The purpose of this study is to obtain preliminary data of the efficacy of Exposure,
Relaxation, and Rescripting Therapy for nightmares among active duty military personnel.
This will be a pilot randomized controlled trial to compare the effects of Exposure,
Relaxation, and Rescripting Therapy for military populations (ERRT-M) among active duty
service members. Participants will be randomized to 5 sessions of ERRT-M (n = 20 ) or to a
5-week waitlist control group (WL; n = 20).
Participants will complete all interviews and self-report measures 2 weeks following
treatment or the WL condition and 1 month after completing treatment.
- Active duty military stationed at Fort Hood as assessed by self-report.
- Able to speak and read English.
- History of a traumatic event.
- Nightmare Disorder
- Stable on psychotropic and/or hypnotic medications and/or interventions for sleep
(e.g., Continuous Positive Air Pressure for sleep apnea) administered by other
providers for at least one month assessed by self-report and review of medical
- Willingness to refrain from beginning new behavioral health or medication treatment
for issues pertaining to sleep, PTSD, or nightmares during participation in the
- Indication that the SM plans to be in the area for the 5 months following the first
- Current suicide or homicide risk meriting crisis intervention.
- Severe brain damage, assessed by the inability to comprehend baseline questionnaires.
- Pregnancy at baseline.
- Serious mental health diagnosis such as bipolar disorder or psychosis, assessed with
the pre-treatment health interview and review of medical record.
- Currently taking propranolol.
- Currently engaged in evidence-based treatment for PTSD (i.e., Prolonged Exposure
Therapy or Cognitive Processing Therapy) or Insomnia (i.e., Cognitive Behavioral
Therapy for Insomnia).