Postal Self-Exposure Treatment of Recurrent Nightmares

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Abstract
Background: Case reports suggest that recurrent nightmares are alleviated by behavioural treatment. We have administered such treatment to a client by post.Method: The frequency of nightmares was recorded by the client before and during treatment, and at one and six months follow-up. Nightmare problem and target scales, and treatment expectation were recorded at the end of each period. Treatment was by rehearsal relief, self-administered using written instructions.Results: A reduction in nightmare frequency from 5.5 per week in the baseline period to an average of one per week resulted after treatment.Conclusions: The client's chronic nightmares were lastingly relieved after self-administered exposure treatment. A controlled trial is underway.

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