Nightmares and Treatment

Walker explores nightmares and Image Rehearsal Therapy (IRT). IRT modifies dream endings, improving sleep quality and well-being. It reduces nightmare frequency and severity. Sound cues during dream sleep enhance IRT’s efficacy. A study shows potential for psychological improvement and long-lasting benefits. Further research needed to fully explore IRT’s potential in nightmare treatment.

Full Notes

Matt Walker on Nightmares

Nightmares: a natural part of the human experience
- Occur during REM sleep, when the brain is most active
- Can be triggered by stress, trauma, or medications
Nightmares vs. Night Terrors
- Night terrors: occur during non-REM sleep, typically in children
  - Child may scream, thrash, or appear terrified but not fully awake
  - Often no memory of the event upon waking
- Nightmares: vivid, disturbing dreams during REM sleep
  - Can be remembered upon waking
Theories on the Purpose of Nightmares
- Emotional regulation: nightmares may help process and regulate emotions
  - May serve as a “rehearsal” for dealing with real-life stressors
- Memory consolidation: nightmares may help consolidate memories, particularly emotional ones
  - May strengthen neural connections related to the memory
Tips for Reducing Nightmares
- Establish a regular sleep schedule
- Create a relaxing bedtime routine
- Limit exposure to stress and anxiety before bed
- Address any underlying mental health issues, such as PTSD or anxiety disorders
- Consider professional help if nightmares persist and interfere with daily life