Friday, March 5, 2010

When Bad Dreams Keep you Awake

Many people with chronic and life threatening conditions have problems sleeping While some have post traumatic stress disorder (PTSD), many have recurring dreams which can keep them up night after night.

Today I came across an article “Getting Rid of Repeating Nightmares: A Simple, Potent, New Recipe,” by psychotherapist Belleruth Naparstek. I found it to be an interesting way to eliminate this problem.

One of the most dramatic, butt-kicking examples of an effective new treatment tool for posttraumatic stress is a simple protocol called Nightmare Reprocessing, devised by two V.A. psychologists, Edgardo Padin-Rivera and Beverly Donovan at the Louis Stokes Cleveland V.A. Medical Center.

From all indications, when this method is followed, trauma survivors can rid themselves of a repeating nightmare in three weeks or less.

Experienced therapists will find this hard to swallow. I know I did. This is because traditional, deep dish, insight-based therapy doesn't get a whole lot of traction with repetitive nightmares.

And, to add insult to injury, Nightmare Reprocessing is a simple procedure that any idiot can follow. (Sorry, colleagues! I didn't like it either!) It doesn't require savvy training, deft insight or masterful technique….

Drs. Padin-Rivera and Donovan developed their iteration by tweaking Barry Krakow's Imagery Rehearsal Therapy, which you may have read about last fall in the New Yorker. They added some clever elements from Francine Shapiro's EMDR (Eye Movement Desensitization & Reprocessing), streamlined the process, and came up with a fast, potent method……
Used at the Brecksville V.A. with several hundred veterans suffering from the twin challenges of chemical dependency and posttraumatic stress, Nightmare Reprocessing was involved in outcome research and described in the Journal of Traumatic Stress,

And, according to Donovan, the success with the nightmares produces a kind of halo effect, creating such a sense of efficacy and well-being, that other PTS symptoms subside as well.


To read the entire article, go to http://www.huffingtonpost.com/belleruth-naparstek/getting-rid-of-repeating_b_487024.html

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