Common causes include stress, negative life events, the experience of trauma as in posttraumatic stress disorder (PTSD), depression, other psychiatric disorders, and medication side effects. This topic reviews the causes, differential diagnosis, evaluation, and management of nightmares in adults.
While nightmares are associated with certain mental health conditions, such as PTSD, anxiety and depression, nightmares aren't considered a psychiatric illness. They're a type of parasomnias, which are behavioral sleep abnormalities.
Behavioral intervention with imagery-rehearsal therapy is currently the only treatment strategy recommended for all patients with recurrent nightmares. Prazosin may be used to treat both PTSD-associated and idiopathic nightmare disorder.
Indeed, studies suggest that nightmares are often linked to unmet psychological needs and/or frustration with life experiences. Yet those links aren't always easy to make—except in cases of trauma (discussed below), our nightmares tend to reflect our troubles through metaphor rather than literal representation.
Nightmare disorder, also called dream anxiety disorder, is a rare type of sleep-related disorder (parasomnia) affecting about 4% of adults, causing distress and sleep problems.
Nightmares, dreams and other sleep disturbances are a common symptom of complex trauma with nightmares recognised as a principal feature of post-traumatic stress disorder (PTSD). The treatment of nightmares not only alleviates those symptoms but is shown to help reduce PTSD symptoms in general.
1. Being chased. Being chased is one of the most common nightmares. If you dream that you're being chased by something, whether it's an 8-foot-tall rabbit or a shrouded figure, then it's an indicator that you're running away from something or someone in real life.
Nightmares occur more frequently in patients with schizophrenia than they do in the general population. Nightmares are profoundly distressing and may exacerbate daytime psychotic symptoms and undermine day-to-day function.
It's true. Nightmares occur frequently in people with Bipolar Disorder. In The Reinterpretation of Dreams, the authors write: Bipolar patients report bizarre dreams with death and injury themes before their shift to mania (Beauchemin and Hays, 1995).
Nightmares may be a common clinical characteristic for people experiencing psychotic symptoms. Further, the distress associated with them is associated with worse daytime symptoms.
Barrett says that in post-traumatic nightmares, the region of the brain involved in fear behaviors, including the amygdala, a structure deep in the brain that works to identify potential threats, may be overactive or overly sensitive.
Nightmares about falling were followed closely by dreams about being chased (more than 63 percent). Other distressing nightmares included death (roughly 55 percent), feeling lost (almost 54 percent), feeling trapped (52 percent), and being attacked (nearly 50 percent).
In a way, chronic nightmares can be a warning about your physical or mental health. If chronic nightmares are disturbing your sleep, it's worth bringing it up to a doctor or therapist. They'll be able to help you create a plan for more peaceful sleep.
While not all people who have repetitive nightmares are diagnosed with a mental health disorder, these nightmares are a common experience in people diagnosed with post-traumatic stress disorder (PTSD).
However, the presence of nightmares not only influences the development of PTSD but also accelerates the progression of PTSD following trauma exposure. 9,10 Subjects who reported nightmares prior to trauma exhibited more severe PTSD symptoms after being exposed to a traumatic event than those who did not.
No. You may think you're rescuing your bedmate from misery, but rousing someone simply means he'll need several frustrating minutes (or longer) to calm down and get back to sleep. The truth is, nightmares are normal.
Anxiety dreams are unpleasant dreams that cause distress. They can be more off-putting than nightmares and can result in you waking up panicked or nervous. These feelings of angst tend to remain in your mind throughout the next day.
Nightmares are associated with disturbed sleep, low well-being and affect daytime mood and behavior. Nightmare disorder is a very common comorbidity in nearly all psychiatric conditions. In borderline personality disorder (BPD), for example, up to 50% are troubled by frequent nightmares [5-7].
A sleep expert explains. By Nitun Verma, M.D. When it comes to comparing night terrors and nightmares, you might assume that they're both bad dreams of varying intensities. But night terrors (also known as sleep terrors) are more than just super-intense nightmares.
Nightmares are vividly realistic, disturbing dreams that rattle you awake from a deep sleep. They often set your heart pounding from fear. Nightmares tend to occur most often during rapid eye movement (REM) sleep, when most dreaming takes place.
Scary nights
Researchers have long known that people who suffer from schizophrenia tend to report night terrors and frequent, terrifying nightmares.
Depression causes bad dreams for many people. One study found that 28.4% of participants with severe depression reported frequent nightmares and that depression was one of the strongest indicators of frequent nightmares. These depression nightmares can range from just plain scary to downright weird.