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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.
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.
A 1984 study analysing cases of paradoxical intention as a treatment showed that PI rapidly reduced SOLs and was also successful at maintaining sleep onset and maximising total sleep time. [ 11 ] A 2021 meta-analysis conducted a systematic review of randomised control trials and experimental studies comparing PI for insomnia to passive and ...
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]
Imagery rehearsal therapy helps people with nightmares by documenting their dreams and creating new endings to them. They then write down their dreams, monitor them, and regularly act out the improved dream scenarios. [19] "Cognitive therapy" of this kind should not be confused with the earlier established cognitive therapy of Aaron Beck.
Self-help therapy (defined as a psychological therapy that can be worked through on one's own) may improve sleep quality for adults with insomnia to a small or moderate degree. [ 123 ] Stimulus control therapy is a treatment for patients who have conditioned themselves to associate the bed, or sleep in general, with a negative response.