Post-traumatic stress disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event. Nightmares are a common symptom of PTSD, making it difficult (impossible?) for folks to get regular and restful sleep. Medical treatment of nightmares from PTSD can help manage symptoms so folks can finally get some rest.
PTSD-related nightmares are a little bit different from regular nightmares in that they typically involve flashbacks, or re-experiencing the initial traumatic event(s). Of course, this causes not only significant distress, but also impaired ability to function during the day. It’s hard to do much of anything without a good night’s sleep!
In addition to nightmares, individuals with PTSD may also experience flashbacks during the day, avoid potentially triggering situations altogether, be on high alert even in safe circumstances, and have prolonged negative moods. Depending on the severity, symptoms of PTSD can drastically interfere with daily activities, ability to work, and of course, relationships.
Luckily, there are several medical treatments available for nightmares related to PTSD. Some of the most commonly used treatments include:
1. Medications: Antidepressants and anti-anxiety medications can help reduce the severity and frequency of nightmares. These medications can also help improve mood and reduce anxiety. However, they may take several weeks to start working, and can have side effects. Additionally, these medications are typically taken every day.
2. Prazosin: Prazosin is a prescription medication that is often used to treat high blood pressure, but it can also help reduce nightmares in people with PTSD. It works by blocking adrenaline receptors, which helps the nervous system to stay calm, rather than on high alert. In this way, it improves sleep latency (time to fall asleep) and sleep duration (time asleep). Prazosin is usually taken at bedtime and can be effective within a few days. As with many antidepressants and anti-anxiety medications, Prazosin is taken daily.
3. Cognitive-behavioral therapy (CBT): CBT is a type of therapy that is often used to treat PTSD. It involves working with a therapist to identify and challenge negative thoughts and behaviors that contribute to PTSD symptoms. CBT for PTSD-related nightmares can include techniques such as imagery rehearsal therapy, which involves rewriting nightmares to have a more positive outcome.
4. Eye Movement Desensitization and Reprocessing (EMDR): EMDR is a type of therapy that involves using eye movements to help process traumatic memories and reduce their emotional intensity. It is thought that EMDR helps the brain to fully process the traumatic event, and thereby relieve individuals of flashbacks, hypervigilance, and trauma associated nightmares.
It’s important to note that medical treatment for nightmares related to PTSD is most effective when used in conjunction with other therapies, such as talk therapy or support groups. Some additional therapies that may be used include ketamine therapy, sleep restriction, lucid dreaming therapy, and imagery rehearsal therapy.
Of course, it’s essential to work with a mental health professional who specializes in treating PTSD and understands the complexities of this condition.
While PTSD-related nightmares can be incredibly distressing and interfere with daily life, many treatments are available. It’s important to work with a mental health professional to determine the best treatment plan for your individual needs. With the right treatment, it is possible to manage nightmares and other PTSD symptoms and improve overall quality of life.
If you’d like to learn more, email info@stillwaterscounsel.com to schedule an appointment with Dr Katherine!
