Case Study: Treating sleep disturbance and depression
Melanie, 45, presents to her GP asking for "something to help me sleep".
She is known to the practice as a result of extensive fertility investigations and many unsuccessful treatment cycles some years ago.
Her first serious depressive episode occurred in her teens and she experienced another episode during her infertility treatment.
Melanie reports that for the past few weeks, she has been taking several hours to fall asleep, and her sleep is fragmented and unrefreshing.
She is concerned because sleep disturbance