This study examines the mental health function of dreams and dream work in integrative psychotherapy with 2 refugee women. The clients were from West Africa and the Middle East, and both suffered from posttraumatic stress disorder (PTSD) and repetitive nightmares. In a culturally sensitive integrative psychotherapy dreams were interpreted with respect for cultural meanings. The dream work initiated a mutual exploration of the dream images and led to an insightful processing of traumatic experiences.