A 40-year-old woman complains of chronic insomnia for 6 months. She has no major psychiatric history and drinks one coffee in the morning. According t...

Question

A 40-year-old woman complains of chronic insomnia for 6 months. She has no major psychiatric history and drinks one coffee in the morning. According to best practice and Choosing Wisely principles, what is the recommended first-line treatment?

Accepted Answer

Cognitive behavioural therapy for insomnia (CBT-I)

Answer

Long-term benzodiazepines

Answer

High-dose antihistamines nightly

Answer

No treatment is indicated

Answer

Alcohol at bedtime to induce sleep

ca-mccqe1 MCQ (SBA): Chronic insomnia management

A 40-year-old woman complains of chronic insomnia for 6 months. She has no major psychiatric history and drinks one coffee in the morning. According to best practice and Choosing Wisely principles, what is the recommended first-line treatment?