Sleep Developmental Considerations: Adults {Ans: major life events -illness, separation, death, loss of job, etc. can cause anxiety resulting in difficulty sleeping nightmares -arousal occurs during REM sleep -environmental or psychological stresses and fears}Obsessive-compulsive disorder (OCD) {Ans: characterized by persistent, uncontrollable thoughts or actions that occur over an hour or more per day -one of the top 20 illness-related disabilities worldwide}Psychiatric assessment: History taking {Ans: -History of Present Illness -How long have you been feeling this way? -Did something happen in your life that may have triggered these emotions? -How is this current situation impacting your life? The Psychiatric History -Have you ever been hospitalized for any mental health issues? -Have you ever had counseling or psychotherapy? -Have you ever taken medications for your mental health in the past? -Are you currently on any medications for mental health or sleep? Medical History/Screening for General Medical Conditions -Do you have a primary care provider? -Do you have any medical illnesses? -Are you currently taking any medications or herbal supplements? -Do you have any allergies to medications? -Have you ever been hospitalized for any reason? -Have you ever had surgery? Family Psychiatric History -Has any relative of yours ever