The original depression and cause of low self-esteem have gone untreated for so long that they have been compounded by subsequent insults. Unfortunately, this search for the sources of the original depression is often sadly neglected in therapy today, and symptoms are treated instead. The anger repressed by depressed people causes night- mares, which eventually interrupt their sleep pattern. They get up early, lose sleep, and feel more fatigued. They also avoid sleep to escape the nightmares.
Some depressed people sleep all the time but never feel rested or refreshed.
Since their energy is already being consumed by redirecting anger inward, the loss of sleep futher taxes their strength. As their energy is drained, less is available to invest in the outside world, so their attention becomes focused increasingly inward. The world then gives them little in response. They cannot be bothered playing with their children, so they feel like bad parents. They can't pay attention to the movie tey have been taken to, so they feel even more depressed by comparison to others.