Adult night terrors
Nightmares and night terrors are both scary and can cause sleep disturbances, but they are not the same thing. Nightmares occur during REM sleep. Nightmares, or dreams with explicit, unsettling content, occur most often during REM sleep, when the brain is most prone to vivid dreaming. Because they happen during REM sleep, nightmares often occur later at night or early-morning hours when the brain reaches that part of the sleep cycle.
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Sleep terrors are episodes of screaming, intense fear and flailing while still asleep. Also known as night terrors, sleep terrors often are paired with sleepwalking. Like sleepwalking, sleep terrors are considered a parasomnia — an undesired occurrence during sleep. A sleep terror episode usually lasts from seconds to a few minutes, but episodes may last longer. Sleep terrors affect almost 40 percent of children and a much smaller percentage of adults. However frightening, sleep terrors aren't usually a cause for concern.
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Night terrors occurring in adults have been linked to psychopathology. Recent descriptions of sleep panic attacks have raised questions about their relationship to night terrors. METHOD: Evaluations from a medically affiliated sleep disorders program were reviewed to identify adult patients presenting with events consistent with night terrors.
Sleep terrors STs —also known as night terrors—are characterized by sudden arousal accompanied by a piercing scream or cry in the first few hours after falling asleep. During STs, a patient may act scared, afraid, agitated, anxious, or panicky without being fully aware of his or her surroundings. STs may leave individuals feeling exhausted and perplexed the next day. Tachycardia, tachypnea, sweating, flushed skin, or mydriasis are prominent.