Disclaimer Welcome Dr. Shaul Dr. Shaul graduated from the University of Toronto medical school in 1982. He completed his training in psychiatry in 1988. Dr. Shaul worked for ten years as a consultant at the Toronto Western Sleep Disorders Clinic prior to joining the staff at Silent Partners. A particular focus for Dr. Shaul has been the interface between sleep and psychiatric disorder.
Insomnia is a recognized risk factor for the development of depression.
At the same time, insomnia is a frequent symptom in depressed individuals, particularly early morning arousal. It is known that early detection and management of insomnia can play a role in the prevention of depression. Persistent insomnia can lead to fatigue and irritability and these are also common symptoms in depressed individuals. The treatment of depression can also have impact on sleep. Antidepressant medication can cause insomnia or fatigue and these adverse events can interfere with treatment response.