Fred has been having a great deal of trouble initiating and maintaining sleep.He guesses that he is sleeping about three hours each night.He complains that he feels terrible during the

Fred has been having a great deal of trouble initiating and maintaining sleep.He guesses that he is sleeping about three hours each night.He 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?
A)It is extremely common since sleep problems can be both a cause and a result of anxiety.
B)It indicates that the insomnia is a result of the anxiety rather than a cause of the anxiety.
C)It makes the diagnosis of primary insomnia incorrect.
D)It increases our confidence that primary insomnia is the correct diagnosis.


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