Morning Routine for Depression: Could It Help?

Why a Morning Routine Is So Good for You if You Have Depression — and How to Start One

Why a Morning Routine Is So Good for You if You Have Depression — and How to Start One
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Depression can affect people at any hour of the day, but mornings can be particularly difficult.

Lots of people struggle to get themselves motivated and moving in the morning, but the symptoms of depression can directly compound those struggles. It’s common for people with depression to feel like they’re starting the day with no gas in their tank, says Rebecca Brendel, MD, an associate professor of psychiatry at Harvard Medical School in Boston and a past president of the American Psychiatric Association.

“Low energy in the morning is common among people with depression, which can make it hard to get necessary tasks accomplished,” says Dr. Brendel.

But a morning routine of consistent habits can set you up for a successful day.

Why Mornings Are Challenging if You Have Depression

Anyone can struggle with low energy or lack of motivation in the morning, but these factors are common symptoms of depression, and can make the hurdle of getting going each day that much tougher to overcome, Brendel says. Depression symptoms can feel especially strong in the morning, she says, because of factors like:

  • Poor Sleep “Sleep disturbance can be a symptom of depression,” says Brendel. Approximately 75 percent of people with depression have insomnia, or difficulty falling or staying asleep.

  • Decision Fatigue This refers to feelings of exhaustion and overwhelm that stem from having to make decision after decision every day.

    Mornings are often chock-full of decisions you need to make — such as whether to work out and shower or simply snooze your alarm clock, says Christina Lee, MD, a child, adolescent, and adult psychiatrist at Kaiser Permanente in White Marsh, Maryland. This can be especially overwhelming for people with depression, who are often already running low on energy, says Brendel.
  • Undertreatment Depressive symptoms like lack of energy or negative thoughts likely won’t lift if your depression isn’t properly treated, says Brendel. Lack of treatment or lack of sufficient treatment can contribute to tougher mornings.
  • Darker Mornings During Winter Some people with depression have seasonal affective disorder (SAD). This is when depression follows a seasonal pattern, usually worsening during winter when there are fewer hours of daylight. For people with SAD, the reduced sunlight during winter may disrupt their body’s internal clock and worsen depressive symptoms like low energy.

Why a Morning Routine Can Help You Manage Depression

A morning routine can have plenty of benefits for people with depression, says Dr. Lee. For starters, a set schedule means there are fewer decisions to make about how to start your day.

“If you haven’t planned ahead, then everything you’re faced with in the morning is a decision you have to make quickly, which can add to stress and depression,” says Lee.

Decision-making is frequently a significant source of stress for people with depression and related disorders. That’s because depression can hinder people’s ability to make optimal decisions, research shows.

Feeling in control of your mornings can help you feel productive and more motivated to take on the rest of the day, too. “If you’re able to get yourself on a good start to the morning, that can have a really big impact on whether you feel like you can accomplish everything you need to throughout the day,” says Brendel.

Starting the day in a positive mood often leads to a positive mood at work and better work performance throughout the day, whereas a negative morning mood not only may last all day, but may worsen as the day goes on, negatively affecting work performance, research suggests.

12 Tips for Starting a Depression-Friendly Morning Routine

There’s no hard-and-fast rule for what a morning routine should look like — what works for you might differ from what works for someone else. Here are 12 things experts suggest adding to your morning routine to set yourself up for a successful day.

1. Start Your Morning Routine the Night Before

One of the best ways to ensure you’ll stick to your new routine, says Lee, is to prepare for each morning by getting enough sleep the night before. Try shutting off screens an hour before bedtime and having a cup of calming decaffeinated tea to help you get to sleep faster, she says.

2. Wake Up With a Sunrise Alarm Clock

A sunrise alarm clock — also known as a dawn simulator — uses artificial light to mimic a natural sunrise, slowly increasing the amount of light in your room to wake you up at a time you choose. Light therapies like light boxes or dawn simulators can be effective treatments for depression that worsens in the winter, when there are fewer daylight hours.

Sunrise “alarm” clocks are a lot less jarring than conventional sound alarms, says Lee. “Being eased into waking sets the stage for a better mood,” she says. Some clocks on the market also have gentle sounds you can select to accompany the light, says Lee. If you’re not sure which clock to try, consider asking your doctor or therapist for recommendations.

3. Make Your Bed

Making your bed not only helps neaten up your bedroom after a good night’s sleep, but it can also give you a sense of accomplishment first thing in the morning, says Lee.

4. Try Journaling

Journaling can be a helpful morning habit for people who like to express their thoughts in writing and have time to do so bright and early, says Lee. This practice can not only help you deal with stressors or difficult emotions, it can also help you track successes and challenges related to new habits or goals (like sticking to a morning routine).

You can use a notebook, a gratitude journal, or even the notes in your smartphone to write down how you’re feeling about the day ahead, says Lee. Try to spend 20 minutes each morning (or as often as you’re able to) writing down whatever comes to mind for you.

5. Let Invigorating Scents Wake You Up

Certain scents are more than just pleasant. Research suggests some may even rouse you into a state of readiness for the day.

 These could include:
  • Coffee Breathing in the smell of coffee may help you feel more alert, research suggests.

  • Peppermint The scent of peppermint essential oil may help lessen fatigue and boost alertness, according to a small study.

  • Rosemary Rosemary essential oil is a stimulant, and smelling it could help you feel more alert and awake, research suggests.

  • Sage Also known as Salvia, sage and its aroma may benefit attention, memory, and alertness, according to research.

6. Practice Deep Breathing

Many people turn to breath work — breathing techniques involving intentional focus on the breath — to center themselves and feel a sense of calm in the morning, says Lee. It takes just a few minutes, and the techniques are often easy to learn.

One simple technique you could try is called “box breathing.” Aptly named because a box has four sides and this technique has four steps, box breathing is done like this:

  • Breathe in to the count of four.
  • Hold your breath to the count of four.
  • Breathe out to the count of four.
  • Hold to the count of four after you exhale.

Repeat this process as many times as you’d like.

7. Fix Yourself a Morning Beverage

“A morning drink for many people has as much to do with ritual as the drink itself, and lets their brains know the day is starting,” says Lee. Coffee is a favorite for many because of its energizing effects. But if caffeine makes you jittery or anxious, there are other beverages you can try to start your day, says Lee:

  • Decaf or low-caf tea (like herbal varieties)
  • Hot cocoa
  • Warm nonfat milk
  • Green smoothie with avocado, kiwi, or other healthy green produce

8. Choose Activities That Make the Rest of Your Day Easier

For some people, a big morning motivator is to avoid having a lot of chores to do toward the end of the day, says Brendel. For example, if you make a habit of immediately washing the dishes you used for breakfast, you won’t have to deal with those dishes later in the day, she says. This can be especially helpful if you frequently find yourself zapped of energy after work or school.

9. Get Your Body Moving

Exercise can boost your mood, and getting it done in the morning can be very good for you. One reason: Prioritizing self-care habits like exercise can up your likelihood of sticking to other healthy habits that can ease depression in the long run, such as eating a nutritious diet, keeping in touch with friends, and getting enough shut-eye each night.

If a high-intensity, high-energy boot-camp-style workout or cardio exercise motivates you, go for it, Lee says. If you’re looking for something that’s a little gentler on the body or to wake up a little more slowly, Lee says lower-intensity movement can help, too. Even just stretching in the morning can help your body wake up and release endorphins (hormones that reduce stress and boost mood), she says.

10. Call or Text a Friend

If you have trouble getting going in the morning, it could help to have a “buddy” — such as a friend or family member — to keep you accountable, says Lee.

For instance, you could ask your buddy to check in with you each morning to make sure you’ve woken up and gotten your day started (via text, phone call, or in person if it’s someone you live with). Or if you have a coworker who lives near you, you could ask to commute together. That can make the trip more fun while boosting your odds that you’ll leave the house on time, says Lee.

11. Start Small

Try committing to just two or three things to start with, like making your bed or doing light stretches. This way you can start to feel more organized and ready for the day without feeling overwhelmed, says Brendel. Then, you can gradually include more activities in your routine as you’re able to.

12. Focus on Small Victories

If you were able to get up and have coffee, take a shower, or accomplish whatever you’d planned for your morning, congratulate yourself for sticking to that, says Brendel. Small victories add up over time. Try to avoid discounting the positive, or minimizing the good things you’re able to do.

The Takeaway

  • Many people with depression may feel worse in the mornings, but a morning routine can help manage symptoms.
  • Plan ahead to mitigate decision-making and stress after you wake up and make mornings more manageable.
  • Celebrate small victories — like when you get a good night’s sleep or stick to your morning routine — as an added way to boost your mood.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. The Power of a Morning Routine. National Alliance on Mental Illness. August 9, 2017.
  2. Depression and Sleep: Understanding the Connection. Johns Hopkins Medicine.
  3. What doctors wish patients knew about decision fatigue. American Medical Association. March 21, 2024.
  4. Seasonal affective disorder (SAD): Symptoms & causes. Mayo Clinic. December 14, 2021.
  5. Mukherjee D et al. Multiple Facets of Value-Based Decision Making in Major Depressive Disorder. Nature. February 25, 2020.
  6. Rothbard NP et al. Waking Up on the Right or Wrong Side of the Bed: Start-of-Workday Mood, Work Events, Employee Affect, and Performance. Academy of Management Journal. 2011.
  7. Danilenko KV et al. Dawn simulation vs. bright light in seasonal affective disorder: Treatment effects and subjective preference. Journal of Affective Disorders. July 15, 2015.
  8. Seasonal affective disorder (SAD): Diagnosis & treatment. Mayo Clinic. December 14, 2021.
  9. How to Keep a Mental Health Journal. Mental Health America.
  10. How Smell Affects Your Sleep. Sleep Foundation.
  11. Hawiset T. Effect of one time coffee fragrance inhalation on working memory, mood, and salivary cortisol level in healthy young volunteers: a randomized placebo controlled trial. Integrative Medicine Research. December 2019.
  12. Tang Q et al. The effect of peppermint odour on fatigue and vigilance in conditional automated vehicle. International Journal of Vehicle Performance. May 6, 2021.
  13. Nasiri A et al. The effect of rosemary essential oil inhalation on sleepiness and alertness of shift-working nurses: A randomized, controlled field trial. Complementary Therapies in Clinical Practice. May 2021.
  14. Wightman E et al. The Acute and Chronic Cognitive Effects of a Sage Extract: A Randomized, Placebo Controlled Study in Healthy Humans. Nutrients. January 2021.
  15. Breathwork for Beginners: What to Know and How to Get Started. Cleveland Clinic. May 2023.
  16. Working Out Boosts Brain Health. American Psychological Association. March 4, 2020.
seth-gillihan-bio

Seth Gillihan, PhD

Medical Reviewer
Seth Gillihan, PhD, is a licensed psychologist in private practice in Ardmore, Pennsylvania, who helps people find personal growth by making important changes in their thoughts and habits. His work includes books, podcasts, and one-on-one sessions. He is the the host of the Think Act Be podcast and author of multiple books on mindfulness and CBT, including Retrain Your Brain, Cognitive Behavioral Therapy Made Simple, and Mindful Cognitive Behavioral Therapy.

He completed a doctorate in psychology at the University of Pennsylvania where he continued as a full-time faculty member from 2008 to 2012. He has been in private practice since 2012.

Fran Kritz

Author

Fran Kritz is a veteran freelance health writer who covers consumer health stories and is a frequent health policy contributor for NPR,The Washington Post health section, and Kaiser Health News. For six years, Kritz was the senior editor of a public health blog, NewPublicHealth, hosted by the Robert Wood Johnson Foundation. She is a former staff reporter for Forbes Magazine and U.S. News and World Report.

Kritz has written stories that have impacted specific components of health care delivery. For example, her story for The Washington Post on sparse prescription drug information by some retail pharmacy chains resulted in certain chains changing vendors in order to provide better information to their consumers. Kritz has a bachelor's degree from Touro College in New York City and a master of science in American economic history from the London School of Economics.