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Nightmare Relief: Implementing Imagery Rehearsal Therapy in Counseling

Alwin E. Wagener, J. Scott Young

Journal of Mental Health Counseling April 1, 2025 DOI: 10.17744/mehc.47.2.01 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Intervention Imagery rehearsal therapy
Topics Anxiety Dreaming
Keywords Guided imagery Psychotherapist Counselor education Higher education
Key findings Imagery rehearsal therapy reduces the frequency and severity of nightmares and associated negative mental health symptoms, especially those related to posttraumatic stress disorder.

Abstract

Abstract Imagery rehearsal therapy (IRT) is a research-supported behavioral intervention shown to reduce the frequency and severity of nightmares. Research also shows IRT reduces negative mental health symptoms, especially those associated with posttraumatic stress disorder. IRT is straightforward for mental health counselors to facilitate, and the steps for implementing it are described along with strategies to ensure cultural competence and effectiveness in the delivery. The knowledge of how to implement an IRT intervention gives mental health counselors the ability to directly support clients in addressing the disturbing experience of nightmares.

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