| Sumario: | No matter how tired Susan feels, she "just can't sleep". With low energy and a markedly depressed affect, Susan demonstrates how depression interferes with sleep. She describes marked sleep problems with early waking, not having deep sleep, inadequate amount of sleep, difficulty going to sleep, restlessness, racing mind, difficulty staying asleep, and never feeling rested or refreshed upon waking. She reports that she needs the television playing to be able to sleep and suggests that this contributes to relationship problems. Susan tried herbal teas, homeopathic sleep aids, and alcohol to help. She reports that alcohol helps her to go to sleep but then she wakes two hours later feeling worse. Susan believes that her antidepressant medications and her worrying may both interfere with her sleep. During the daytime, she has experienced nodding off, including while she is driving.
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