Hi Nancy,

A few TBI patients never regain the capacity to enter REM sleep. My brain just can't go there and I wake everytime I approach that part of the cycle. So, your daughter's capacity to enter REM sleep is encouraging. Does she dream? What sorts of dreams?

Once you get her neuro-psych results, you'll have a better idea of what areas have been most damaged. That will make it easier to understand what's happening and to target therapies.

Her fatigue may not be solely the result of poor sleep quality. When one has a brain injury, everything one does (talk, walk, eat, etc...) takes so much effort that exhaustion can be pretty much inevitable. At this early stage, let her sleep as much as she likes and don't expect much from her during the day.

Cheers