Nightmaretaker Guide Top File

Nightmaretaker Guide — Top Tips for Managing Nighttime Disturbances

Documentation template (brief, for shift notes)

• Date & time of episode:
• Patient/client name or identifier:
• Observed behaviors (verbal, motor, duration):
• Perceived triggers (if any):
• Interventions used (words, grounding, meds, emergency):
• Outcome (returned to sleep, remained awake, required escalation):
• Follow-up actions recommended:

Step 2: Phase 1 Execution (Health: 100% - 60%)

• Move: Walk, do not run. Crouch walking is silent.
• Attack Pattern: Wait for the "Sigh" animation. The Nightmaretaker lowers its shoulders and exhales fog. This is your 4-second window.
• Combo: Light > Light > Heavy (Dagger). Immediately dodge backward twice.
• Priority: Destroy the floating eye totems on the walls first. If you leave them, Phase 2 gains an extra attack.

If nightmares are frequent or severe — clinical escalation

• Track frequency, duration, triggers, time of night, medication changes, and functional impact.
• When to refer:
  • Nightmares >1–2 nights/week for several weeks
  • Daytime impairment (sleepiness, anxiety, avoidance)
  • Nightmares linked to trauma, self-harm, or suicidal ideation
  • Sudden onset after medication changes or substance use
• Possible clinical treatments:
  • Imagery Rehearsal Therapy (IRT)
  • Cognitive Behavioral Therapy for Insomnia (CBT-I)
  • Trauma-focused therapies (EMDR, prolonged exposure)
  • Medication review (prazosin for PTSD-related nightmares in some cases — clinician decision)
  • Sleep medicine referral for parasomnias or REM behavior disorder