Insomnia. Not just sleep interrupted by trips to the kitchen or bathroom, now I’m talking about hours tossing and turning, in addition to waking up for the day at 4 or 5 am for no particular reason. As many as three naps a day does not even things out, maybe even more discombobulated upon waking. Acid reflux has worsened significantly; causing sleeplessness or as a result? Everything is affected.
Thinking of any kind has taken a serious blow, not just critical level considerations. Basic planning and implementation are difficult to sustain. Creativity and interest are numbed. Got nothing, but at least I know why.
SurvivingSara 
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