Nightmares and PTSD treatment choice, its enough to keep a clinician up at night!
How best to treat this often-residual symptom can be a challenge. Knowing what kind of approach to use is part of the challenge for clinicians. Imagery rehearsal therapy (IRT) focuses on nightmares exclusively, CBT-I focusses on insomnia, a side effect of nightmares. A 2012 meta-analysis by Casement and Swanson concluded