Problem:
Iris, a 48-year-old female presents with a report of insomnia and impaired concentration. She has not slept through the night for approximately 6 weeks and finds that while she can fall asleep rapidly, she is too restless to stay asleep. At work (she works as an office manager), she is unable to concentrate and has found herself making simple mistakes. Iris is easily fatigued and states that she frequently feels warm and flushed, but she attributes this to "the time of life." Her menstrual periods have become irregular. Her LNMP was 2 months ago. It lasted 10 days and was slightly heavier than usual. Iris states that she occasionally feels her heart "fluttering" when she feels anxious. She is surprised at this because she has always felt that she coped well with life and was generally happy. "Now, the littlest things seem to bother me and I feel my heart start to flutter. Oh the change of life. I have dreaded it. Can you give me something for it?" Iris denies fever, chills, pain, weakness, or tremors. Need Assignment Help?