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Cognitive-behavior therapy for insomnia (CBT-I) is a brief behavior treatment, with decades of evidence supporting its effectiveness across the adult lifespan, including midlife. This Practice Pearl highlights the rationale for CBT-I and describes treatment components, with specific considerations for its use in midlife women. Retinal racemose hemangioma (RRH) is a rare congenital abnormality of the retinal vasculature with a variety of secondary manifestations that can cause vision loss, including macular edema. This report aims to demonstrate the