Dissociative disorders, including trance and possession disorder, have long been shaped by cultural, social, and spiritual beliefs. Diagnosis now follows ICD-10, DSM-5, and ICD-11 criteria. In Indian society, trance and possession disorder poses particular challenges for psychiatrists. A case illustrates how social and cultural factors delay diagnosis and management; individuals often first consult a general physician rather than a psychiatrist. This underscores the need for consultation liaison psychiatry (CLP) in diagnosis and ongoing care. Greater awareness of the mind-body relationship and psychosocial support, respecting patients' and relatives' beliefs, remains necessary.
Nightmares affect 50-85% of children and 5-10% of adults, causing significant distress and sleep disruption. Addressing these troubling dreams is crucial for mental health. Effective treatments include cognitive behavioral therapy (CBT) and imagery rehearsal therapy (IRT), which focus on changing negative thought patterns and emotional responses. These psychosocial interventions have shown to reduce nightmare frequency and intensity, improving overall sleep quality. By targeting the cognitive and emotional roots of nightmares, these strategies can enhance the quality of life for individuals across all ages.