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      <image:title>Insomnia - There does not need to be an identifiable “reason,” such as a triggering event, depression, or anxiety, for a person to experience insomnia. For diagnosis, it only matters that a person isn’t satisfied with their sleep for a certain period of time, that they feel impaired in important aspects of functioning (e.g. work, school), and that the sleep issues are not from substances or other medical issues. That said, insomnia is recognized and treated in the mental health community because there are likely some unhelpful behaviors and negative thoughts that develop around sleep (or the lack thereof), which maintain the insomnia. In short, when people can’t sleep well, they tend to worry about not sleeping, which makes them want to sleep more. Paradoxically, the more pressure we put on sleeping, the more difficult it can be to sleep.</image:title>
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