Practical for Your Practice

Evidence-Based Treatment of Nightmare Disorder: Skeptics Welcome!


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We often think of nightmares as a symptom that occurs as part of another condition, like PTSD or depression. But nightmares can be frequent and disruptive enough that they require their own clinical focus. We currently have 3 gold standard options for treatment: Imagery Rehearsal Therapy; Exposure, Relaxation, and Rescription Therapy; and Lucid Dreaming. Our guest today, Dr. Courtney Worley, introduces us to the diagnosis of Nightmare Disorder, explains why it deserves its own attention, and gives us an overview of the most effective treatments. Join us for a discussion that appeals to sleep nerds and healthy skeptics alike.

Dr. Courtney Worley is a Diplomate In Behavioral Sleep Medicine and Board-Certified Clinical Psychologist. She completed her Ph.D. in clinical psychology in 2012 at The University of Alabama with specialized coursework in health and geropsychology. Dr. Worley specializes in providing Evidence Based Psychotherapies for PTSD, Insomnia, Nightmares and Depression. She has an active clinical practice in the Department of Veterans Affairs, at Upward Behavioral Health, and with NOCTEM Health. She is the co-author of The nightmare and sleep disorder toolkit: A workbook to help you get some rest using imagery rehearsal therapy and other evidence based approaches from New Harbinger Publications.

Resources mentioned in this episode:

  • The Nightmare and Sleep Disorder Toolkit: A Workbook to Help You Get Some Rest Using Imagery Rehearsal Therapy and Other Evidence-Based Approaches by Courtney Worley and Michael Nadorff.
  • Geoffroy, P. A., Borand, R., Ambar Akkaoui, M., Yung, S., Atoui, Y., Fontenoy, E., Maruani, J., & Lejoyeux, M. (2022). Bad Dreams and Nightmares Preceding Suicidal Behaviors. The Journal of clinical psychiatry, 84(1), 22m14448. https://doi.org/10.4088/JCP.22m14448

Calls-to-action: For example:

  • Routinely ask about nightmares and dreams as part of your clinical assessment
  • Obtain training in at least one of the evidence-based treatments for nightmare disorder
  • Subscribe to the Practical for Your Practice Podcast
  • Subscribe to The Center for Deployment Psychology Monthly Email
  • Leave us a question or comment on Speakpipe or our social media channels
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