Psychiatry practice

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Psychiatrycommon
A 63-year-old retired postal worker is referred with four months of "insomnia". He falls asleep within ten minutes but wakes at about 4 am and cannot get back to sleep. He has lost 5 kg without dieting and has stopped going to lawn bowls, which he had played every week for twenty years. He is not sleepy during the day. He drinks one cup of tea at breakfast, no alcohol, and takes no medicines. Which one of the following questions is most likely to establish the cause of his sleep disturbance?