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If a patient is taking nightmare medication but continues to have dreams that cause awakenings that they can remember and that cause clinically significant distress, then CBT-N is still appropriate. If the patient has the goal of going of nightmare medications, engage in shared decision making around if the patient will start that process with their prescriber before, during, or after CBT-N. 

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

Yes! As part of this consultation, we are offering the option to achieve provider status in CBT for Nightmares. Provider status requirements include:

1. Complete training

2. Attend and actively participate in a minimum of 10 calls

3. Complete to treatment fidelity a minimum of 3 individual cases, 2 groups, or a combination of both

4. A part of each main component of treatment (e.g., sleep habit review, introducing theories of nightmares, exposure, rescripting, and relaxation training must be demonstrated on a recording in order of the consultant to determine that you have mastered the skill.

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

Yes! As part of this consultation, we are offering the option to achieve provider status in CBT for Nightmares. Provider status requirements include:

1. Complete training

2. Attend and actively participate in a minimum of 10 calls

3. Complete to treatment fidelity a minimum of 3 individual cases, 2 groups, or a combination of both

4. A part of each main component of treatment (e.g., sleep habit review, introducing theories of nightmares, exposure, rescripting, and relaxation training must be demonstrated on a recording in order of the consultant to determine that you have mastered the skill.

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

Yes! As part of this consultation, we are offering the option to achieve provider status in CBT for Nightmares. Provider status requirements include:

1. Complete training

2. Attend and actively participate in a minimum of 10 calls

3. Complete to treatment fidelity a minimum of 3 individual cases, 2 groups, or a combination of both

4. A part of each main component of treatment (e.g., sleep habit review, introducing theories of nightmares, exposure, rescripting, and relaxation training must be demonstrated on a recording in order of the consultant to determine that you have mastered the skill.

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

Yes! As part of this consultation, we are offering the option to achieve provider status in CBT for Nightmares. Provider status requirements include:

1. Complete training

2. Attend and actively participate in a minimum of 10 calls

3. Complete to treatment fidelity a minimum of 3 individual cases, 2 groups, or a combination of both

4. A part of each main component of treatment (e.g., sleep habit review, introducing theories of nightmares, exposure, rescripting, and relaxation training must be demonstrated on a recording in order of the consultant to determine that you have mastered the skill.

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

Yes! As part of this consultation, we are offering the option to achieve provider status in CBT for Nightmares. Provider status requirements include:

1. Complete training

2. Attend and actively participate in a minimum of 10 calls

3. Complete to treatment fidelity a minimum of 3 individual cases, 2 groups, or a combination of both

4. A part of each main component of treatment (e.g., sleep habit review, introducing theories of nightmares, exposure, rescripting, and relaxation training must be demonstrated on a recording in order of the consultant to determine that you have mastered the skill.

Yes! As part of this consultation, we are offering the option to achieve provider status in CBT for Nightmares. Provider status requirements include:

1. Complete training

2. Attend and actively participate in a minimum of 10 calls

3. Complete to treatment fidelity a minimum of 3 individual cases, 2 groups, or a combination of both

4. A part of each main component of treatment (e.g., sleep habit review, introducing theories of nightmares, exposure, rescripting, and relaxation training must be demonstrated on a recording in order of the consultant to determine that you have mastered the skill.

Actively engaging in CBT-N consultation is highly recommended! Currently, we recommend attending weekly consultation for ~ 5 months. The goal is to complete at least two cases in that timeframe. Consultation is conducted via video teleconference in a group format with 4-10 consultees who are learning to implement CBT for nightmares, CBT for insomnia, or both. Contact pruiksma@uthscsa.edu for more information about the next group. More information is also available here: https://lsom.uthscsa.edu/psychiatry/education/pruiksma/

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This work was supported by the Office of the Assistant Secretary of Defense for Health Affairs through the Peer Review Medical Research Program under Award No. W81XWH-21-1-0576 Opinions, interpretations, conclusions, and recommendations are those of the author and are not necessarily endorsed by the Department of Defense.