 Patients with difficulty sleeping will be instructed in sleep hygiene, interviewed for possible deterrents to sleep induction, and encouraged to permit the test medication time to begin if depression is felt to contribute to the sleep disturbance. If difficulty initiating or maintaining sleep persist, Ambien 5-10 mg po qd a non-serotoninergic hypnotic will be offered. Benadryl 25-50 mg may also be considered for sleep induction. If clinically indicated, other medication may be prescribed. 