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Keywords:

  • nightmares;
  • sleep;
  • PTSD;
  • cognitive–behavioral therapy;
  • REM;
  • prazosin;
  • imagery rehearsal

Abstract

Nightmares are a common feature of posttraumatic stress disorder (PTSD) and are frequently resistant to treatment. Two emerging treatments for nightmares are pharmacotherapy with prazosin and psychotherapy using imagery rehearsal (IR). A case illustration demonstrates the application of these treatments with a client suffering from chronic, severe PTSD. The case illustrates the use of these strategies for managing PTSD-related nightmares, as well as the novel approach of scheduled awakenings following relapse. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66:1–10, 2010.