We have insomnia if we have difficulty falling or staying asleep three or more times a week, which lasts for months, leading to fatigue, mood changes or difficulty concentrating.
Insomnia is partly triggered by the fear and anxiety we have about not sleeping. When we start to chase after sleep - waking up later, taking naps, going to bed too early, it decreases our sleep drive. Our brain then begins to associate the bed with anxiety about falling asleep.
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People might experience brief periods of not feeling depressed, but this relief of symptoms lasts for two months or less.
While the symptoms are not as severe as major depressive disorder, they are pervasive and long-lasting.
PDD symptoms include:
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