ABSTRACT
This chapter provides a case of a 28-year-old single woman who presents to her general practitioner and explains that she has been experiencing recurrent nightmares over the past 2 months. She was involved in a road traffic accident 4 months ago. The car that she had been driving crashed on the motorway killing a colleague who had been her passenger. She makes good eye contact. She appears to be anxious and has tremors in both hands. She is reluctant to speak about the road traffic accident and starts shouting, becoming verbally aggressive when questioned about the accident. There is no pressure of speech. She describes experiencing the accident as recurrent intrusive imagery. She feels guilty about surviving the accident and states that it would have been better if she had died instead of her colleague. There is no evidence of delusions or hallucinations. She has good insight into her difficulties. Physical examination is unremarkable.
