The Impact of Imagery Rehearsal Therapy on Dream Enactment in a Patient With REM-Sleep Behavior Disorder: A Case Study

Academic Article


  • Imagery rehearsal therapy (IRT) is an evidence-based treatment for nightmare disorder (ND), and numerous studies have demonstrated its efficacy in reducing the frequency and severity of nightmares. ND and REM sleep behavior disorder (RBD) co-occur, yet the impact of successful treatment of nightmares on dream enactment inb RBD has not been studied. In this case study, we present the treatment of ND using IRT and its impact on dream enactment in the context of RBD. A total of 5 sessions of IRT over 5 months resulted in a reduction in nightmares and, according to the patient and her husband, a decrease in dream enactment. We hypothesize that reducing the emotional valence of the dream content may make dream enactment less likely. As a result, IRT may provide helpful adjuvant treatment to pharmacological treatment of RBD
  • Authors

    Published In

  • Dreaming  Journal
  • Digital Object Identifier (doi)

    Author List

  • Pierpaoli-Parker C; Bolstad CJ; Szkody E; Amara AW; Nadorff MR; Thomas SJ
  • Start Page

  • 195
  • End Page

  • 206
  • Volume

  • 31
  • Issue

  • 3