A middle-aged woman presents with difficulty falling asleep and increasing day-time fatigue. She reports taking over an hour to fall asleep, and frequent waking throughout the night. She is perimenopausal and her history is significant for anxiety. Her physical exam and laboratory tests are normal. What potential sequelae do you need to be concerned about?

Increased likelihood of accidents and impaired social and occupational functioning

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This post was written by Omar Rifai