In addition to cognitive behavioral therapy for insomnia (CBT-I), I also provide imagery rehearsal therapy (aka nightmare rescripting) to address problems with recurrent, distressing dreams. Because sleep issues often co-occur with other mental health problems, such as mood and anxiety concerns, I am able to integrate CBT-I with therapies targeting these concerns. When working on improving sleep with clients, I carefully track their progress week-to-week, and typically observe noticeable improvements within a relatively short timeframe.