Which of the following is the proper treatment strategy for medication-overuse headache?

A. Patient is 12 years old: Children aged 12 and older are generally eligible for self-care treatment of mild headaches using over-the-counter analgesics, so age in this case does not exclude self-care.

B. Patient has had the headache for 1 day: A short-duration headache without alarming features is appropriate for self-treatment. Acute headaches of one day’s duration do not automatically require medical evaluation.

C. Patient drinks occasionally, 1 alcoholic beverage every weekend: Occasional alcohol use does not contraindicate self-care treatment of headaches and does not increase risk for most over-the-counter analgesics if used responsibly.

D. Patient also has a high fever (102.5°F): The presence of a high fever suggests a possible underlying infection or more serious systemic illness. This is an exclusion for self-care, as it warrants medical evaluation to rule out conditions such as meningitis, influenza, or other infections.

A. Trouble staying asleep: There is no specific information in the case indicating that the client has difficulty maintaining sleep throughout the night. While insomnia can present this way, it has not been reported here.

B. Trouble falling asleep: The case does not indicate that the client experiences prolonged sleep latency or difficulty initiating sleep. Her main concern is daytime fatigue and ongoing naps, rather than bedtime struggles.

C. Early awakenings: The client has not reported waking earlier than desired or being unable to return to sleep, so early awakening is not documented as a symptom in this scenario.

D. None of the above: The case describes excessive daytime sleepiness and frequent napping but does not provide evidence of classical insomnia symptoms such as difficulty falling asleep, staying asleep, or early morning awakening. Therefore, none of the listed options accurately represent her reported symptoms.