Arab Board Family Medicine Final Written

Practice session

A 45-year-old accountant presents with chronic difficulty initiating and maintaining sleep occurring 4 nights per week for the past 5 months, resulting in daytime fatigue and impaired concentration. He spends 9 hours in bed each night tossing and turning, checking his clock frequently, and watching television in bed. What is the recommended first-line treatment for chronic insomnia disorder?

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