A 28 year old man comes to doctor after experience 5 days of intense, vivid dreams and nightmares. He states that he used to sleep erratically for the past several years and just wrote it off as anxiety from his job. Upon further questioning, he states that he was drinkin three shots of whiskey to help him fall asleep for past two years but stopped this practice a week ago after frequent urgings from his wife. What could also preciptate the sleep symptoms present in this patient?

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1. A 28 year old man comes to doctor after experience 5 days of intense, vivid dreams and nightmares. He states that he used to sleep erratically for the past several years and just wrote it off as anxiety from his job. Upon further questioning, he states that he was drinkin three shots of whiskey to help him fall asleep for past two years but stopped this practice a week ago after frequent urgings from his wife. What could also preciptate the sleep symptoms present in this patient?