Manual All the Terrors of the Mind

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Night terrors, on the other hand, occur during NREM stage 3, or slow wave sleep, which is thought to be important for consolidating memories from the day. During slow wave sleep, the brain rests, as evidenced by less blood flow and a slower metabolic rate within the brain.

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Also, within each wave, a short period occurs where neurons are silent, giving them a break. This is why, if you wake someone up from a night terror, they are groggy and befuddled. It takes a few moments to transition out of slow wave sleep, get that blood flowing, and get neurons firing like normal again. Night terrors or nightmares, how can I tell which is which?

Night terrors. Sleep on it!

Characteristics Night terrors Nightmares Physical symptoms of fear. Physical manifestations of intense fear or terror, such as accelerated heartbeat , sweating, screaming and mental confusion. No recollection or very vague at waking in the morning. However, if awoken during the night terror, a terrifying feeling or horrifying flashes can be recalled more than a story. A story or piece of the dream can be recalled at waking.

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Since awakening may spark fear, avoid waking the sleeper to comfort him or her. It will be difficult to awaken and to comfort the sleeper due to the feelings of fear and terror. The sleeper can be awoken to stop the nightmare and to be comforted. Not difficult to awaken the sleeper and more or less difficult to comfort depending on how much or how little the sleeper remembers of the nightmare.

Mostly during the first part of the night when first deep sleep stages occur slow wave sleep. Mostly during the last part of the night when the last paradoxical sleep stages , also known as rapid eye movement REM sleep , occur. Predominantly during early childhood preschoolers but seen in all ages.


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Predominantly during childhood school age but seen in all ages. What to do or not do?


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What are the causes of night terrors? Even though what causes night terrors is not fully understood, it has been established that the following factors may trigger night terrors in both children and adults: Become overtired, experiencing occasional sleep loss or chronic sleep deprivation Getting stressed out moving, breakups, change at school or at work or the stress of sleeping in a new environment change in sleep routine Falling sick such as catching the flu Starting a new medication Having other sleep disorders, such as narcolepsy in adults There might be a genetic origin because family members, for example the parents, also report having episodes of night terrors or sleepwalking.

What are the consequences of night terrors?

Managing nightmares and night terrors

Two of the most common causes of night waking in children are night terrors and nightmares. Parents often get them confused but they are different, as is how they should be managed.

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Before we can understand night terrors and nightmares, we need to understand normal sleep. All children and adults cycle through stages of deep sleep, also known as non-rapid eye movement non-REM , and light sleep, also known as REM. We fall immediately into deep sleep where we typically stay for the first few hours of the night. Thereafter, we cycle through deep and light sleep. These sleep cycles last minutes in children and around 90 minutes in adults. When we come into light sleep, we can wake up briefly, look around the room, adjust the bedclothes, and if everything is OK, go back to sleep again.

Night terrors and nightmares happen in different parts of the sleep cycle and in different parts of the night. In contrast, nightmares tend to occur after midnight and happen during the light sleep stage, when we do most of our dreaming.