Night Terrors

Definition

Night terrors, also known as sleep terrors, are a type of parasomnia—a disruptive sleep disorder—characterized by sudden arousals from deep sleep accompanied by intense fear, screaming, and physical agitation. Unlike nightmares, night terrors occur during non-REM sleep and are typically not remembered upon waking. Most common in children, they can also affect adults, especially those dealing with high stress, trauma, or sleep deprivation. During a night terror, a person may sit up abruptly, appear terrified, and exhibit signs like rapid heartbeat, sweating, or confusion. They may be difficult to wake and often have no recollection of the event the next day. While not typically harmful in and of themselves, night terrors can be distressing for both the individual and their loved ones, disrupting sleep and overall well-being. Causes may include stress, trauma, fever, or certain medications. In adults, night terrors are sometimes associated with PTSD, anxiety, or other mental health issues. Treatment often includes improving sleep hygiene, reducing stress, and, in some cases, therapeutic interventions like CBT or trauma-focused therapy. In persistent or severe cases, consultation with a sleep specialist is recommended. Understanding night terrors can help reduce fear and build a more supportive sleep environment for those affected.

Synonyms

Sleep terrors, Nocturnal panic, Non-REM arousal disorder, Nighttime fear episodes, Parasomnia episodes

Usage Examples

His night terrors became less frequent after incorporating a consistent sleep schedule and processing unresolved trauma with a therapist.

Historical Background

Night terrors, also known as sleep terrors, have been documented in medical literature since the early 1900s. Originally considered a childhood disorder, they were later observed in trauma survivors and individuals with sleep disorders. Unlike nightmares, which occur during REM sleep, night terrors happen during deep non-REM sleep, making them harder to wake from. With advances in sleep medicine and trauma-informed care, treatments now combine behavioral strategies, environmental changes, and emotional processing.

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