Step 1

Behavioral 5

A 38-year-old woman presents to her physician with a chief complaint of troubling sleeping and feeling depressed for several months. She used to love her job as an architect, but now she dreads going to work every day and finds it extremely difficult to be productive at work. She feels guilty that she is not able to perform at work in the same way she did in the past. When she gets home, she is exhausted and often skips dinner and gets into bed by 7:30 pm. However, she usually tosses and turns and cannot fall asleep until 1 am.

Which of the following sleep changes would be expected on in this patient?

  • A) Decreased REM sleep early in the sleep cycle
  • B) Decreased total REM sleep
  • C) Increased REM latency
  • D) Increased slow wave sleep
  • E) Repeated nighttime awakenings

Authors

Dr. Ted O'Connell

Jordan Tordecilla

Editor

Dr. Ted O'Connell

Source