Fred has been having a great deal of trouble initiating and maintaining sleep.He guesses that he is sleeping about three hours each night,and complains that he feels terrible during the day.In addition,Fred has always experienced some anxiety but it recently increased tremendously.How can we characterize Fred's experience?

Question

Quizplus · Accepted Answer

Fred's experience is common because sleep problems and anxiety often co-occur and can have a bidirectional relationship. Insomnia can cause anxiety and anxiety can exacerbate insomnia. Therefore, his symptoms suggest that his insomnia may be related to his anxiety, but it does not necessarily rule out a diagnosis of primary insomnia.

Fred Has Been Having a Great Deal of Trouble Initiating