Imagery Rescripting for Posttraumatic Nightmares in Rural Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) Veterans With Posttraumatic Stress Disorder (PTSD)

Inclusion Criteria: Patients for the open trial will be 1. OEF/OIF veterans (aged 18-64); 2. English-speaking; 3. currently enrolled in the Trauma Recovery Program (TRP) at the Michael E. DeBakey Veteran Affairs Medical Center (MEDVAMC); 4. reporting at least one combat or war zone associated PTNM in the past week; 5. have an existing PTSD International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM); and 6. consenting to be in an open trial for treatment of PTNM. In addition, patients must agree to allow their assessment and therapy sessions to be video/audiotaped for the purposes of supervision. Pilot Study: Patients for the pilot study will be 1. OEF/OIF veterans (aged 18-64); 2. English-speaking; 3. currently enrolled in the Conroe CBOC for their primary or mental health care; 4. reporting at least one combat or war zone associated PTNM in the past week; 5. have an existing PTSD ICD-9-CM diagnosis; and 6. consenting to be in the pilot study for treatment of PTNM. In addition, patients must agree to allow their assessment and therapy sessions to be video/audiotaped for the purposes of supervision. Exclusion Criteria: Patients will be excluded for the following reasons: 1. current active suicidal/homicidal ideation and intent; 2. current substance dependence; 3. a diagnosis of bipolar or psychosis; 4. active participation in another psychosocial treatment for PTSD; 5. prescribed the medication Prazosin (a psychotropic medication for the treatment of nightmares). Patients interested in receiving the intervention will not be excluded if they are taking psychotropic medication (except for Prazosin) and may continue to take their medication as prescribed throughout the study.