In just a few minutes, you'll understand exactly how NightWare works, why it's different from anything you've tried before, and what it could mean for your sleep — and your life.
Learn How It WorksWatch How NightWare Works
If you wake up exhausted, anxious, or dreading sleep, you already know this. Nightmare disorder — especially when linked to trauma — is a real, recognized medical condition that affects millions of people who have never been in combat.
Watch the Tackling Nightmares
Recurring nightmares break your sleep architecture, leaving you exhausted no matter how many hours you spend in bed.
Brain fog, irritability, difficulty concentrating, and emotional reactivity during the day are all downstream effects of disrupted, nightmare-filled nights.
When sleep is broken night after night, everything else follows — your patience, your presence, your ability to show up for the people and work that matter most.
Medications for nightmares carry side effects and inconsistent results.4 Therapy helps — but it can't follow you into sleep. There has been a real treatment gap. Until now.
NightWare is a prescription digital therapeutic — cleared by the FDA in November 20201 — that uses your Apple Watch to detect physiologic signs of a nightmare and gently interrupt it, without waking you up. No drugs. No side effects. No effort required while you sleep.
NightWare uses Apple Watch sensors to continuously track your heart rate and movement during sleep, building a personalized baseline of your normal sleep patterns.
When elevated heart rate and restless movement signal a nightmare is occurring, NightWare's patented algorithm intervenes in real time.1
The algorithm learns your unique sleep profile. The more consistently you use NightWare, the more precisely it responds. Higher adherence is associated with better outcomes.2
Non-pharmacologic — no drugs, no drug interactions, no pharmacologic side effects1
Passive by design — no active patient engagement required during sleep; simply wear the watch to bed
Clinically validated — randomized, sham-controlled trial demonstrated statistically significant improvement in sleep quality2
Complementary to existing care — designed to be used alongside therapy, medication, or any existing PTSD treatment plan6
Private pay access — available now through a licensed prescriber, no insurance authorization required
Indicated for adults 22 years or older who suffer from nightmare disorder or have nightmares from PTSD.1 Prescription required. Individual results may vary.
NightWare runs quietly in the background every night. There are no sessions to attend, no exercises to complete, and nothing to remember before bed — except to put on your Apple Watch.
Ensure your Apple Watch and iPhone are charged. Put on the watch and start the NightWare app just before sleep. That's it.
The device continuously monitors your heart rate and movement, building a personalized baseline of your normal sleep patterns over the first one to two weeks.
When NightWare detects the physiologic signature of a nightmare — elevated heart rate, restless movement — it intervenes immediately.1
"Within three nights, I woke up and realized something was off. I don't remember having any dreams, but I feel extremely rested for once."
NightWare Patient7 · Individual results may vary
NightWare is available through private pay, meaning you can access it directly through a licensed prescriber — without navigating insurance authorization, prior approvals, or waiting lists.
No insurance prior authorization. No waiting months for approval. Once prescribed, you can begin using NightWare quickly.
Your treatment stays between you and your prescriber. No insurance records, no third-party involvement in your care decisions.
NightWare complements — not replaces — your current PTSD treatment plan.6 Your therapist, psychiatrist, or primary care physician can prescribe it alongside your existing care.
No clinic visits for the therapy itself. No scheduling around sessions. NightWare works every night, automatically, while you sleep — on your schedule, in your home.
Speak with your doctor or a NightWare-affiliated prescriber. They'll confirm eligibility and write your prescription.
NightWare is delivered with a pre-configured Apple Watch and the NightWare app ready to use. Setup is simple.
Put on the watch before bed and start the app. NightWare begins learning your sleep patterns immediately. Some patients notice changes within the first few nights.
NightWare's patient management program provides ongoing clinical support and check-ins. You're not on your own.
These are the words of people who have used NightWare. Their experiences are their own — and a reminder of what becomes possible when sleep is no longer something to fear.
Testimonials reflect individual patient experiences and are not guarantees of outcomes. Individual results may vary. Testimonials were collected as part of NightWare's patient management program.7 NightWare is a prescription device; consult your healthcare provider.
NightWare is FDA-cleared and backed by peer-reviewed clinical data. This is not a pilot program or a trial — it is a cleared therapy with real-world outcomes.
In a 636-patient observational study, 78% of patients reported clearly improved sleep and decreased nightmares.7
Active-arm participants in the randomized controlled trial gained approximately one additional hour of sleep per night compared to baseline.2
Beyond improved sleep, 21% of patients in the observational study reported significant, life-changing improvements in overall wellbeing.7
In a randomized, sham-controlled trial in patients with PTSD-related nightmares, NightWare demonstrated statistically significant improvement in the Pittsburgh Sleep Quality Index (PSQI) in adherent users.2
Davenport ND, Werner JK. J Clin Sleep Med. 2023;19(2):361–369.
DOI: 10.5664/jcsm.10338
| Treatment | Limitation | NightWare Advantage |
|---|---|---|
| Prazosin (medication) | Failed to outperform placebo in large VA trial (n=304)4 | Non-pharmacologic; no drug interactions or side effects |
| Image Rehearsal Therapy | Requires specialized sessions; high dropout rates; limited scalability5 | Passive, automatic; no active effort required during sleep |
| Sleep Trackers | Monitor only; no intervention capability | Real-time detection and haptic intervention in the moment |
| CPAP Devices | Addresses breathing disorders, not trauma-driven nightmare response | Specifically designed for nightmare disorder in PTSD1 |
NightWare gives you a new tool for a condition that has historically been difficult to treat. It is FDA-cleared, non-pharmacologic, and designed to complement — not replace — your existing treatment approach.
De Novo clearance (DEN200033) granted November 6, 2020. Indicated for adults 22+ with nightmare disorder or PTSD-related nightmares.1
Randomized, sham-controlled trial demonstrated statistically significant improvement in PSQI (effect size 0.72, p=0.016) and NWL scale (effect size 0.94, p=0.002) in adherent users.2
Ideal for patients who are medication-averse, already on complex regimens, or who have not responded adequately to pharmacologic options.
Real-world outcomes across diverse patient populations. 80%+ patient satisfaction in NightWare's patient management program.7
NightWare is available through private pay. The prescribing process is straightforward, and NightWare's clinical team provides full support for both prescribers and patients.
Confirm patient eligibility: adults 22+ with nightmare disorder or PTSD-related nightmares1
Write a prescription for NightWare (prescription digital therapeutic, Apple Watch-based)
NightWare's team handles fulfillment, device setup, and patient onboarding
Patient management program provides ongoing support and outcome tracking
"NightWare fills a critical gap in treating nightmare disorder where traditional therapies have failed. It gives clinicians a non-pharmacologic, evidence-based option that patients can actually use consistently."
Clinical Perspective · Sleep Medicine Specialist
Honest answers to the questions most people have before getting started.
NightWare is a prescription therapy. The first step is speaking with a licensed prescriber who can confirm your eligibility and walk you through the process. Private pay means no insurance maze — just direct access to a treatment that works.
NightWare is a prescription-only, FDA-cleared digital therapeutic. A licensed prescriber must evaluate your eligibility.1
NightWare is not a standalone PTSD therapy and should be used as part of a comprehensive care plan.6 Individual results may vary.
All clinical claims on this page are sourced from FDA regulatory documents, peer-reviewed literature, and NightWare data on file. Superscript numbers throughout the page correspond to the references below.
