TMS & Ketamine Treatments for Depression

  • Home
  • About Us
    • Dr. Erin Amato
    • Our Team
    • Our Reviews
  • Our Services
    • Medication Management
    • TMS (Transcranial Magnetic Stimulation)
    • Intravenous (IV) Ketamine
    • Spravato (esketamine)
    • Individual Therapy Services
    • Group Therapy
    • Virtual Talk Therapy and Telemedicine Services
    • Our On-Site Pharmacy
  • TMS Treatment
    • Overview of Transcranial Magnetic Stimulation (TMS)
    • TMS FAQs
  • Ketamine
    • Overview of Intravenous (IV) Ketamine
    • Ketamine FAQs
  • Blog
  • Contact Us
    • Interested in Becoming a Patient?
  • Resources
    • Provider Referral Priority Page
    • Practice Forms
    • Telemedicine Instructions
    • Full Script Supplements
    • Our On-Site Pharmacy
    • Terms of Service / Privacy Policy
    • NEW – Patient Portal Access

SAD and Sleep: Why Winter in Montana Might Be Messing with Your Rest

quin-stevenson-3oyeaivM_fE-unsplash blog 2-2025

If you’ve been feeling extra tired, sluggish, or struggling to fall asleep during Montana’s long, dark winters, you’re not alone. Seasonal Affective Disorder (SAD) can have a big impact on sleep, making it harder to wake up in the morning and easier to feel drained all day. But why does this happen, and what can you do to get better rest? Let’s break it down.

How SAD Affects Sleep

Seasonal Affective Disorder is a type of depression that happens during certain times of the year, usually in winter. One of the biggest reasons SAD messes with sleep is the lack of sunlight. In Montana, winter days are short, and the sun sets early—sometimes before you even finish dinner! This change in daylight affects two key things in your body:

  • Your Internal Clock (Circadian Rhythm): Your body has an internal clock that tells you when to wake up and when to sleep. Less daylight can throw this clock off, making you feel sleepy at the wrong times.
  • Melatonin Production: Your body naturally makes melatonin, a hormone that helps you sleep. With long nights and little sunlight, your body might produce too much melatonin, making you feel groggy all day. On the other hand, if your sleep schedule is off, you might not produce enough melatonin at night, leading to restless sleep.

Common Sleep Struggles with SAD

People with SAD often experience:

  • Feeling exhausted during the day, even after a full night’s sleep
  • Struggling to fall asleep or waking up frequently at night
  • Oversleeping (but still feeling tired)
  • Waking up feeling foggy or unrefreshed
  • Intense afternoon slumps, making it hard to stay productive

If this sounds familiar, don’t worry—there are ways to get your sleep back on track!

Click here to take our SAD Quiz

How to Regulate Your Sleep During Montana’s Winters

  • Get More Natural Light – Try to spend time outside in the morning or early afternoon, even if it’s cloudy. A short walk or sitting by a window with sunlight can help reset your body clock.
  • Use a Light Therapy Box – A SAD lamp mimics natural sunlight and can help regulate your sleep-wake cycle. Use it for about 20–30 minutes in the morning for best results.
  • Stick to a Sleep Schedule – Go to bed and wake up at the same time every day, even on weekends. This helps train your body to expect sleep at the right times.
  • Watch Your Evening Habits – Avoid caffeine and heavy meals close to bedtime. Instead, try a warm tea, a light snack, or relaxing activities like reading.
  • Limit Screens Before Bed – The blue light from phones and TVs can trick your brain into staying awake. Try dimming your screens or putting them away an hour before bed.
  • Stay Active – Gentle movement like yoga, stretching, or even a short walk can help your body feel ready for sleep.

When to Get Professional Support

If your sleep problems are getting worse or affecting your daily life, you don’t have to deal with them alone. If you experience:

  • Constant fatigue, even after a full night’s sleep
  • Difficulty concentrating or completing daily tasks
  • Feelings of sadness, hopelessness, or loss of interest in things you used to enjoy
  • Ongoing sleep struggles despite making changes to your routine

It may be time to talk to a professional. Therapy, light therapy, and other treatments can help you regain energy and feel more like yourself again.

A Bad Day or Something More?

A good place to start is by taking our SAD quiz to see if your winter sleep struggles might be linked to Seasonal Affective Disorder. However, it’s important to remember that self-diagnosing can be tricky—SAD shares symptoms with other conditions, and the best way to know for sure is to speak with a professional. Our team is here to provide a proper diagnosis and help you find the right treatment plan. Don’t wait to start feeling better—reach out today and take the first step toward brighter days and better sleep!

Click here to take our SAD Quiz

Remaining Characters

Clear Rating

Average Rating: 5

7 Reviews

12

TMS

by Deb (age 64)

Nov 7,2018

The hoops I jumped through in order to be evaluated were straightforward and efficient. I met with PA Kaitlin for about an hour to discuss my history and previous medications. Then Dr. Amato joined us to further discuss my history, the TMS treatment, and answer any questions. Myrna gathered all of the information and submitted it to my health insurance company to request coverage for TMS. Fortunately, insurance approved the treatment and I was able to begin the next week. I’m sure most people have anxiety about starting a treatment like TMS. No matter how many times it’s described to you, there are many unknowns. How will I feel during treatment? Is it painful? What if this doesn’t work? What if it works for a while but then stops? In all honesty, I was very uncomfortable during the first couple of weeks of treatment. The alternating two seconds of tapping sensation caused some pain during treatment, and at the end of the first week I thought about quitting. But I had sworn to myself that TMS was a last resort and I HAD TO complete the treatment and give it a chance to work. My technician, Heather, told me that some people don’t feel the tapping at all, they only hear it. Guess I wasn’t one of those people! But as the days went by, it became easier to tolerate the treatments. During this time I also saw Lauren weekly for CBT (cognitive behavioral therapy). This is highly recommended for people undergoing TMS treatment, and it was a positive complement to my total of 100 minutes each week “under the helmet”. The weekend between weeks three and four, I started to notice subtle improvements in my mood, increased belief in my self-worth, and enthusiasm for simple things like going for walks, meeting friends for lunch, and taking on volunteer work in the community. I hesitated at first to believe that TMS was helping me. I was afraid that I was convincing myself it was working because I so desperately wanted it to! But now that I am past the treatment I can say with cert

Category: general * Individual results may vary.

TMS

by Barbie (age 68)

Nov 7,2018

I feel so blessed to participate in the TMS protocol at MT Psychiatry. After struggling so many years with depression and not getting significant results from medication, particularly of late, I noticed positive results in the first two weeks of treatment. TMS can literally give you back the beauty & joy in living as well as the courage to make positive life changes and improvements in your daily living situation. I heartily encourage anyone to put yourself into the hands of the amazing TMS team who so gently and graciously make this journey with you out of the black hole that is depression. It is my honor and privilege to give the TMS treatment the highest recommendation.

Category: general * Individual results may vary.

TMS

by Shayne (age 66)

Oct22,2018

I am grateful for the support and caring I have received from Dr. Amato (and Heidi, Heather and Myrna) in my quest for mental health and a fuller more productive life. While the TMS results have been subtle, I feel more positive about my future and I would recommend this team absolutely. Thank you!

Category: general * Individual results may vary.

TMS

by Carrie (age 65)

Oct22,2018

Not realizing how fuzzy my head was, I thought I was only going through severe anxiety and depression. Through the insight of Pat, I was able to go through TMS treatments which brought down the anxiety and depression immensely and has cleared up the fuzzy, far off substantially. All the personnel treated me with kindness and I’m sure their attitudes helped in my recovery.

Category: general * Individual results may vary.

TMS

by Bridget (age 47)

Oct22,2018

The first outcome of TMS I noted happened early in my treatment, at about the beginning of week two. I felt as though my “brain fog” had been chipped away. I wish I could report that I feel my mental health issues are in “remission”, but I can’t do so yet. My hope is that I will see improvement in the weeks to come, now that my TMS cycle has ended. I can say that my brain feels – in some way – different; I can’t explain exactly how. I continue to struggle at this point in time but sill have hope for more improvement.

Category: general * Individual results may vary.

TMS

by Beth (age 35)

Oct22,2018

I can’t remember a time in my life where I was truly happy. I’ve suffered from depression, anxiety and even self-injury since I was little. Even my own wedding day wasn’t the happy joyful time it should have been. Since starting TMS, I can finally say I’m happy. I am no longer being held prisoner by depression, anxiety, self-injury, and even suicidal ideation. It’s an adjustment going from the dark to the light. Experiencing true happiness is strange, but it’s worth it. TMS is amazing and I recommend it to anyone who suffers from depression. There is an answer, and it’s TMS! This treatment, Dr. Amato, and her team literally saved my life, and for that I’m eternally grateful.

Category: general * Individual results may vary.

TMS

by Sandy (age 55)

Oct22,2018

I’ll be honest, I was ready to give up within the first 3 weeks due to the headaches, but I’m glad I stayed and finished the entire treatment. My hubby has noticed more positive change in me. I can go and be around small groups of people, where before I would only leave the house to go to Dr. Appointments and only because of insurance reasons. Thanks to the caring ladies at the Front Desk, Myrna, Heather, Heidi (and) Dr. Amato who made every visit show(ed) me how much they genuinely care, ask questions, offer ideas, they’re supportive but not pushy. Thank you all for helping me become a better me!

Category: general * Individual results may vary.

Powered by Crystal Clear Digital Marketing Reviews

Tweet

Filed Under: Blog, Ketamine Treatment, TMS THerapy

Montana Psychiatry and Brain Health

Montana Psychiatry & Brain Health Center
Montana Psychiatry – Billings:
3737 Grand Avenue, Suite 6
Billings, MT - 59102
Tel : 406-839-2985

Therapy Office
Montana Psychiatry – Billings:
517 S 24th St. W. Unit C3
Billings, MT - 59102
Tel : 406-839-2985

Montana Psychiatry – Bozeman:
822 Stoneridge Dr., Suite A-2
Bozeman, MT - 59718
Tel : 406-551-8001
  • Facebook
  • Instagram
  • LinkedIn
  • Pinterest

Locations

Billings Main Office


Therapy Office: Billings

Bozeman Office

Notice of Privacy Practices

Download here

Like on Facebook

Montana Psychiatry & Brain Health Center

cropped-turnwell-mental-health-logo-300×98

Montana Psychiatry is a
Turnwell Mental Health Network Provider

Recent Posts

  • Stress-Free Holiday Challenge
  • Coping with Loss During the Holidays: You’re Not Alone
  • 5 Unexpected Ways Therapy Can Improve Your Quality of Life
© 2025 Site Map | TOS/Privacy Policy | Montana Psychiatry and Brain Health