Adding lucid dreaming training to Gestalt therapy reduces nightmare frequency more quickly and to a greater extent than Gestalt therapy alone. Thirty-two people who had nightmares at least twice a week were randomly assigned to ten weeks of either Gestalt therapy alone or Gestalt therapy plus lucid dreaming instruction. Both groups reported significantly fewer nightmares after treatment and at a three-month follow-up. Only the group receiving Gestalt therapy alone showed a significant drop in dream recall frequency. Sleep quality improved significantly for both groups at follow-up, but only the lucid dreaming group showed significant improvement immediately after therapy ended.
Lucid dreaming therapy (LDT) did not improve sleep quality or reduce nightmare severity in patients with posttraumatic stress disorder (PTSD), but it significantly decreased levels of anxiety and depression. About 80% of PTSD patients suffer from nightmares or dysphoric dreams. LDT teaches dreamers to become aware of and control dream content, offering a potential alternative or complementary treatment for PTSD-related anxiety and depression, even though it had no effect on sleep variables or the PTSD profile measured by the Impact of Events Scale.
A woman with severe PTSD and recurrent nightmares completed six weeks of lucid dreaming training, which enabled her to alter her dream plots and improve several psychological measures. Her dream reports and assessment results are presented. The authors argue that sleep and nightmares should receive more attention in psychiatric treatment, not only for PTSD patients, and support their case with literature on non-medication treatments for sleep problems.