atient is a 34 year old woman complaining of joint pain, 7 on a pain scale of 1-10, as well as feelings of anxiety. She states her joint pain began a little over a month ago at first in her knees. Then she began to notice the pain increasing, and soon spreading to her wrists and fingers. She believed her job as an accountant and the constant typing required for the job exacerbated her joint pain in her fingers and wrists. She describes the pain as a “burning” sensation. Ms. Edwards also began noticing her sleep patterns being out of sync around 3 months ago. She found herself waking up in the middle of the night every 4 hours. This left her feeling very fatigued, and lethargic at times. After she would wake up, it would take her another 1-2
