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I dream while awake too, but I don't have your other symptoms. Has the cause of your fatigue been checked out? I mean, you say you feel tired all the time, and you used to get only foru hours of sleep. So it may be the fatigue rather than the lack of sleep.
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"People are afraid of what they might find if they try to analyze themselves too much, but you have to crawl into the wound to discover what your fears are. Once the bleeding starts, the cleansing can begin." - Tori Amos
Current DX (December 2019): autism spectrum disorder, unspecified personality disorder
Current RX (December 2019): Abilify 30mg, Celexa 40mg, Ativan 1mg PRN
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