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J Clin Psychol. 2010 Nov;66(11):1185-94. doi: 10.1002/jclp.20730.

Treatment of nightmares in the context of posttraumatic stress disorder.

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  • 1Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Suite 670, Philadelphia, PA 19104, USA.


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.

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