Nightmares Treatment in Saudi Arabia

Nightmares are a distressing sleep disorder characterized by vivid, disturbing dreams that elicit strong negative emotions, such as fear, anxiety, or sadness. These dreams usually occur during the REM (Rapid Eye Movement) phase of sleep, which is when dreaming is most frequent and intense. Unlike night terrors, where individuals may not fully wake up or remember the event, nightmares are often vividly recalled upon awakening. They can significantly disrupt sleep quality, leading to insomnia and affecting daytime functioning.

Symptoms of nightmares include frequent, intense dreams that are often remembered in detail. Upon waking, individuals may experience lingering feelings of fear, anxiety, or sadness, which can last through the day. These disruptive dreams can cause sweating, rapid heartbeat, and difficulty returning to sleep. Nightmares may also lead to a fear of going to sleep, resulting in insomnia and sleep deprivation, which impacts daily life and overall well-being. The content of nightmares often comes from trauma, stress, or anxiety, manifesting common themes such as being chased, falling, or facing life-threatening situations.

Treatment for nightmares focuses on addressing the underlying causes and improving sleep quality. Cognitive-behavioral therapy (CBT) can help individuals cope with stress and anxiety that may trigger nightmares. Specifically, Imagery Rehearsal Therapy (IRT) is effective, involving the rewriting and rehearsing of distressing dreams with positive outcomes. Improving sleep hygiene, such as establishing a regular sleep schedule, creating a calm sleep environment, and avoiding stimulants near bedtime, can also reduce the frequency of nightmares. In some cases, medication may be prescribed to manage contributing factors like anxiety or PTSD. Consulting a healthcare provider is crucial for a tailored treatment plan and to address any coexisting conditions.