They constantly make extra promises to God to compensate for their sins, and when they don't keep them, they feel worse. Confession is a magical practice lifting them for a moment, but then the feelings return. Any attempt to help them is seen as laxism. The fear influences the entire life. The constant doubts are a source of pain and suffering.
Sleep is light and dreams are colorful.
Fear neurosis attacks women than men, but it's more difficult to cure men. The cure is to reduce the fear. A person has to learn that temptations and feelings drawing toward sinful actions are not sinful. This reduction of fear can only be done if they meet with trust and confidence. Their reason works well.