Unrefreshing Sleep in Medicine / Internal Medicine — 29yo Woman | Psychiatry | SMLE Q#1433
SMLE Question #1433
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 29-year-old woman has 9 months of excessive, difficult-to-control worry about work, finances, and her family’s health. She feels on edge, fatigued, and has poor concentration most days. She reports insomnia with unrefreshing sleep. She denies panic attacks, depressive symptoms, substance use, and suicidal ideation. Mental status examination shows an anxious but cooperative patient with logical thought processes and no psychosis. What is the most appropriate first-line pharmacologic treatment?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.