Anxiety and primary insomnia often co-exist in a “chicken and egg” cycle, where it seems impossible to determine if the anxiety is causing the sleep disorder or if the sleep

Anxiety and primary insomnia often co-exist in a “chicken and egg” cycle, where it seems impossible to determine if the anxiety is causing the sleep disorder or if the sleep disorder is causing the anxiety.Describe the process of how anxiety and primary insomnia might interact within a patient.Why would it be difficult to determine which came first?


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