Sleep Terrors (Night Terrors)

11 min read

Sleep terrors, also known as night terrors, are a type of sleep disorder that can cause intense fear and distress during sleep. They are most common in children, but can also occur in adults. Sleep terrors are different from nightmares, as they involve a sudden arousal from sleep with a feeling of panic and disorientation.

Causes of Sleep Terrors

The exact cause of sleep terrors is not known, but there are several factors that may contribute to their occurrence. These include stress, fatigue, sleep deprivation, certain medications, and underlying medical conditions. In some cases, sleep terrors may be triggered by a traumatic event.

Signs and Symptoms of Sleep Terrors

The signs and symptoms of sleep terrors vary from person to person, but may include screaming, thrashing, sweating, rapid heart rate, and difficulty breathing. People experiencing sleep terrors may also appear confused and disoriented, and may not remember the episode the next day.

Diagnosis and Treatment of Sleep Terrors

Sleep terrors are usually diagnosed based on a person's medical history and a physical examination. In some cases, a sleep study may be recommended to rule out other sleep disorders. Treatment for sleep terrors may include lifestyle changes, such as reducing stress and getting enough sleep, as well as medications to help reduce the frequency and severity of episodes.

Take the Sleep Terrors (Night Terrors) Assessment

Symptoms

  • Screaming or shouting during sleep
  • Sitting up in bed with a look of fear
  • Sweating, rapid heart rate, and dilated pupils
  • Difficulty being awakened
  • Confusion and disorientation after waking
  • Difficulty falling back asleep
  • Nightmares

Sleep terrors can be frightening for both the person experiencing them and those around them. If you or someone you know is experiencing sleep terrors, it is important to seek medical advice to determine the cause and find the best treatment.

Causes

Stress and Anxiety

Stress and anxiety can be major contributors to sleep terrors. When a person is under a lot of stress or feeling anxious, their body may respond by triggering a sleep terror episode. This can be especially true if the person is already prone to sleep terrors.

Sleep Deprivation

Sleep deprivation can also be a factor in sleep terrors. When a person does not get enough sleep, their body may become overly tired and unable to cope with the stress of the day. This can lead to a sleep terror episode.

Medications

Certain medications can also cause sleep terrors. Stimulants, such as caffeine, can interfere with a person's sleep cycle and cause them to experience sleep terrors. Other medications, such as antidepressants, can also cause sleep terrors.

Sleep Disorders

Sleep disorders, such as sleep apnea, can also be a cause of sleep terrors. Sleep apnea is a condition in which a person's breathing is interrupted during sleep, which can lead to a disruption in the sleep cycle and cause sleep terrors.

Genetics

Genetics may also play a role in sleep terrors. If a person has a family history of sleep terrors, they may be more likely to experience them as well.

Getting a Diagnosis

What Are the Symptoms of Sleep Terrors?

Sleep terrors can cause a person to wake up suddenly in a state of intense fear and distress. During a sleep terror episode, a person may scream, thrash around, and have difficulty calming down. They may also experience sweating, rapid heart rate, and difficulty breathing. Other symptoms may include confusion, disorientation, and difficulty remembering the episode.

How Are Sleep Terrors Diagnosed?

Sleep terrors are typically diagnosed by a doctor or sleep specialist. The doctor will ask questions about the person’s sleep habits and medical history. They may also order a sleep study to monitor the person’s sleep patterns. The sleep study can help the doctor determine if the person is experiencing sleep terrors or another sleep disorder.

What Are the Treatment Options for Sleep Terrors?

Treatment for sleep terrors typically involves lifestyle changes and medications. Lifestyle changes may include avoiding caffeine and alcohol before bed, establishing a regular sleep schedule, and avoiding stressful activities before bed. Medications may be prescribed to help reduce the frequency and intensity of sleep terrors. It is important to talk to a doctor about the best treatment plan for each individual.

Questions for Your Doctor

Discuss Your Symptoms

When talking to your doctor about sleep terrors, it is important to discuss your symptoms in detail. Describe the frequency and intensity of your sleep terrors, as well as any other symptoms you may be experiencing. This will help your doctor determine the best course of treatment for you.

Discuss Your Medical History

Your doctor will also want to know about your medical history. Tell your doctor about any medical conditions you have, as well as any medications or supplements you are taking. This information can help your doctor determine if any of these factors are contributing to your sleep terrors.

Discuss Your Sleep Habits

Your doctor will also want to know about your sleep habits. Tell your doctor about your sleep schedule, how much sleep you get each night, and any other factors that may be affecting your sleep. This information can help your doctor determine if any of these factors are contributing to your sleep terrors.

Discuss Treatment Options

Finally, your doctor will want to discuss treatment options for your sleep terrors. Depending on the severity of your symptoms, your doctor may recommend lifestyle changes, such as getting more sleep or avoiding caffeine and alcohol. Your doctor may also recommend medications or therapy to help you manage your sleep terrors.

If you are experiencing sleep terrors, it is important to talk to your doctor about your symptoms and treatment options. By discussing your symptoms, medical history, sleep habits, and treatment options with your doctor, you can get the help you need to manage your sleep terrors.

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 manage sleep terrors by teaching relaxation techniques and helping the person identify and address any underlying issues that may be causing the sleep terrors.

Medication

Medication can be used to help manage sleep terrors. Commonly prescribed medications include benzodiazepines, which are sedatives that can help reduce the frequency and intensity of sleep terrors. Other medications, such as antidepressants, can also be used to help manage the condition.

Sleep Hygiene

Sleep hygiene is a set of habits and practices that can help improve sleep quality. It can be used to help manage sleep terrors by ensuring that the person is getting enough sleep and is following a regular sleep schedule. Other sleep hygiene practices, such as avoiding caffeine and alcohol before bed, can also help reduce the frequency and intensity of sleep terrors.

Conclusion

Sleep terrors can be a frightening and distressing condition, but there are treatments available to help manage the condition. Behavioral therapy, medication, and sleep hygiene can all be used to help reduce the frequency and intensity of sleep terrors. If you or someone you know is experiencing sleep terrors, it is important to seek professional help to find the best treatment plan.

Drugs & Medications

What Causes Sleep Terrors?

Sleep terrors are caused by a disruption in the normal sleep cycle. They can be triggered by stress, fatigue, or changes in the environment. In some cases, they may be caused by an underlying medical condition, such as a sleep disorder or mental health disorder.

How to Treat Sleep Terrors

The most effective way to treat sleep terrors is to identify and address the underlying cause. If stress or fatigue is the cause, then reducing stress and getting enough sleep can help. If an underlying medical condition is the cause, then treating the condition can help reduce the frequency and severity of sleep terrors.

In some cases, medications may be prescribed to help reduce the frequency and severity of sleep terrors. Commonly prescribed medications include benzodiazepines, antidepressants, and antipsychotics. It is important to talk to your doctor before taking any medications, as they can have side effects.

In addition to medications, there are also lifestyle changes that can help reduce the frequency and severity of sleep terrors. These include avoiding caffeine and alcohol before bed, establishing a regular sleep schedule, and avoiding stressful activities before bed. Relaxation techniques, such as deep breathing and meditation, can also help reduce stress and improve sleep quality.

When to See a Doctor

If you or your child is experiencing sleep terrors, it is important to talk to your doctor. They can help identify the underlying cause and recommend the best treatment plan. If the sleep terrors are causing distress or disrupting your sleep, then it is important to seek medical help.

Diet

Foods to Avoid

Certain foods and beverages can increase the risk of sleep terrors. Caffeinated drinks, such as coffee, tea, and energy drinks, should be avoided as they can interfere with sleep. Alcohol should also be avoided as it can disrupt sleep patterns and lead to sleep terrors. Additionally, foods that are high in sugar and processed carbohydrates can cause blood sugar levels to spike and crash, which can lead to sleep disturbances.

Foods to Include

Including certain foods in the diet can help reduce the risk of sleep terrors. Complex carbohydrates, such as whole grains, legumes, and vegetables, can help stabilize blood sugar levels and promote restful sleep. Foods that are high in magnesium, such as dark leafy greens, nuts, and seeds, can also help relax the body and promote better sleep. Additionally, foods that are high in tryptophan, such as turkey, eggs, and dairy, can help increase serotonin levels and promote better sleep.

Conclusion

Sleep terrors can be a distressing and disruptive sleep disorder. While the exact cause of sleep terrors is unknown, certain dietary changes can help reduce the frequency and severity of episodes. Avoiding caffeine, alcohol, and foods that are high in sugar and processed carbohydrates can help reduce the risk of sleep terrors. Additionally, including complex carbohydrates, foods that are high in magnesium, and foods that are high in tryptophan can help promote restful sleep and reduce the risk of sleep terrors.

Lifestyle

Create a Relaxing Bedtime Routine

Creating a relaxing bedtime routine can help reduce the occurrence of sleep terrors. This routine should include activities that help you relax and wind down before bed, such as reading a book, taking a warm bath, or listening to calming music. Avoid activities that are stimulating or stressful, such as watching television or playing video games.

Reduce Stress

Stress can be a major trigger for sleep terrors, so it’s important to find ways to reduce stress in your life. Try to set aside time each day to relax and unwind. Exercise can also be a great way to reduce stress and improve your sleep quality. Additionally, make sure to get enough sleep each night and avoid caffeine and alcohol before bed.

Create a Comfortable Sleep Environment

Creating a comfortable sleep environment can help reduce the occurrence of sleep terrors. Make sure your bedroom is dark, quiet, and cool. Use blackout curtains or an eye mask to block out light, and use a white noise machine or fan to block out noise. Additionally, make sure your mattress and pillows are comfortable and supportive.

Talk to Your Doctor

If lifestyle changes don’t help reduce the frequency and severity of your sleep terrors, it’s important to talk to your doctor. They may recommend medications or other treatments to help you manage your sleep terrors.