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Imagery rehearsal therapy (IRT) is a modified cognitive behavioral therapy technique used to treat recurring nightmares. This technique involves recalling the nightmare, writing it down, modifying parts of the dream to make it positive, and rehearsing the new dream to create a cognitive shift that counters the original dream.
With sleep restriction therapy, Parthasarathy would work backward from that hypothetical patient’s wake time (6 a.m.), since it’s probably non-negotiable due to work.
The clinical practice of behavioral sleep medicine applies behavioral and psychological treatment strategies to sleep disorders. [3] [12] BSM specialists provide clinical services including assessment and treatment of sleep disorders and co-occurring psychological symptoms and disorders, often in conjunction with pharmacotherapy and medical devices that may be prescribed by medical professionals.
Try positive imagery therapy. It's a tactic that many sleep experts recommend for patients experiencing nightmare-related insomnia, and you can do it right from the comfort of your home before bed.
Research has found that this technique not only reduces the occurrence of nightmares and insomnia [25] but also improves other daytime PTSD symptoms. [26] The most common variations of imagery rehearsal therapy (IRT) "relate to the number of sessions, duration of treatment, and the degree to which exposure therapy is included in the protocol". [27]
Cognitive behavioral therapy for insomnia is a multicomponent process that is composed of stimulus control therapy, sleep restriction therapy (SRT), and sleep hygiene therapy. [185] One of the components is a controlled regime of "sleep restriction" in order to restore the homeostatic drive to sleep and encourage normal "sleep efficiency". [ 186 ]