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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the author's clinical recommendations.
A 44-year-old businessman with a history of hypertension presents for evaluation with a report of being under stress at work and home, which has led to "unsatisfactory" sleep. Although there is some despondency, screening for depression is negative. His
The Clinical Problem
Pathophysiology and Effect of Therapy
Clinical Evidence
Clinical Use
Adverse Effects
Areas of Uncertainty
Guidelines
Recommendations
Source Information
From the Center for Drug and Alcohol Programs and the Charleston Alcohol Research Center, Medical University of South Carolina, Charleston.
Address reprint requests to Dr. Anton at the Charleston Alcohol Research Center, Medical University of South Carolina, 67 President St., P.O. Box-MSC861 250861, Charleston, SC 29425, or at antonr@musc.edu.
This article has been cited by other articles:
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