[noscript_1]
I have suffered stressful dreams and nightmares for 20 years. How can I make them stop?
Dr Ellie replies: Disturbing dreams and nightmares over many years are likely to be linked to post-traumatic stress disorder (PTSD).
This is a response to trauma in which the brain continues to replay a distressing event long after it has passed. As well as nightmares, it may cause flashbacks, anger, low mood, relationship issues and feelings of worthlessness.
There is also a related condition called complex PTSD, which tends to arise from repeated traumatic events rather than a single incident. Both conditions can be serious and long-term, but they are treatable.

Disturbing dreams and nightmares over many years are likely to be linked to post-traumatic stress disorder (PTSD), says Dr Ellie
A GP can begin treatment while a referral is being arranged, and medication is often the starting point, using antidepressants such as sertraline and venlafaxine.
In some cases a psychiatrist may also recommend taking an antipsychotic medication. Short-term sedatives can be used to help with sleep while longer-term treatment gets under way.
However, specialist talking therapy is the cornerstone of PTSD treatment.
Trauma-focused cognitive behavioural therapy (CBT) is one option, but the approach most commonly used today is known as EMDR – eye movement desensitisation and reprocessing – a psychological therapy which is thought to help the brain process traumatic memories and reduce the intensity of flashbacks.
Trauma clinics are available on the NHS, and the UK Psychological Trauma Society lists specialist services across the country, but an appointment with your GP is always the best place to start.
I’ve developed an uncomfortable pain in my upper chest and stomach. My GP says it’s likely to be shingles but there is no rash. What do you think it could be?

I’ve developed an uncomfortable pain in my upper chest and stomach. My GP says it’s likely to be shingles but there is no rash. What do you think it could be?
Dr Ellie replies: It is entirely possible to have shingles without a rash.
Shingles is caused by the reactivation of the chickenpox virus, which lies dormant in a nerve after the original childhood infection. It can remain there for decades before something triggers it back into activity – often older age, stress or another illness that temporarily weakens the immune system.
In a typical case, shingles produces a blistery, band-shaped rash. The pain is very specific – a burning or prickling sensation often described as small electric shocks or cigarette burns, with the skin becoming extremely sensitive to touch or clothing.
However, the virus can reactivate without producing any visible rash at all. For this reason, the GP’s diagnosis is entirely plausible.
Treatment remains the same. Antiviral medication can be prescribed early and, for nerve pain, specific nerve painkillers are the most effective approach. Amitriptyline is a particularly useful option as it is taken at night and can also improve sleep.
If a patient has not had the shingles vaccine – which is routinely offered to older people – then they might be given it. This will not help ease current symptoms but will, instead, reduce the severity of any future episodes.
Do you have a question for Dr Ellie Cannon? Email DrEllie@mailonsunday.co.uk






