NURS 6670 Jake and Laurie are a young married couple who have been referred to mental health counseling because Jake is having disturbing sleep events.

 

Jake and Laurie are a young married couple who have been referred to mental health counseling because Jake is having disturbing sleep events.

Answer:

Jake and Laurie are a young married couple who have been referred to mental health counseling because Jake is having disturbing sleep events. Laurie reports that on more than one occasion she has awakened to find Jake having what appears to be a panic attack, but he doesn’t seem to realize it. When he finally wakes up, he is confused and doesn’t really understand what happened, although he does have a sense of intense fear. This has happened twice in the last 2 weeks, and the last time Laurie heard him screaming. Jake is now a bit afraid to go to sleep and as a result does not feel well the next day. The PMHNP recognizes that sleep terrors in adults:

You are here because we are concerned about the possibility of night terrors in the home. Night terrors in adults can be quite frightening for family members, and may be affecting your sleep quality and desire to sleep. Can you tell us a little more about what has been happening?

Sleep terrors are periods of extreme fear during the transition from deep to light sleep, which are typically accompanied by abrupt awakenings. The person is usually disoriented for a moment and may scream and thrash about before awakening fully. Sleep terrors occur most often in children aged 3 to 12 years but can happen in adults.

Sleep terrors are a type of parasomnia, which is a disorder that affects sleep. Parasomnias can occur during non-rapid eye movement (NREM) sleep or during rapid eye movement (REM) sleep. Sleep terrors usually happen at the end of a REM episode, and are characterized by extreme fear with episodes of shouting, swearing, and thrashing about in bed with violent movement of extremities.

Adult sleep terrors are an intense emotional reaction in which the individual appears to be awake but aware of his or her surroundings. Sleep terrors are quite startling to the witness and most often occur in response to some type of stressor. They have no physiologic basis and do not result in any permanent deficits.

The condition of arousal disorder has many names and is often confused or misdiagnosed because of those terms. Sleep terrors are thought to be one type of arousal disorder and are treatable with a psychotherapeutic approach as well as by using prescribed drugs like xanax.

Question:

Jake and Laurie are a young married couple who have been referred to mental health counseling because Jake is having disturbing sleep events. Laurie reports that on more than one occasion she has awakened to find Jake having what appears to be a panic attack, but he doesn’t seem to realize it. When he finally wakes up, he is confused and doesn’t really understand what happened, although he does have a sense of intense fear. This has happened twice in the last 2 weeks, and the last time Laurie heard him screaming. Jake is now a bit afraid to go to sleep and as a result does not feel well the next day. The PMHNP recognizes that sleep terrors in adults:

Scroll to Top