A 42-year-old woman, is referred to the sleep disorders center with a complaint of chronic, severe insomnia affecting her daytime functioning. Medication History : She has taken Temazepam, Zolpidem, and Zaleplon, as well as several antidepressants including Trazodone, Amitriptyline, and Mirtazapine. Social History: She has begun to drink four to five strong cups of coffee per day to keep awake and tries to catch a nap whenever possible. Review of Sleep Pattern: The patient tries to go to bed around 11:00 PM. She usually falls asleep in less than 15 minutes, but occasionally it seems to take her hours to fall asleep.
She wakes up three to four times per night, and at least one of these awakenings lasts two to three hours. Physical Examination: The physical evaluation was normal. How to manage this patient? *This case is from Docplexus editorial team for educative purpose only Source:…
