PUZZLER
Teenager battles daytime sleep attacks
Siraj U Siddiqi, MD; Beverly P Giordano, RN, MS, CPNP, PPCMHS

THE CASE

A 17-year-old-male presented to a specialty clinic for follow-up of attention-deficit/
hyperactivity disorder, migraine headaches, adjustment disorder with mixed disturbance of emotion and conduct, and mood disorder. At this visit, he reported excessive daytime sleepiness that was interfering with academic tasks and “life.”

IMAGE CREDIT: Getty Images/Tetra Images RF/Daniel Grill