This involves dreamers coming up with alternative, mastery outcomes to the nightmares, mentally rehearsing those outcomes while awake, and then reminding themselves at bedtime that they wish these alternate outcomes should the nightmares reoccur. Research has found that this technique not only reduces the occurrence of nightmares and insomnia, but also improves other daytime PTSD symptoms. The most common variations of Imagery Rehearsal Therapy “relate to the number of sessions, duration of treatment, and the degree to which exposure therapy is included in the protocol”. The medication prazosin appears useful in decreasing the number of nightmares and the distress caused by them in people with PTSD.

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