Hello & Welcome, Jane2018.

My depression first presented as sleep disturbances, particularly early morning awakenings.

I have "episodes" where I am seized by an overwhelming disinclination to speak or communicate. It is as if my mind has declared an emergency and requires all its powers to maintain the most basic of functions, speaking not being one of them.

As tempting as it is to immediately investigate depression or a related psychological cause, are you in a position to have a full medical examination just to rule out any other possible or accompanying conditions?

Please make yourself at home here.