Nightmares

Key points
- There are a wide range of events during sleep and wake that are often referred to as "nightmares" and it is wise to learn to distinguish between them.
- Nightmares may have several causes, including drugs, medication, illness, trauma or they may have no related cause and be spontaneous.
- The Association for the Study of Dreams notes that "It really depends on the source of the nightmare.
- Night terrors usually occur during the first hour or two of sleep.
There are a wide range of events during sleep and wake that are often referred to as "nightmares" and it is wise to learn to distinguish between them. Most of what we call nightmares are simply extreme reactions and fear that accompany uncomfortable dreams that occur from time to time in most everyone, usually towards the end of the sleep cycle. Often we are awakened by a nightmare and there can be strong feelings of sadness, anger or guilt, but usually fear and anxiety. Often we are being chased, and its not unlikely for children to be chased by animals and fantasy figures, while adults are often chased by male adults.
Night terrors usually occur during the first hour or two of sleep. Screaming and thrashing about are common. Tthe sleeper is hard to awaken and usually remembers no more than an overwhelming feeling or a single scene, if anything. Children who have night terrors also may have a tendency to sleepwalk and/or urinate in bed. The causes of night terrors are not well understood, though it appears that night terrors are from a distinctly different stage of sleep. Children usually stop having them by puberty. They may be associated with stress in adults. A consultation with a physician may be useful if the night terrors are frequent or especially disturbing.
Why do we have nightmares?
Nightmares may have several causes, including drugs, medication, illness, trauma or they may have no related cause and be spontaneous. Often they occur when there is stress in one's waking life, and when major life changes are occuring.
What can be done about nightmares?
The Association for the Study of Dreams notes that "It really depends on the source of the nightmare. To rule out drugs, medications or illness as a cause, discussion with a physician is recommended. It is useful to encourage young children to discuss their nightmares with their parents or other adults, but they generally do not need treatment. If a child is suffering from recurrent or very disturbing nightmares, the aid of a therapist may be required. The therapist may have the child draw the nightmare, talk with the frightening characters, or fantasize changes in the nightmare, in order help the child feel safer and less frightened ."
Nightmares Nightmares can cause terror in children and adults. In some cases the same scene occurs over and over never giving the dreamer any relief or a chance to rest.
Many children go through times in their development when nightmares can become a real problem. Sometimes, even for adults, nightmares become so intense they believe they are interacting with evil from outside themselves.
The most important thing is to never discount anyone's experiences with nightmares because there is so much about the universe that cannot be explained.
Written and revised by
Andrey Nailor, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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