History of Present Illness A 66-year-old woman with a primary complaint of sleeplessness and sleepiness for approximately 8 months. Initially, she only had difficulty staying asleep 2-3 nights per week. However, over the past 5 months, sleep and daytime fatigue have increased in severity and frequency. She now woke up 3 or more times per night at least 5 nights per week, and on most nights had difficulty falling asleep (takes her about 40 minutes to an hour).
She had always been a poor sleeper during times of stress, but nearly always improved after a few days. For this reason, the patient never thought that she had insomnia and had, on occasion, taken over-the-counter medications. She also noted an increase in her caffeine intake (4 cups of coffee and 1-3 diet colas per day). Medical, Social, and Medication History The patient had a history of hypertension, osteoarthritis, and a "mild"…
