Pt 31 yrs old male with worsening insomnia following the death of his fiance. Patient has difficulty sleeping, and problem staying asleep during the night. Patient has difficulty performing his job due to this insomnia.
Record indicates that patient has history of opiate abuse following a skiing accident due to prescribed pain medication Hydrocodone/ acetaminophen for acute pain.Patient has not taken any pain medication in 4 yrs, but has been consuming 4 bottles of beer nightly instead.
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