A 37-year-old patient presents to the clinic and reports difficulty falling asleep and daytime fatigue. The patient

A 37-year-old patient presents to the clinic and reports difficulty falling asleep and daytime fatigue. The patient reports that insomnia started approximately 6 months ago, when they initiated divorce proceedings. They have no underlying health conditions. The sleep issues have gradually worsened, and the patient finds themself worrying daily about whether or not they will sleep each night. Some nights, they do not fall asleep at all and lie awake all night in bed, leading to frustration and difficulty concentrating at work. The patient does not make many social plans because they are worried that, if they do not sleep the night before, it will ruin the plan for the next day. Which of the following is the most appropriate first-line therapy for this patient’s condition? Acetaminophen (Tylenol) and diphenhydramine (Benadryl) Cognitive behavioral therapy Psychodynamic therapy Sedating antidepressants