Night Terrors

Night terrors can be alarming for both those who experience them and their loved ones. Unlike typical nightmares, these episodes involve intense fear, physical reactions, and little to no memory afterward. In this Q&A session, we answer common questions about night terrors — from their causes and symptoms to treatment options and prevention tips — to help you better understand and manage this sleep disturbance.

Q1: What are night terrors?

A: Night terrors, also known as sleep terrors, are episodes of intense fear and panic that occur during deep sleep, typically within the first few hours of the night. Unlike nightmares, individuals experiencing night terrors are often unaware and cannot recall the event upon waking.

Q2: How do night terrors differ from nightmares?

A: While both involve disturbing dreams, the key differences are:

• Timing: Night terrors occur during deep non-REM sleep; nightmares happen during REM sleep.
• Awareness: Individuals with night terrors are usually unresponsive and have no memory of the event; those with nightmares can often recall the dream.
• Symptoms: Night terrors involve physical symptoms like screaming, thrashing, and rapid heartbeat; nightmares typically involve vivid, frightening dreams without physical manifestations.

Q3: What causes night terrors?

A: Night terrors can be triggered by various factors, including:

• Sleep deprivation
• Stress or anxiety
• Fever (in children)
• Sleep disorders like sleep apnea
• Medications or substance use
• Genetic predisposition

Q4: Who is most affected by night terrors?

A: Night terrors are more common in children, especially between the ages of 3 and 12. However, they can also occur in adults, particularly those with underlying mental health conditions or sleep disorders.

Q5: What are the symptoms of night terrors?

A: Symptoms include:

• Sudden screaming or shouting during sleep
• Rapid breathing and increased heart rate
• Sweating
• Thrashing or sitting up abruptly
• Dilated pupils
• Unresponsiveness to comfort
• No recollection of the event upon waking

Q6: Are night terrors dangerous?

A: Generally, night terrors are not harmful. However, there is a risk of injury if the person moves violently during an episode. It's important to ensure the sleep environment is safe to prevent accidents.

Q7: How should I respond if someone is experiencing a night terror?

A: During an episode:

• Do not attempt to wake the person. This can cause confusion and prolong the episode.
• Ensure safety. Clear the area of obstacles to prevent injury.
• Speak calmly. Use a soothing voice to reassure them.
• Wait it out. Most episodes resolve on their own within a few minutes.

Q8: When should I seek medical help?

A: Consult a healthcare professional if:

• Night terrors occur frequently
• They cause significant disruption to sleep or daily activities
• There is a history of underlying mental health conditions
• Safety is a concern due to violent movements during episodes

Q9: What treatments are available for night terrors?

A: Treatment options may include:

• Cognitive Behavioral Therapy (CBT): Helps address underlying anxiety or stress.
• Medication: In some cases, medications may be prescribed to manage symptoms.
• Relaxation Techniques: Methods like deep breathing and meditation can reduce stress.
• Sleep Hygiene: Establishing a regular sleep schedule and creating a calming bedtime routine.
• Anticipatory Awakenings: Waking the individual briefly before the usual time of the night terror to disrupt the cycle.

Q10: How can I prevent night terrors?

A: Preventive measures include:

• Regular Sleep Schedule: Go to bed and wake up at the same time daily.
• Calming Bedtime Routine: Engage in relaxing activities before sleep.
• Limit Stimulants: Avoid caffeine and heavy meals close to bedtime.
• Manage Stress: Practice stress-reducing techniques throughout the day.
• Safe Sleep Environment: Ensure the bedroom is quiet, dark, and free from distractions.

At Jehovah’s Behavioral Care, we offer comprehensive services to address night terrors and related sleep disturbances. Led by board-certified advanced mental health nurse practitioner Grace Fomunung, PMHNP, our team provides compassionate, patient-centered care. We offer both in-person and telehealth visits to accommodate your needs. Contact us today to schedule an appointment and take the first step toward better sleep and overall well-being