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What causes fatigue, difficulty concentrating, reduced pain tolerance, irritability and (sometimes) a sense of hopelessness and helplessness? Lack of QUALITY sleep. Sleep hygiene is one of the most overlooked causes and interventions for the treatment of anxiety and depressive symptoms. It usually does not fix everything, but it is something most people can start doing immediately to help improve their mood and motivation. Learn more about your ad choices. Visit megaphone.fm/adchoices