A 44-year-old woman has difficulty initiating sleep for 5 months. She uses caffeine late afternoon and watches television in bed. She has no major

Question

A 44-year-old woman has difficulty initiating sleep for 5 months. She uses caffeine late afternoon and watches television in bed. She has no major depression or sleep apnea symptoms. Which of the following is the most appropriate next step in management?

Accepted Answer

Start cognitive behavioral therapy for insomnia

Answer

Begin antipsychotic therapy

Answer

Order polysomnography for every insomnia patient

Answer

Recommend evening alcohol

Answer

Prescribe chronic high-dose benzodiazepines as initial therapy

Chronic insomnia — USMLE Step 3 MCQ

A 44-year-old woman has difficulty initiating sleep for 5 months. She uses caffeine late afternoon and watches television in bed. She has no major depression or sleep apnea symptoms. Which of the following is the most appropriate next step in management?