, research has shown that interventions to improve sleep hygiene can help reduce the severity of ADHD symptoms and increase the person's overall quality of life. ## Physical Health Factors Often, physical health issues such as thyroid problems and chronic fatigue syndrome can result in fatigue symptoms resembling depression. It's also possible that fibromyalgia, sleep apnea, or an autoimmune disorder such as rheumatoid arthritis or lupus could cause you to feel tired all the time. Here are some physical factors that could be draining your energy and what you can do about it. ### Underactive Thyroid If you have an underactive thyroid (hypothyroidism) simple activities can leave you feeling wiped out. Your thyroid is a small gland in the front of your neck that produces hormones that regulate your metabolism. When it's not producing enough of these hormones, your metabolism slows down. This can lead to fatigue, weight gain, and even depression. Some research suggests that over 60% of people with thyroid disorders may experience symptoms of depression. The traditional treatment for hypothyroidism involves medications that increase thyroid levels in your body. Symptoms of fatigue may get better or go away once the thyroid condition has been treated appropriately with medication. To confirm the diagnosis, your doctor will use [blood tests](https://www.verywellmind.com/is-there-a-blood-test-for-depression-1066915) to look at your levels of thyroid hormones including thyroxine and thyroid-stimulating hormone (TSH). ### Chronic Fatigue Syndrome Chronic fatigue syndrome, now known as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), is a condition characterized by a reduction in the ability to engage in activities, along with profound fatigue. This is often accompanied by unrefreshing sleep, cognitive issues, and changes in blood pressure and pulse. Those with chronic fatigue still have an interest in activities but lack the energy and capacity to do them. Because CFS shares symptoms with other medical and psychiatric illnesses, it is not uncommon for it to be diagnosed as depression or another psychiatric condition. People may also experience both CFS and a psychiatric condition at the same time. The underlying cause of chronic fatigue syndrome is not yet fully understood, and treatment may involve certain medications and lifestyle interventions. ### Fibromyalgia Fibromyalgia seems to overlap with chronic fatigue, but people with this disorder also have chronic pain all over their bodies. The disorder is usually diagnosed by tender points in certain muscles that respond with pain when touched a certain way. Sleep disturbance is also common in chronic fatigue and fibromyalgia. Research is ongoing into the causes of fibromyalgia. Estimates suggest that 40% of people with fibromyalgia also have a co-occurring major depressive disorder. There is no specific test that can diagnose fibromyalgia. Instead, doctors must rely on an assessment of your health history and symptoms. Diagnosis typically requires the presence of widespread chronic pain, fatigue, and sleep disturbance. Treatment for fibromyalgia usually involves a combination of medication and lifestyle changes. ### Autoimmune Disorders Autoimmune disorders involve the immune system attacking the body. Rheumatoid arthritis, [lupus](https://www.verywellmind.com/mood-disorder-1067175), and [celiac disease](https://www.verywellmind.com/what-causes-anxiety-attacks-5221721) are examples of autoimmune disorders. Autoimmune processes have also been implicated in certain types of diabetes and multiple sclerosis (MS). While these conditions aren't as common as depression, they can present with similar symptoms. In fact, according to some research, depression-like symptoms are present in up to 50% of patients with autoimmune disorders. These symptoms typically emerge over the course of the disease and are associated with psychosocial factors, [chronic pain](https://www.verywellmind.com/how-to-cope-when-your-partner-has-a-chronic-health-issue-5193847), and long periods of disability. Dealing with an autoimmune disorder can also increase your risk of developing depression. Results of one large study showed that a prior hospital contact because of an autoimmune disease increased the subsequent risk of mood disorder diagnosis by 45%. ### Sleep Apnea Sleep disorders, such as obstructive sleep apnea, can also cause many symptoms similar to those of depression. Obstructive sleep apnea is a condition where your breathing is interrupted during sleep for longer than 10 seconds. This can happen many times an hour. These frequent interruptions interfere with your sleep quality, resulting in daytime fatigue, morning headaches, and poor concentration. It can also have a serious impact on your mood. One study found that approximately 46% of people with sleep apnea have symptoms of depression. If you think you have a sleep disorder, speak with your doctor. In addition to reviewing your symptoms, your doctor will likely take your medical history, conduct a physical exam, and may recommend a sleep study. They may also order additional tests to rule out other medical conditions that may be causing your symptoms. ### Iron-Deficiency Anemia Your body uses iron to make hemoglobin, the part of the red blood cell that carries oxygen to all the parts of your body. When you don't have enough iron, your blood can't carry enough oxygen to your body. This can leave you feeling sluggish, fatigued, and lightheaded. You may also have dull or pale skin and experience headaches, dizziness, and shortness of breath. There are many potential causes that can lead to anemia aside from iron [deficiency](https://www.verywellmind.com/vitamin-for-depression-1065211), so your doctor may ask you further questions about your diet and lifestyle and order more tests if needed. ### Dehydration and Inadequate Nutrition Staying hydrated and getting proper nutrition is important for keeping your energy levels up. Research shows that a lack of fluid intake is associated with sleep issues, fatigue, and alertness. Not getting enough calories in your diet can also leave you feeling tired all the time, as can eating too many refined carbohydrates or not getting enough protein. Allergies to foods such as wheat or dairy may also contribute to tiredness. ### Lifestyle Factors If you don't seem to have enough energy, it could be because you're not getting enough physical activity. Research shows a sedentary lifestyle can lead to fatigue and difficulty sleeping. Cigarettes and alcohol can also affect sleep quality and leave you feeling groggy the next day. ## Tips for More Energy Depending on the severity of your symptoms and whether you've been diagnosed with a psychiatric or medical condition, there are a few habits anyone can do to improve their quality of sleep and have more energy the next day. - Exercise regularly.There's plenty of evidence to show that regular exercise is good for your [mental and physical health](https://www.verywellmind.com/exercise-and-improving-your-mood-2223781). You'll have more energy and sleep better, too. - Take short naps. Tired as you may be, [sleeping too much](https://www.verywellmind.com/excessive-sleeping-definition-symptoms-traits-causes-treatment-6745965) during the day can affect your ability to fall or stay asleep at night. Taking [short, 20- to 30-minute naps](https://www.verywellmind.com/power-napping-health-benefits-and-tips-stress-3144702) can give you a quick burst of rest without hindering your ability to fall asleep at bedtime. - Establish a bedtime routine. Prepare for slumber each night with rituals to help you unwind. Take a hot shower or bath, read a paperback book, or meditate to calm your body and mind. Follow your bedtime routine each night to set the stage for a solid night’s sleep. Be sure to make your bedroom as dark as possible, too. - Avoid caffeine, alcohol, and other stimulants before bed. Drinking coffee, soda, or other caffeinated beverages in the late afternoon or evening can make it difficult to fall asleep and stay asleep, as can drinking alcohol. If you smoke cigarettes, [consider quitting](https://www.verywellmind.com/a-day-in-the-life-of-an-ex-smoker-two-weeks-2825293). - Power down your devices. Leave the screens in another room.Scrolling before bedtime can make it more difficult for your mind to wind down and prepare for sleep. The light your device produces can also negatively impact your sleep. Make the bedroom a no-phone zone, if possible.
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