A bad night’s sleep can ruin anyone’s day, and leave many of us feeling groggy or irritable. So when a patient recently asked to buy some sleeping tablets, I instinctively launched into my WWHAM questions (who is the patient, what are the symptoms, how long have the symptoms been present, what action has been taken, what medication has been taken). To which the patient seemed a slightly taken back, responding: “I only wanted something to help me sleep.”
After an in-depth conversation, I established that despite experiencing difficulties sleeping for several months, the only remedy the patient had attempted was a warm drink at night, in particular a milky cup of tea.
I asked them to describe their “sleep hygiene”, to which the response was: “No, I