Do you have a recurring nightmare? Traumatic images that replay during sleep can terrorize and disrupt, but there are effective treatments.
), occurring 90% of the time; 70% of people with PTSD experience recurring nightmares . Nightmares may be about death or risk of harm or death, being left behind or lost, or being exposed and vulnerable in some other way. How to work with nightmares inis very individualized, but here are some evidence-based approaches that can be woven into therapy to reduce the frequency and intensity of horrific images that recur during sleep.
Image rehearsal therapy includes direct exposure to the nightmare by speaking it aloud or writing it down in detail, sharing it with the treating clinician, and then reconstructing a new preferred ending to the nightmare. This is followed by rehearsing the new chosen ending, using a person’s active After adequate time and effort have been spent on step 1, rewrite the story with a different, neutral, or positive ending.Observe any small change in the nightmare as things begin to shift and process what occurs with a trusted clinician. This can increase a sense of agency within the nightmare, and it continues to shift.
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