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I’m tired but can’t sleep; an experience everyone has at some point. But not everyone fears to close one’s eyes for what thoughts and dreams will rush into the void of sensation. Not everyone screams and mutters without making a sound in a familiar internal battle to “just shut up and go to sleep.”
Mental illnesses are as varied as personalities. We speak of symptoms and causes generally, as with diseases and purely physical ailments, because there is a utility in generalizations and playing the odds. But depression, crippling anxiety, compulsions, hallucinations, and other psychological oddities are not like a rash that looks the same on anyone.