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Life sciences · Journal article
Dusunen Adam the Journal of Psychiatry and Neurological Sciences · September 21, 2026
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Every clinician who treats psychiatric illness knows that patients sleep badly.The usual assumption is that poor sleep is a consequence of the illness and will improve once the depression, mania, or psychosis is treated.Over the past three decades, work on the brain circuits that generate sleep, together with large clinical studies, has overturned that assumption (1).Disturbed sleep is not simply a by-product of psychiatric illness; it is often part of its cause and, unlike much of what we assess in psychiatry, it can be measured.We argue here that sleep deserves to be treated as a vital sign, recorded and acted upon as routinely as blood pressure.