Clinical Case Studies

 

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Clinical Case Studies, Vol. 2, No. 4, 283-294 (2003)
DOI: 10.1177/1534650103256289

Treatment of Nightmares Related to Post-Traumatic Stress Disorder in an Adolescent Rape Victim

Joanne L. Davis

University of Tulsa

Michael De Arellano

National Crime Victims Research and Treatment Center, Medical University of South Carolina

Sherry A. Falsetti

National Crime Victims Research and Treatment Center, Medical University of South Carolina

Heidi S. Resnick

National Crime Victims Research and Treatment Center, Medical University of South Carolina

Nightmares are a common response to a traumatic event and are one symptom of posttraumatic stress disorder. Although several treatments are currently available for the treatment of posttraumatic stress disorder, few studies report the efficacy of such treatments for nightmares. The current case involves the treatment of an adolescent rape victim who was involved in a treatment that targeted posttraumatic stress disorder and panic attacks. Following this treatment, the adolescent continued to report the experience of nightmares several times per week. The adolescent was then treated with a three-session cognitive behavioral treatment package involving relaxation procedures, exposure to the nightmare content, and rescripting the nightmare. At the one-month and three-month follow-up sessions, the patient reported a decrease in the intensity and frequency of nightmares. In this case it appeared necessary to include exposure and to target salient trauma-related themes in the rescripted dream.

Key Words: nightmares • posttraumatic stress disorder • treatment • exposure


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