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Astral Codex Ten Podcast


Jun 16, 2022

https://astralcodexten.substack.com/p/peer-review-nightmares

I'm trying to build up a database of mental health resources on my other website, Lorien Psychiatry. Every time I post something, people here have made good comments, so I want to try using you all as peer review.

Please give me comments on typos, places where you disagree with my recommendations, extra things you think I should add, your personal stories about your own experiences, and comments on the overall organization and tone of the piece.


Summary: Nightmares happen when the process of dream generation is biased by ambient stress - or sometimes for other reasons. Anything that decreases stress, increases comfort while sleeping, and deepens sleep quality will also improve nightmares, including colder, darker rooms, less indigestion, and treating any comorbid psychiatric or medical conditions. If that doesn’t work, several kinds of therapy - including Image Rehearsal Therapy, Systematic Desensitization, and Lucid Dreaming - may be helpful. Prazosin is the standard anti-nightmare drug, and can be taken at doses from 1 - 12 mg, but watch out for side effects.

1. What causes nightmares?