PSY3032 Chapter Notes - Chapter ?: Nightmare Disorder, Sleep Paralysis, Sleep Study
24 Sep 2018
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Sleep case study: woke up with intense sensation she was being threatened by an evil spirit, unable to move. Therapy to: nightmares once or twice a week- violent, kicking bed, injuring herself or andrew, had flashback of the nightmares during the day, affecting her mood and studies, afraid to sleep. Make sure daisy could tolerate treatment planned: mmpi= signif distress& discomfort, fears of inadequacy, high levels of free-floating anxiety. Paralysis was an isolated sleep paralysis (isp)- distinct from her primary nightmare disorder. True for daisy who was having chronic insomnia due to nightmares and stress from academic struggles. Imagery rehearsal therapy (irt), cbt including education & cog restructuring. Conceptualizes disturbing dreams, rewrite script of a nightmare. Increase sense of control, helps master upsetting dream content: first session goal: educate about nightmares and imagery techniques (nightmares may be a way to process abusive event emotionally). Outlets for emotion too intense to handle while awake.
