Night terrors usually last around five to 10 minutes and may happen more than once during the same night.
You might cuddle and gently soothe your child and try to get him or her back into bed. Speak softly and calmly. Shaking your child or shouting may make things worse. Usually the episode will shortly stop on its own.
The cause is unknown but night terrors are often triggered by fever, lack of sleep or periods of emotional tension, stress or conflict. Night terrors are like nightmares, except that nightmares usually occur during rapid eye movement (REM) sleep and are most common in the early morning.
Sleep terrors generally occur in the first third to first half of the night, and rarely during naps. A sleep terror may lead to sleepwalking.
Night terrors stem from an arousal disorder, known as a parasomnia, which occur during deep sleep, says pediatric pulmonologist and sleep specialist Katharina Graw-Panzer, MD. They affect nearly 40% of children between 4 and 12–years-old, with 5-7 being the peak age range.
The best way to handle a night terror is to wait it out patiently and make sure your child doesn't get hurt if thrashing around. Kids usually will settle down and return to sleep on their own in a few minutes. It's best not to try to wake kids during a night terror.
Since adult night terrors are so closely associated with life trauma and psychological disorders, many of those who endure this bedtime battle will often also exhibit signs of aggression, anxiety, memory loss, and inward pain that are often expressed in the form of self-mutilation.
Night terrors can occur in adults however it is rare. This may be indicative of underlying neurologic disorders that require more work up and investigation.
If you have chronic nightmares, they could be due to stress, anxiety, a traumatic event or lack of sleep. Night terrors have a strong genetic link, so you are more likely to experience them if someone else in your family has them. Adults who develop night terrors usually have underlying mental health problems.
Speak calmly but avoid waking them.
Trying to wake them up can be dangerous but also futile. Many people in night terrors never wake up during the episode. What you can do is speak to them in a calm and soothing voice to offer comfort. If they get up but are not too agitated, gently guide them back to bed.
Don't try to wake him. And expect that your efforts to comfort him will be rebuffed – a child having a night terror really can't be calmed down, and if you try to hold him it may make him wilder.
Night terrors are most common in children aged 2-4 years, but can happen in children aged up to 12 years. Most children outgrow night terrors by the time they reach puberty.
It's best to stay close by and ensure that they do not fall or hurt themself. However, do not try to wake a child during a night terror. Attempts at arousal may make the episode last longer or provoke a physical response that could lead to injury.
While people talk about “night terrors,” this is not, in fact, a diagnosable condition, according to the Diagnostic and Statistical Manual fifth edition (DSM-V). It contains elements of conditions known as nightmare disorder, REM sleep behavior disorder, and Non-Rapid Eye Movement (NREM) Sleep Arousal Disorder.
These nightmares might be triggered by stress, anxiety or trauma, but they might also be a sign of future psychosis, the findings suggest.
Scary nights
Researchers have long known that people who suffer from schizophrenia tend to report night terrors and frequent, terrifying nightmares.
Sleep terrors is more common in children and affects males and females equally. It may affect as many as 6.5% of all children. It tends to begin when a child is four to 12 years old. Children with sleep terrors will often talk in their sleep and sleepwalk.
Night terrors occur in deep sleep or NREM stage three. During night terrors, the front part of your brain that controls executive functioning and memory is asleep while the back part that controls motor movement is awake. This is similar to sleepwalking.
Night terrors usually last around five to 10 minutes and may happen more than once during the same night.
Sleep terrors differ from sleepwalking and confusional arousals in that the individual appears to react to some type of frightening image. The individual may act in an improper or agitated manner without regard to reality. If another individual is encountered or is in close proximity, violent behavior may occur.
Stress can begin the cycle of sleep terrors or it can exacerbate it by causing fatigue or sleep deprivation. Sometimes, but not always, abuse, molestation, or other trauma can cause sleep terrors.
Night terrors are most common during the first third of the night, often between midnight and 2 a.m. Children often scream and are very frightened and confused. They thrash around violently and are often not aware of their surroundings. The child may not be able to respond to being talked to, comforted, or awakened.
While anyone can suffer from night terrors, there are some people who are more prone to developing them. If you have been diagnosed with PTSD, or post-traumatic stress disorder, you are vulnerable to experiencing night terrors.
Because night terrors typically occur at the same time every night, parents can be proactive by waking up their child about 30 minutes before the terror is likely to occur.
During a night terror, your child may be agitated and restless but you cannot wake them up and you cannot comfort them. Again, they may look wide awake but they're not. They may sit up or run or scream or talk.