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The individuals history or background is of utmost importance as obtaining a complete psychosocial assessment. Will enable the therapist towards establishing an etiological conception of potential antecedent behaviors and or events. The primary feature of a
nightmare, is the repeated occurrence of scary or frightening dreams. The dream make or
may not cause the individual to awake from his or her sleep. If the individuals sleep is
interrupted by the frightening dream (nightmare)upon awakening or if the individual remains asleep. The individual usually experiences significant distress, as a result of the atypical
sleep pattern. Nightmares most often occur for long periods of the sleep process, the visual concept of the dream (nightmare) most likely will present an elaborative dream sequence that the individual experiences a high degree of anxiety, by which a manifestation of terrifying visual images perceived by the individual as physically dangerous. The belief of imminent danger or harm (e.g. being pursed, attacked or injured) during the sleep process. A sense of helplessness, or being overwhelmed becomes the theme.
My own personal experience as a combat veteran of the United States Marine Corp, while serving in the Vietnam conflict, experiencing numerous life threatening situations. It wasn't until twenty years later until I began experiencing nightmares. My role as a therapist and working many years, specializing in the treatment of combat veterans. This was later diagnosed as delayed stress. Studies suggest, after traumatic experiences, dreams (nightmares) may replicate the original traumatic experience or situation. In many cases the nightmare may present itself with distorted themes of nonsense, yet threatening and not being able to understand the origin or significance of the dream. However, its safe to say that most nightmares do not reinvent the actual traumatic event or situation.
Moreover, because because REM sleep periods typically become longer and nightmares more
intensified in the later hours of the night, nightmares are more likely to occur. I towards
my later years of treating veterans who experienced nightmares as a result of their war related trauma. I for myself mastered the technique being the producer and director of my own
nightmare. As a result they (nightmares) diminished, eventually subsiding to a point that I no longer needed the aid of pharmacology. The vortex or method of my success I have recently contemplated on a written version.
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