Unconscious Mind
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Are the rewards from a Dream or a client's ability compulsory when you treat?
Partly. Other benefits on a Dream, such as movement, can be ignored, and client ability rewards are optional too. However, you must apply as many of the Dream's Therapy points to the client as possible rather than forgoing them. The one mandatory extra effect is Madness from the Nightmares expansion, which is a cost rather than a benefit.