It seems like I have nightmares every night, even though I'm not currently in physical or psychological danger anymore. When I wake up, I feel more exhausted than when I went to bed. I'm 20 years old and take Cymbalta (80mg), Risperdal (2mg), Ritalin LA (20mg), Gabapentin (600mg), and Remeron (15mg).

One of the recurring nightmares is about my brothers, who are addicted to drugs, harming or threatening to harm my family. When I lived with them for several years, I feared for the lives of my family and me. I would also go to bed shaking in fear, covering my ears with pillows to drown out the noise of what was going on, and praying I would be able to fall asleep to escape all this. I also have nightmares about my former landlady, who was an alcoholic who --- when drunk ---- blocked my exit when I was in the basement, harassed me verbally, insulted me, and was most likely planning an attack on me if I didn't run away to my girlfriend's apartment and never returned. When I escaped my landlady's house, I was crying, shaking, and couldn't sleep properly for weeks.

I moved away from my family earlier this year, and the situation with my landlady occurred several months ago. I have tried Clonidine and Prazosin for the nightmares, and they did not help. I am also enrolled in weekly therapy and am taking 5 psych meds, but I'm still having these nightmares. My therapist recommended that we start doing trauma-focused work in therapy again, but I'm scared. Last time, it made me go into a PTSD flashback, and I did self-destructive things, like self-harm.

What do you think I should do? Should treatments be psychological or pharmacological? Any response is greatly appreciated. Thank you so much!

Age: 20

Sex: Male

Height: 6'3"

Weight: 190 lbs.

Conditions: PTSD, Depression, Anxiety, ADHD, OCD

Medications: Cymbalta (80mg), Risperdal (2mg), Ritalin LA (20mg), Gabapentin (600mg), and Remeron (15mg).