I have a patient who is over 80 and being seen for anxiety, OCD about cleanliness, and depression. I am at a loss on what to do for her.

SITUATION: Patient needs help in ambulating and is a self professed "night owl" and sleeps only 4 hours a night. Her son fearful of his mother falling again stays awake with her and works a FT job in the day. In one case the son took his mother to the bathroom to wash her face and brush her teeth, while doing this the son falls asleep ...