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“I can't sleep” is a complaint patients often bring to primary care physicians. It is no wonder that this distressing problem is common, since most adults spend about one third of their time asleep. When a patient presents with chronic insomnia, a psychological disorder may be the source. Dr Kivi describes such a scenario and stresses the importance of pinpointing and treating the underlying problem.
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Stephanie A. Kivi
Stephanie A. Kivl, MD Dr Kivi is chief resident, Family Medicine Residency Program, Kaiser Permanente Medical Center, Fontana, California.