Episode written and produced by John Barkham, MD, Mohan Dutt, MD, and Alok Sachdeva MD.

The White Noise Podcast discusses the medical management of nightmare disorders with our very own Dr. John Barkham, who is a clinical lecturer at the Ann Arbor VA. This is part one of our two part series on nightmare disorders.

Show Notes Season 1-Episode 2- Nightmare Disorder Part 1

Time Stamps

0:00 – Introduction

4:51 – Guest Introduction

8:10 – Picks of the month

• Maps of Meaning by Jordan Peterson
• 12 Rules for Life by Jordan Peterson
• The Big Fella by Jane Leavy
• Star Trek: Discovery

11:29 – Clinical case begins

11:40 – Evaluation of nightmares

• The effect of continuous positive air pressure (CPAP) on nightmares in patients with posttraumatic stress disorder (PTSD) and obstructive sleep apnea (OSA).

22:00 – Nightmares in the veteran population

25:30 – Prazosin use for nightmare disorder

• Clinical case series: the use of Prazosin for combat-related recurrent nightmares among Operation Iraqi Freedom combat veterans.

28:00 – Diagnostic criteria for nightmare disorder

• Position Paper for the Treatment of Nightmare Disorder in Adults: An American Academy of Sleep Medicine Position Paper

32:05 – Disturbing dreams and nightmare severity index (DDNSI)

• Nightmare complaints in treatment-seeking patients in clinical sleep medicine settings: diagnostic and treatment implications.

34:00 – Resumption of case

37:45 – Prazosin dosing

41:50 – Problems with the DDNSI

47:18 – Pharmacologic alternatives to prazosin

51:00 – Alternatives to pharmacotherapy

• Imagery rehearsal therapy for chronic nightmares in sexual assault survivors with posttraumatic stress disorder: a randomized controlled trial.

Additional Information

From: Callen et al, Nightmare Disorders in Adults

From: Callen et al, Nightmare Disorders in Adults

Disclosures

The authors of The White Noise Podcast have no financial disclosures