Hey Doc, sometimes the steps in the Vicious Cycle do not come in that specific order do they? Not prone to depression here, regardless of circumstance thank goodness but that insomnia steps right up to the front - well 2nd to the pain. Can't GO to sleep for the pain, then WAKE from the pain. Guess that may have more to do with PAIN MANAGEMENT i.e. the drugs being currently used - in my case anyway. Of course stupidly over-doing may have a lot to do with it, but I cannot seem to STOP myself - because if I did what my body is telling me I would just be on the couch all day - then that Depression would SURELY set in. Acceptance (and patience) hasn't thoroughly taken hold I suppose....