Understanding Night Terrors and Nightmares

Key Differences

Nightmares

• Occur during REM sleep (usually later in the night)
• Can be remembered upon waking
• Person is fully conscious upon awakening
• More common in children but can affect all ages

Night Terrors

• Occur during non-REM sleep (usually early in the night)
• Usually not remembered
• Person appears awake but is not fully conscious
• Most common in children aged 3-12

Symptoms

Nightmare Symptoms

• Vivid, disturbing dreams
• Immediate recall upon waking
• Anxiety or fear upon awakening
• Difficulty returning to sleep
• Full alertness after waking

Night Terror Symptoms

• Sudden screaming or crying
• Intense fear during episode
• Rapid heartbeat
• Sweating
• No memory of event next day
• Confusion during episode

Treatment Options

Managing Nightmares

1. Establish regular sleep schedule
2. Practice relaxation techniques
3. Avoid scary content before bed
4. Discuss fears and anxieties
5. Consider therapy if persistent

Managing Night Terrors

1. Ensure adequate sleep
2. Reduce stress factors
3. Maintain consistent bedtime routine
4. Create safe sleep environment
5. Consider sleep study if severe

When to Seek Help

Contact Healthcare Provider If:

• Episodes are frequent
• Causing injury or unsafe behavior
• Significantly disrupting family life
• Persisting into adolescence/adulthood
• Accompanied by other symptoms

Prevention Strategies

• Regular sleep schedule
• Stress management
• Comfortable sleep environment
• Good sleep hygiene
• Limited screen time before bed