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Re: Note to Tom-N-Texas


Posted by Tom-N-Texas on February 13, 2006 at 19:50:56:

In Reply to: Re: Note to Tom-N-Texas posted by Cairo on February 13, 2006 at 15:20:48:

Cairo,

You may be right. The thing is, though, onset insomnia and maintenance insomnia are such different animals that it makes you wonder if the culprit(anxiety) could possibly be the same. It seems to me that if you're overcome with anxiety (as I used to be) you'd be affected more at the onset...and less after you've slept decently for a few hours. I only base that on my own experience, because I usually have zero anxiety if I wake up in the middle of the night. If I can't fall back to sleep, it's usually because of an over-active mind, not anxiety. My mother-in-law is the same way. She never really had sleep issues until later in life. Now, inexplicably she has a hard time sleeping through the night and wakes up often. She claims its a result of her mind being too active and the fact that she's just not sleepy. My wife has started developing some of the same patterns. She's never been anxious about anything. But I absolutely know and accept that everybody is different.

And there is certainly a link between depression and sleep. The question is, what is it? Doctors seem to think that depression hits certain people for no reason, like an unfortunate bolt of lightning. But I just don't buy it. Almost everyone I know who has depression is also overweight. Many of them have diabetes or other health conditions as well. My mother-in-law, for instance is both overweight AND recently diagnosed as clinically depressed. It makes sense to me that sleep maintenance problems -- and depression -- could be just another symptom of a deeper problem. Of course this is hard to prove. The fact that people who are depressed generally don't sleep well is paramount to saying "which came first -- the chicken or the egg." Of course by throwing in sleep medication, many people are compounding the problem, because one of the side effects of the medication is insomnia.

The fact that you have anxiety, which you say causes your sleep maintenance problem may explain why you were able to overcome it using CBT. Something tells me if you were DEPRESSED and having maintenance problems, you might have had to travel down a different road to cure yourself. Of course, all that being said, I'm nothing but a hack. I have no schooling and no real training on the issues. I just like to read and formulate my hypothesis. Tom


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