Yes, her job is a bunch of mean girls and she feels like I do not take care of the family like she wants me to.
What do you think could be the valid feeling behind those words?
What I mean is -- I don't agree that "you aren't taking care of the family". That's not valid and it would not be appropriate to validate that. We don't do that here, there's no placating or "yes honey, whatever you say" -- that doesn't help you or her or the family.
I do think that there is something she feels, that could be a vulnerable feeling (afraid, alone, insecure...?), that she's expressing poorly.
She also actually has nightmares about 50 percent of her time.
Does she experience the nightmares as problematic, or express that she wishes she didn't have them, or talk about trying something to decrease the nightmares, etc?
Trying to learn more about if there's a doorway in her life that she'd go thru to get help (again, people get help for things they perceive as problems, not things we perceive as problems) -- curious if getting help for nightmares would be more acceptable to her than getting relational or intimacy counseling.
She has constant nightmares so if I rub her back at night, she thinks she is a child again and gets scared.
Has she verbalized what she would prefer you do instead of a backrub at that point? I.e., reassuring words but no contact at that moment, turning on a light...?