#97 - Night Terrors

Matt takes the opportunity this week to explore the perplexing sleep phenomenon of night terrors (sleep terrors). Matt clarifies that these are distinct from nightmares, defining them as parasomnias arising from abrupt arousals out of deep Non-REM sleep, not REM sleep where dreaming occurs. He details the often dramatic symptoms – intense fear, screaming, sweating, rapid breathing, confusion, sometimes thrashing or sleepwalking – emphasizing the typical lack of memory of the event afterward. Matt discusses prevalence, noting night terrors primarily affect children (1-6%, peaking ages 3-5) and are usually outgrown, while adult cases (<1%) are rarer and often linked to other factors.

Our host delves into the multifactorial causes, including potential genetic predispositions, stress, sleep deprivation, and, in adults, comorbid conditions like anxiety or sleep apnea, as well as alcohol use. He contrasts the impact on children versus adults and notes that diagnosis involves history and observation, sometimes supplemented by polysomnography (sleep studies). Management strategies discussed include optimizing sleep hygiene, managing stress (mentioning CBT-I for related anxiety), scheduled awakenings, and, rarely, medication as a last resort. Matt concludes by touching on ongoing research into the underlying mechanisms and potential future treatments.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

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As always, if you have thoughts or feedback you’d like to share, please reach out to Matt on Instagram.

Matt: Instagram @drmattwalker or on X @sleepdiplomat

YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299