Martha - Martha 1 of 1 Martha, a 35-year-old woman, has had...

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Unformatted text preview: Martha 1 of 1 Martha, a 35-year-old woman, has had nightmares every night, beginning in her early teenage years. She comes to a sleep spet at the insistence of her husband, who is fed up with her behavior both while sleeping and while awake. One to four times a night, she awakens out of a dream, the content of which is always disturbing. Often she dreams of yelling at other people or of menacing confrontations. In the dreams she feels angry and frustrated. Typically, she awakes from the dreams feeling extremely tense. During the day Martha often has uncontrollable outbursts of temper. These can be precipitated by minor frustrations, such as a delay in finding her eyeglasses. In the midst of an outburst she may feel that it is wrong to behave thus, that her outburst is unwarranted, but she is powerless to stop it. After the outburst she apologizes for it. Martha sleeps excessively, sometimes 12-13 hours consecutively on weekends, and often takes 3- hour to 4-hour naps. She is sleepy while driving on the turnpike, but manages to stay awake by having the hour to 4-hour naps....
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