Treatment of nightmares in the context of posttraumatic stress disorder

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


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.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic alpha-1 Receptor Antagonists / therapeutic use*
  • Adult Survivors of Child Abuse / psychology
  • Behavior Therapy / methods*
  • Combined Modality Therapy
  • Dreams*
  • Female
  • Humans
  • Imagery, Psychotherapy / methods*
  • Middle Aged
  • Night Terrors / therapy*
  • Prazosin / therapeutic use*
  • Stress Disorders, Post-Traumatic / therapy*


  • Adrenergic alpha-1 Receptor Antagonists
  • Prazosin