Jim approached the college’s sports psychiatrist after an energy/sleep seminar for coaches. He jokingly said, “I thought you were talking about me even though I don’t know you.” He described consistent difficulty falling asleep and frequent early morning awakening dating back to his college lacrosse-playing days. He noted a recent pattern of an overactive mind (constantly reviewing the day, upcoming games, daily schedules, and his family). He tried to reduce this overthinking with glasses of wine, TV channel flipping, dipping oral tobacco, eating microwave dinners, or talking to his family. Despite these strategies and the use of 150 mg of trazodone, it often took Jim 90 minutes to fall asleep. Even if he fell asleep from exhaustion, he would frequently awaken at 3 a.m. thinking about the next day’s challenges. He tried a controlled-release sleeping pill, but it gave him morning grogginess. Jim rarely worked out, and his weight had increased by 30 pounds. He rarely ate breakfast but drank strong coffee to “get going.” He was healthy except for acid reflux, which was controlled by antacids.