Hits and Near Misses

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MondayWR is a 31-year-old man, a Web page designer whom I have been treating fordepression. Initial treatment with fluoxetine had limited success that wasovershadowed by significant worsening of insomnia and profound sexualdysfunction. It seems that his schedule was so irregular that if he couldn’ tsleep, he would just try to work. Problem is, his work quality was sufferingas well. Thus, he was becoming frustrated on all fronts.