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Hypnic Jerks Associated with Insomnia

A 38-year female fulltime working Optometrist presented to the Insomnia clinic with a history of six years of sleep onset insomnia. A complete history revealed medical conditions of hypertension, hypothyroidism controlled by prescribed medications. The patient had a good appetite and BMI of 28. She exercised by walking three afternoons per week. Her work shift varied in terms of start times: 9-5pm, 11-7pm or 1-9pm of which she had no control over. Corresponding to this, her bedtime varied from 11 to 11:45pm and wakeup times from 7-9am.