The purpose of this study was to assess the type and severity of nightmares and to examine the effects of image exposure and image rescripts on nightmare reduction. In this report, we presented the counseling process with high school students who complained of nightmares. Client A’s chief complaint was idiopathic nightmares of being stabbed or pushed down. The client’s background was the stress of club activities and the lack of close friends. Client B’s chief complaint was confusion and fear during mid-wake due to post-traumatic nightmares, with an inability to distinguish between dream and reality. She was later diagnosed as having obsessive-compulsive disorder due to trauma-related nightmares. The background of symptoms were career problems and childhood traumatic experiences. As a result of applying a combination of exposure, muscle relaxation, and rescript therapy (ERRT) to Client A, the nightmare symptoms disappeared in a short period of time. After applying imagery rehearsal therapy (IRT) to Client B, the frequency and intensity of nightmares decreased, and the client was able to distinguish between dreams and reality. In cases of frequent nightmares in adolescents, as in adults, the effectiveness of two techniques, ERRT and IRT, which use image exposure and image rescripts as common techniques, were confirmed.
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