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	<title>Comments on: Insomnia may precede and prolong major depression</title>
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	<link>http://psychcentral.com/blog/archives/2005/06/21/insomnia-may-precede-and-prolong-major-depression/</link>
	<description>Dr. John Grohol&#039;s daily update on all things in psychology and mental health. Since 1999.</description>
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		<title>By: Sam</title>
		<link>http://psychcentral.com/blog/archives/2005/06/21/insomnia-may-precede-and-prolong-major-depression/comment-page-1/#comment-191427</link>
		<dc:creator>Sam</dc:creator>
		<pubDate>Wed, 04 Apr 2007 08:51:06 +0000</pubDate>
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		<description>I am currently legally disabled due to nearly life-long recurring clinical depression which has tended (as is often the case) to get worse with each major recurrence, and finally became functionally debilitating several years ago [I am 52]. My body reacts atypically to most anti-deps, and only Nardil, an old MAOI rarely prescribed today, has proven to be reliably useful.

I have also had atypical (and frequently shifting) sleep patterns all of my life. I wouldn&#039;t call it &quot;insomnia&quot;, exactly--but my system seems completely divorced from the &quot;normal&quot; diurnal cycle. What&#039;s more, it has often been remarked upon--by my psychological caseworker and others--that I tend to have a much better emotional affect on the days when I&#039;ve been up all night, than on the days when I&#039;ve gotten the &quot;normal&quot; amount of sleep. 

As far as I know, I am unique in this. Does anyone know if similar cases have been documented and studied? I would love to know as much as possible about such cases, if so.

Thank you.</description>
		<content:encoded><![CDATA[<p>I am currently legally disabled due to nearly life-long recurring clinical depression which has tended (as is often the case) to get worse with each major recurrence, and finally became functionally debilitating several years ago [I am 52]. My body reacts atypically to most anti-deps, and only Nardil, an old MAOI rarely prescribed today, has proven to be reliably useful.</p>
<p>I have also had atypical (and frequently shifting) sleep patterns all of my life. I wouldn&#8217;t call it &#8220;insomnia&#8221;, exactly&#8211;but my system seems completely divorced from the &#8220;normal&#8221; diurnal cycle. What&#8217;s more, it has often been remarked upon&#8211;by my psychological caseworker and others&#8211;that I tend to have a much better emotional affect on the days when I&#8217;ve been up all night, than on the days when I&#8217;ve gotten the &#8220;normal&#8221; amount of sleep. </p>
<p>As far as I know, I am unique in this. Does anyone know if similar cases have been documented and studied? I would love to know as much as possible about such cases, if so.</p>
<p>Thank you.</p>
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