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Digital Seminar

Trauma-Based Nightmare Treatment: Rapidly Reduce Frequency and Intensity with Image Rehearsal Therapy

Lillian Gibson, PhD
Approx. 6 Hours
Sep 29, 2023
Product Code:
Media Type:
Digital Seminar - Also available: DVD | Live Webinar

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Image rehearsal therapy (IRT) is the evidence-based approach you need to rapidly reduce the frequency and intensity of your clients’ trauma-based nightmares.

Practical and straightforward IRT has empowered thousands of therapists to help their clients confront and change their nightmares with tools and coping skills to rehearse new positive dream scenarios and replace their fear and anxiety with feelings of safety and security.

And it can all be done in just a few sessions.

Now in this online training, you’ll get a step-by-step guide to bring IRT into your practice.

Led by trauma treatment expert, Dr. Lillian Gibson, you’ll get session outlines, scripting and the detailed guidance you need to start using IRT right away and feel confident in knowing exactly what to do and what to say from the very first session.

When you register you’ll discover how you can:

  • Use imagery exercises to empower clients and disempower nightmares
  • Employ techniques to reinforce positive dream scenarios and outcomes
  • Tailor IRT to meet the specific needs of your clients
  • Enhance engagement and adherence to the therapy
  • Manage nightmare anxiety and hyperarousal
  • And much more!

And since IRT can be easily integrated with your current approaches, it’s a perfect complement to the trauma treatments you already use with clients.

Image Rehearsal Therapy is a must-have clinical tool if you work with trauma.

Don’t wait to help your clients stop the nightmares and get the restful night’s sleep they deserve.

Purchase now!


CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Lillian Gibson, PhD's Profile

Lillian Gibson, PhD Related seminars and products

Lillian Gibson, PhD, is a licensed clinical psychologist with over a decade of experience working with clients facing trauma, insomnia, nightmares, race-based traumas, minority stress, anxiety, depression, and chronic medical conditions. In addition to her clinical duties, she serves as a consultant to other licensed clinicians, and supervises psychology and medical residents on “gold star” evidenced-based psychotherapy treatments. Dr. Gibson is a highly recommended speaker, consultant, and clinician who is frequently engaged by non-profit agencies, community-based programs, and mental health agencies to inform and train their staff. Experienced in a variety of settings including inpatient mental health centers, outpatient behavioral care services, and primary care settings, Dr. Gibson’s professional footprints include places such as Johns Hopkins Medicine and the Quality Education for Minorities Network. Dr. Gibson has also conducted international research in Johannesburg, South Africa.  


Speaker Disclosures:
Financial: Dr. Lillian Gibson maintains a private practice and receives compensation as a consultant and virtual speaker. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Lillian Gibson has no relevant non-financial relationships.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Establish the correlation between post traumatic stress disorder, insomnia, and nightmares.
  2. Utilize clinical interviews and self-report measures to assess for sleep quality and the frequency, intensity and triggers associated with trauma-related nightmares.
  3. Utilize CBT strategies, including using sleep restriction and sleep consolidation, to improve sleep quality in clients.
  4. Demonstrate how to use IRT techniques to guide clients in creating calming images and using imagery exercises to re-script nightmares.
  5. Illustrate how dream rehearsal techniques can be used to practice and instill positive dream scenarios and outcomes in clients.
  6. Reduce hyperarousal and anxiety in clients with trauma-based nightmares with mindfulness and relaxation practices.
  7. Implement solutions to help increase client compliance and manage co-occurring issues in clients to increase treatment efficacy.


Trauma, Nightmares, Insomnia, and Distressed Sleep

  • The relationship between trauma, sleep, and nightmares
  • Types of trauma-related nightmares
  • Common challenges associated with sleep disturbance
  • Harmful habits often seen among individuals desiring restful sleep

Assessment and Treatment Planning

  • DSM-5™ diagnoses associated with nightmares
  • Using clinical interviews and self-report measures
  • Skills for assessing trauma-related nightmares
  • Sleep diaries, trauma history, and PTSD checklist
  • Differential diagnosis
  • Pros and cons of medication management to treat nightmares

A Step-by-Step Guide to Using Image Rehearsal Therapy for Reduced Nightmare Frequency and Intensity

  • Session structure outlines and scripts
  • Step 1: CBT strategies for better sleep
    • Using sleep restriction to decrease clients time in bed laying awake
    • Sleep consolidation for less fragmented sleep
  • Step 2: IRT to rescript nightmares and reduce emotional intensity
    • How to guide clients in creating a calming image
    • Imagery exercises that empower clients to re-script nightmares
    • Dream rehearsal techniques to practice positive dream scenarios and outcomes
    • Guide clients in gradual exposure to traumatic memories during IRT
  • Step 3: Target hyperarousal and manage anxiety with mindfulness and relaxation practices
    • Adapting IRT for cultural and clinical diversity
    • Research, treatment limitations, and risks

Problem Solving Issues Related to Treatment Implementation

  • Practical steps to increase client compliance
  • When clients can’t create clear detailed imagery
  • Co-occurring issues
  • Best practices to increase treatment efficacy

Nightmare Treatment Case Studies

  • 27-year-old woman with childhood trauma
  • 45-year-old man who has been diagnosed with PTSD related to a workplace accident
  • 28-year-old woman who was involved in a mass shooting

Target Audience

  • Counselors
  • Social Workers
  • Psychiatrists
  • Psychologists
  • Addiction Counselors
  • Marriage and Family Therapists
  • Therapists
  • Physicians
  • Nurses
  • Other Professionals Who Work within the Mental Health Fields


Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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