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Heroin Addiction and Related Clinical Problems: 2022, 24, N6 (pages: 45 - 50)

Image rehearsal therapy as a treatment for nightmares within substance-dependence populations

Flores C., and Riaz U.

Summary: Nightmares are perhaps one of the most overlooked symptoms of sleep disorders. These dreams have been found to be associated with increased awakenings during the night as well as intensified symptoms of distress. Nightmares are common in substance dependence populations that have endured significant trauma prior or during their addiction. Imagery Rehearsal Therapy has demonstrated substantial results in decreasing nightmare frequency and improving overall mental health. In comparison to medications, results achieved with IRT were maintained at long-term follow-up. Given the co-morbidity between sleep disorders and substance-dependence disorders, the additional benefits of this treatment may aid patients in overcoming their sleep issues while supporting their recovery from addiction. The flexibility of IRT therapy opens the opportunity for it to be applied to a variety of patient settings and populations. Future studies focusing on this therapy are currently paving the path for the incorporation of virtual technology into its delivery to further accommodate the patient's comfort needs.