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I’ve not heard of Paxil damaging some part of the brain responsible for sleep but I am not a doctor. What I can say is that we never lose sleep drive or the ability to sleep — when we’ve been awake for long enough, sleep will always happen. Without fail. Guaranteed. Every time.
You mentioned that you tried CBT-I but nothing improved because your insomnia was not behavioral. Can you share a bit more about that? Do you feel that sleep was difficult because of how your head felt? Are those feelings still present?
Not everyone who experiences chronic insomnia has anxiety. Chronic insomnia really comes down to our unwillingness to experience it — the more we try to fight or avoid wakefulness, the more we try to make sleep happen, the more likely we are to struggle with it.
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