Multiple Choice

A first-year college student consistently goes to bed by 11 PM, avoids caffeine after lunch, and maintains a quiet, dark sleeping environment. Despite these good habits, they frequently lie awake for hours, their mind racing with worries about academic performance and social pressures. They often wake up during the night and feel unrested in the morning. Which of the following best explains this student's inability to sleep?

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Updated 2025-10-04

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