This high-impact case follows PJ, a 20-year-old Division I NCAA football athlete struggling with insomnia and competition anxiety during a critical season. After failed trials of melatonin and Ambien, PJ is referred to a clinical sports pharmacist for a treatment plan that supports restful sleep without sacrificing daytime performance. Learners will explore how to assess pharmacologic and non-pharmacologic treatment options, evaluate banned substance considerations, and collaborate with the mental health team in an athlete-centered care plan. Real-world counseling pearls and monitoring tips make this an essential case for anyone working with athletes and sleep disorders.