Night Terrors (Sleep Terror Disorder)

11 min read

Night terrors, also known as sleep terror disorder, is a sleep disorder that causes a person to wake up in a state of terror. It is most common in children, but can also occur in adults. It is characterized by intense fear and a feeling of panic during sleep. Night terrors are not the same as nightmares, as they are not remembered upon waking.

Causes of Night Terrors

The exact cause of night terrors is unknown, but there are several factors that may contribute to the condition. These include stress, fatigue, sleep deprivation, fever, and certain medications. In some cases, night terrors may be triggered by a traumatic event.

Diagnosis of Night Terrors

Night terrors are usually diagnosed based on a person’s symptoms and medical history. A doctor may also order a sleep study to rule out other sleep disorders. In some cases, a doctor may recommend a psychological evaluation to determine if there is an underlying psychological cause.

Complications of Night Terrors

Night terrors can cause a person to feel anxious and fearful during the day. They can also interfere with a person’s ability to get a good night’s sleep. In some cases, night terrors can lead to depression and other mental health issues.

Prevention of Night Terrors

There are several steps that can be taken to reduce the risk of night terrors. These include getting enough sleep, avoiding stress, and avoiding certain medications. It is also important to create a calming environment in the bedroom, such as dim lighting and soothing music.

Take the Night Terrors (Sleep Terror Disorder) Assessment

Symptoms

Screaming and Thrashing

One of the most common symptoms of night terrors is screaming and thrashing. The person may scream out in fear or thrash around in bed. This can be very frightening for the person and those around them.

Sweating

Another common symptom of night terrors is sweating. The person may wake up in a cold sweat, or their body may be covered in sweat. This can be a sign that the person is experiencing a night terror.

Confusion and Fear

The person may also experience confusion and fear during a night terror. They may not be able to remember what happened or why they are feeling scared. This can be a very frightening experience for the person.

Agitation

The person may also experience agitation during a night terror. They may become agitated and restless, and may even try to get out of bed. This can be a sign that the person is experiencing a night terror.

Conclusion

Night terrors can be a frightening experience for the person and those around them. It is important to be aware of the symptoms of night terrors so that you can seek help if needed. If you or someone you know is experiencing night terrors, it is important to seek medical help as soon as possible.

Causes

Stress and Anxiety

Stress and anxiety can be a major factor in the development of night terrors. People who are under a lot of stress or who are dealing with a lot of anxiety may be more likely to experience night terrors. It is important to manage stress and anxiety levels in order to reduce the risk of night terrors.

Sleep Deprivation

Sleep deprivation can also be a factor in the development of night terrors. People who are not getting enough sleep may be more likely to experience night terrors. It is important to get enough sleep in order to reduce the risk of night terrors.

Medications

Certain medications can also increase the risk of night terrors. Some medications, such as sedatives and antidepressants, can cause sleep disturbances that can lead to night terrors. It is important to talk to your doctor about any medications you are taking in order to reduce the risk of night terrors.

Genetics

Genetics may also play a role in the development of night terrors. People who have a family history of night terrors may be more likely to experience them. It is important to talk to your doctor if you have a family history of night terrors.

Sleep Environment

The sleep environment can also be a factor in the development of night terrors. People who are sleeping in a noisy or uncomfortable environment may be more likely to experience night terrors. It is important to create a comfortable and quiet sleep environment in order to reduce the risk of night terrors.

Getting a Diagnosis

Symptoms of Night Terrors

Night terrors can cause a variety of symptoms, including:

  • Screaming or shouting during sleep
  • Sitting up in bed with eyes wide open
  • Sweating, rapid heart rate, and breathing
  • Difficulty calming down after the episode
  • Confusion and disorientation
  • Difficulty sleeping

Diagnosing Night Terrors

In order to diagnose night terrors, a doctor will typically ask questions about the patient’s sleep habits and medical history. The doctor may also perform a physical exam and order tests to rule out other conditions.

The doctor may also ask the patient to keep a sleep diary to track their sleep patterns and any episodes of night terrors. This can help the doctor determine the cause of the night terrors and the best course of treatment.

Treating Night Terrors

Treatment for night terrors typically involves lifestyle changes and medications. Lifestyle changes may include:

  • Establishing a regular sleep schedule
  • Avoiding caffeine and alcohol
  • Reducing stress
  • Creating a relaxing sleep environment

Medications may also be prescribed to help reduce the frequency and severity of night terrors. These medications may include sedatives, antidepressants, and anticonvulsants.

It is important to talk to your doctor about the best treatment plan for your night terrors. With the right treatment, night terrors can be managed and the symptoms can be reduced.

Questions for Your Doctor

Symptoms

The first step in understanding night terrors is to discuss the symptoms with your doctor. Common symptoms of night terrors include screaming, thrashing, sweating, and confusion. It is important to tell your doctor about any other symptoms you may be experiencing, such as difficulty sleeping, nightmares, or daytime sleepiness.

Triggers

It is also important to discuss any potential triggers for night terrors with your doctor. Common triggers include stress, fatigue, and certain medications. It is important to tell your doctor about any changes in your lifestyle or environment that may be contributing to the night terrors.

Treatment Options

Once your doctor has a better understanding of your symptoms and triggers, they can discuss treatment options with you. Treatment options may include lifestyle changes, such as getting more sleep and reducing stress, or medications. Your doctor can help you decide which treatment option is best for you.

Follow-Up Appointments

Finally, it is important to discuss follow-up appointments with your doctor. Follow-up appointments are important to monitor your progress and make sure the treatment is working. Your doctor can also answer any questions you may have about night terrors.

Night terrors can be a frightening experience, but talking to your doctor can help you understand the condition and find the best treatment for you. Be sure to discuss your symptoms, triggers, and treatment options with your doctor, as well as any follow-up appointments.

Treatment

Behavioral Therapy

Behavioral therapy is a type of psychotherapy that focuses on changing behaviors and thoughts to improve mental health. It can be used to help people with night terrors learn to manage their symptoms. Behavioral therapy may involve relaxation techniques, such as deep breathing and progressive muscle relaxation, as well as cognitive-behavioral therapy, which helps people identify and change negative thought patterns.

Medication

Medication may be prescribed to help manage night terrors. Commonly prescribed medications include benzodiazepines, which are sedatives that can help reduce anxiety and promote sleep. Other medications, such as antidepressants, may also be prescribed to help manage symptoms. It is important to talk to a doctor before taking any medication for night terrors.

Sleep Hygiene

Sleep hygiene is an important part of managing night terrors. Sleep hygiene involves creating a comfortable sleep environment and following a regular sleep schedule. It is important to avoid caffeine, alcohol, and other stimulants before bed, as well as to limit screen time before bed. It is also important to create a relaxing bedtime routine, such as taking a warm bath or reading a book.

Stress Management

Stress can be a trigger for night terrors, so it is important to manage stress levels. Stress management techniques, such as yoga, meditation, and deep breathing, can help reduce stress and improve sleep. It is also important to get regular exercise and to make time for activities that are enjoyable and relaxing.

Conclusion

Night terrors can be frightening and disruptive, but there are treatments available to help manage the condition. Behavioral therapy, medication, sleep hygiene, and stress management can all help reduce the frequency and intensity of night terrors. It is important to talk to a doctor before starting any treatment for night terrors.

Drugs & Medications

Benzodiazepines

Benzodiazepines are a class of drugs that are commonly used to treat anxiety and insomnia. They work by calming the central nervous system and can help reduce the frequency and intensity of night terrors. Common benzodiazepines used to treat night terrors include clonazepam (Klonopin), lorazepam (Ativan), and diazepam (Valium).

Antidepressants

Antidepressants are a class of drugs that are commonly used to treat depression, but they can also be used to treat night terrors. Common antidepressants used to treat night terrors include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil). These drugs work by increasing levels of serotonin, a neurotransmitter that helps regulate mood.

Antipsychotics

Antipsychotics are a class of drugs that are commonly used to treat psychosis, but they can also be used to treat night terrors. Common antipsychotics used to treat night terrors include risperidone (Risperdal) and olanzapine (Zyprexa). These drugs work by blocking dopamine receptors in the brain, which can help reduce the intensity of night terrors.

Conclusion

Night terrors can be a frightening and disruptive sleep disorder, but there are several drugs that can help treat it. Benzodiazepines, antidepressants, and antipsychotics are all commonly used to treat night terrors. If you are experiencing night terrors, talk to your doctor about which drug might be right for you.

Diet

Foods to Eat for Night Terrors

Eating a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins can help reduce the frequency and intensity of night terrors. Additionally, certain foods may help promote better sleep and reduce stress, which can help reduce the occurrence of night terrors. These foods include:

  • Bananas
  • Oatmeal
  • Almonds
  • Chamomile tea
  • Yogurt
  • Honey
  • Tart cherries
  • Walnuts
  • Salmon
  • Turkey

Foods to Avoid for Night Terrors

Certain foods and drinks can worsen night terrors. These include:

  • Caffeinated beverages
  • Alcohol
  • Processed foods
  • Sugary snacks and drinks
  • Spicy foods
  • High-fat foods

It is important to note that everyone is different and what works for one person may not work for another. It is best to experiment with different foods and drinks to see what works best for you.

Lifestyle

Create a Relaxing Bedtime Routine

Creating a relaxing bedtime routine can help reduce the stress and anxiety that can trigger night terrors. This routine should include activities that help you relax, such as reading, listening to calming music, or taking a warm bath. It is also important to avoid activities that can be stimulating, such as watching television or playing video games.

Reduce Stress

Stress can be a major trigger for night terrors, so it is important to find ways to reduce stress in your life. This can include activities such as yoga, meditation, or deep breathing exercises. It is also important to get enough sleep each night, as lack of sleep can increase stress levels.

Avoid Caffeine and Alcohol

Caffeine and alcohol can both interfere with sleep and can increase the risk of night terrors. It is best to avoid these substances in the evening, or to limit your intake to small amounts.

Talk to Your Doctor

If lifestyle changes are not enough to reduce the frequency and intensity of night terrors, it is important to talk to your doctor. They may be able to recommend medications or other treatments that can help reduce the episodes.