Brief Treatment for Trauma Nightmares in Trauma-exposed Adults With Bipolar Disorder

Conditions:Insomnia Sleep Studies, Psychiatric, Psychiatric, Psychiatric
Therapuetic Areas:Psychiatry / Psychology
Age Range:18 - Any
Start Date:June 2014
End Date:May 2021
Contact:Joanne L Davis, PhD

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Efficacy of a Brief Treatment for Chronic Nightmares Among Trauma-Exposed Persons With Bipolar Disorder

Exposure, relaxation, and rescripting therapy (ERRT) is a promising psychological
intervention developed to target trauma-related nightmares and sleep disturbances. Though
further evidence is needed, ERRT has shown strong support in reducing the number and
intensity of nightmares, as well as improving overall sleep quality in both civilian and
veteran samples. This study will assess the efficacy in individuals diagnosed with bipolar

This pilot study will examine the efficacy of Exposure, Relaxation, & Rescripting Therapy
(ERRT) on chronic nightmares in trauma-exposed adults diagnosed with bipolar disorder
(B-ERRT), as these individuals have been excluded from past clinical trials. Eligible
participants will be assessed prior to starting treatment. B-ERRT will be conducted once a
week for approximately five consecutive weeks for approximately two hours per session. Each
treatment session focuses on one of the following topics/skills: psychoeducation regarding
trauma, nightmares, and sleep disturbances on bipolar disorder, relaxation techniques,
exposure to the trauma-nightmare, and relapse prevention. Participants will then be asked to
complete two to three follow-up assessments, 1-week, 3-months, and potentially 1-year after
the end of the treatment.

Inclusion Criteria:

- Nightmares at least once per week for the past month

- Formal diagnosis of Bipolar disorder (I or II)

- Exposure to traumatic event (1+ months ago)

- Stable on bipolar medication for at least 2 months

Exclusion Criteria:

- A traumatic event within the last month

- Intellectual disability

- Current or recent mania/hypomania within the last 3 months

- Suicide attempt or hospitalization within the last 3 months

- Current or untreated substance use disorder within the past 6 months
We found this trial at
Tulsa, Oklahoma 74104
Principal Investigator: Joanne L Davis, PhD
Phone: 918-631-3976
Tulsa, OK
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