Severe paradoxical insomnia, documented by actigraphy, was the predominant presenting complaint of a 48-year-old woman subsequently diagnosed with major depression. Both disorders remitted following a course of 5 electroconvulsive therapy treatments in spite of being previously refractory to hypnotic and antidepressant pharmacotherapy.Citation:Case K; Hurwitz TD; Kim SW; Cramer-Bornemann M; Schenck CH. A case of extreme paradoxical insomnia responding selectively to electroconvulsive therapy. J Clin Sleep Med 2008;4(1):62-63.
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