A 28-year-old woman comes to her primary care physician with a chief complaint of not getting enough sleep and feeling fatigued for the past 2 months. She says that she has a problem falling asleep and often wakes up numerous times during the night as well. She claims that her sleep problems began after she had an argument on the telephone with her boyfriend. She noted that after that she was “all keyed up” and could not go to sleep that night.
Subsequently, she faces every evening with dread because she is preoccupied with getting enough sleep. She becomes very frustrated with her inability to sleep, which just makes the problem worse. She has no other signs or symptoms other than the fatigue caused by failure to get her usual 8 hours of sleep each night. She states that her mood is “okay, except for this sleep thing.” She is still seeing her boyfriend, and their relationship has been…
