Psychotherapy can also address coping skills to improve a person's ability to fall asleep.
Doctors may sometimes treat depression and insomnia by prescribing an SSRI (selective serotonin reuptake inhibitor) or other antidepressant along with a sedating antidepressant or with a hypnotic medication (medication that helps people sleep).
It's true that the other drugs approved to treat insomnia can impair your ability to recall new experiences, and may even—although rarely—cause you to walk, eat, have sex, or drive a car while still essentially unconscious.
While trazodone is rarely used to treat depression alone any more, it's widely prescribed, off-label, at lower doses for treating insomnia, for several likely reasons.
First, trazodone has one distinct advantage—and possibly a few others.
We undertook a systematic review of the literature to identify and collate all prospective studies that measured restless legs syndrome symptoms and/or periodic limb movements following the introduction of an antidepressant. Current data indicate that onset or exacerbation of restless legs syndrome and rise in frequency of periodic limb movements are uncommon following the initiation of an antidepressant.
Among the various antidepressants, mirtazapine may be associated with higher rates of restless legs syndrome and periodic limb movements.