Hidden signs of depression

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    Henry*, a 50-year-old accountant, came into my office bleary-eyed. He told me he hadn’t slept well in months. He described tossing and turning at night and having trouble waking up in the morning.

    Frequently late for work, his job is now at risk.

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  • His marriage is suffering because of his irritability.

    “Doctor, I can’t go on like this,” he said. “What can I do to get some shut-eye?”

    Diagnosing Sleep Problems

    When it comes to diagnosing sleep problems, the question is: what came first?

    Are your sleep problems causing your depression or are you suffering from depression and that is leading to sleep problems?

    Sleep may seem like a passive activity but your body and brain are doing important work—healing and repairing, organizing learning and memories, and energy is being stockpiled so you can face the day ahead Getting too little or too much often affects medical and mental health, relationships, and job stability.

    Too little sleep impairs concentration, memory, mood, physical performance, and safety. Too much sleep affects productivity, le

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