Imagery rescripting

Imagery Rescripting is an experiential therapeutic technique that uses imagery and imagination to intervene in traumatic memories. The process is guided by a therapist who works with the client to define ways to work with particular traumatic memories, images, or nightmares.

Imagery Rescripting helps to redefine and create new neural networks which work to alleviate the symptoms of PTSD and trauma. Within an Imagery Rescripting session, the therapist will guide the client to revisit the memory they are working with. At a key point in the memory, either the client or the therapist will intervene in the image/memory. The intervention may involve regaining control over the event, creating new outcomes, or re-establishing power over the narrative of the event. The aim is to connect to the client's unmet core needs resulting from the memory/experience.

Treatment and application

Imagery Rescripting has been shown to be effective in the treatment of PTSD resulting from childhood traumas(3).

It is an experiential technique that involves actively working with mental images rather than simply talking about what happened. Imagery Rescripting works directly with causes of trauma to restructure systems of implicational meaning that perpetuate symptoms of PTSD (1), trigger emotional distress, and cause maladaptive behaviors. When Imagery Rescripting successfully changes the core meaning of traumatic memories, new neural pathways are created which facilitate changes in negative schemas, core belief systems, and behaviors.

Like EMDR, Imagery Rescripting can be an effective trauma treatment without the need for prolonged exposure to traumatic experiences within the therapeutic process.