“AHHHHH!!!” Oh it was just a bad dream…
Friday, July 30th, 2010



A nightmare is a dream that can cause a strong negative emotional response from the sleeper, typically fear and/or horror. The dream may contain situation(s) of danger, discomfort, or psychological or physical terror. Sufferers are usually awoken in a state of distress, and may be unable to return to sleep for a prolonged period of time. The technique, used while patients are awake, is called scripting or dream mastery and is part of imagery rehearsal therapy, which Dr. Krakow helped develop. In your mind, with thinking and picturing, take a few minutes, close your eyes, and I want you to change the dream any way you wish,” said Dr. Krakow, founder of the P.T.S.D. Sleep Clinic at the Maimonides Sleep Arts and Sciences center here and a leading researcher of nightmares.The therapy is being used to treat a growing number of nightmare sufferers. In recent years, nightmares have increasingly been viewed as a distinct disorder, and researchers have produced a growing body of empirical evidence that this kind of cognitive therapy can help reduce their frequency and intensity, or even eliminate them.
The treatments are controversial. Some therapists, particularly Jungian analysts, take issue with changing nightmares’ content, arguing that dreams send crucial messages to the waking mind. Nightmares are important because they “bring up issues in bold print,” said Jane White-Lewis, a psychologist in Guilford, Conn., who has taught about dreams at the Carl Jung Institute in New York. From 4 to 8 percent of adults report experiencing nightmares, perhaps as often as once per week or more, according to sleep researchers But the rate is as high as 90 percent among groups like combat veterans and rape victims.
The results of a randomized controlled trial were published in a 2001 paper in the Journal of the American Medical Association. Of the subjects, 95 percent had moderate to severe P.T.S.D., 97 percent had experienced rape or other sexual assault, 77 percent reported life-threatening sexual assault and 58 percent reported repeated exposure to sexual abuse in childhood.
The treatment group, 88 women, participated in three sessions of imagery rehearsal therapy, while the control group, 80 women, was on a waiting list and continued with whatever treatment they had been undergoing. Of the 114 that completed follow-up at three or at three and six months, those in the treatment group had “significantly” reduced the nights per week with nightmares and the number of nightmares per week, the paper said. The control group showed small, “nonsignificant” improvement on the same measures. And symptoms of post-traumatic stress decreased in 65 percent of the treatment group, while they either remained unchanged or worsened in the control group, according to the findings. 
So next time you have a nightmare just think of a happy thought. Changes all the images in the dream and you should be fine for the rest of the night. But until then don’t let the boogie man get you.










