To illustrate an ideal treatment experience, the case of
one participant is presented. This older veteran had mild
depression (PHQ-9 score of 11) that had fluctuated
slightly in severity for approximately 5 years since his early
retirement. He had been taking a stable dose of
fluoxetine for nearly 3 years, which had relieved, but
not completely treated his depressive symptoms. He had
no major medical issues other than hypertension, which
was well controlled with medication and occasional mild,
low back pain. He had moderately severe insomnia atbaseline, but a history of insomnia that spanned at least
two decades. He had tried several sleep medications with
initial relief, but a pattern of gradual worsening. He was
not taking any sleep aids.