Review Question - QID 210376

A 32-year-old woman presents with nightmares that happen when she is asleep and sometimes when she is awake. The episodes have been happening for at least 3 weeks now. She states that when it happens she feels “outside of her body,” like she’s “watching myself.” She also reports some chronic fatigue. The patient denies headaches, vision changes, dizziness, or loss of sensation or motor function. She has no notable medical or surgical history. She takes a multivitamin every day. She smokes 1 pack of cigarettes a day but denies alcohol or illicit drug use. The patient appears slightly anxious but is in no acute distress. Her temperature is 98.6°F (37°C), blood pressure is 119/74 mmHg, pulse is 88/min, and respirations are 13/min with an oxygen saturation of 98% on room air. A physical and neurological exam is normal. She denies suicidal or homicidal ideation. Which of the following is the most likely diagnosis for the patient’s symptoms?