Case History #1 This patient is a female in her early 30s. Her medical history i

Question

Case History #1 This patient is a female in her early 30s. Her medical history is unremarkable for any major problems or diseases. She indicates that she has no sleep problems of which she is aware, although she did sleepwalk as a child, but not beyond age 10. She falls asleep readily, does not believe she sno generally awakens feeling refreshed. She has no bed partner to provide confirmation of her sleep behaviors. to find herself on the roof of her house, apparently having climbed a ladder to get there. She stated that during the day she had been concerned about a tree branch that was rubbing on her roof but had forgotten about it that night. When she awoke on the roof, she thought she had just dreamed about climbing a ladder and inspecting the tree branch. The second incident occurred five weeks later. The res, and She seeks help because of two recent incidents. In the first incident, she awoke at 3:30 a.m. patients reported having a good day and falling asleep readily. She awoke at 4:00 a.m. sitting under a favorite tree in a nearby park and drinking a glass of wine. Upon awakening in the park, she thought she had been dreaming about being on a picnic with her boyfriend. Diagnosis: Sleepwalking Symptoms that prove diagnosis: Common in childhood, could reoccur in adult hood Patient history indicates no injuries to the head, no seizures, and no fainting. Her childhood and teen years were normal in all regards. No family members have ever had sleep-related experience similar to hers. She is deeply concerned about her safety and the safety of others. What would happen if she were to dream that she was driving a car?

Explanation / Answer

On the first occasion, the patient was concerned about the tree branch that was rubbing the roof. This made her sleepwalk during the night, climbing the ladder to inspect the roof. When she woke up, she remembered her sleep walking like a dream. On the second occasion, she remembered the incident of sleep walking and sitting under a tree like dream. These two incidents mean that when she sleepwalks, she remembers the incident as a dream and not an incident of sleep walking.

So, if she dreams that she is driving a car, this means that she is actually driving a car in real life, but remembers the incident as a dream.

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