Night terrors and nightmares (2024)

Many children have nightmares and night terrors, but most grow out of them. Some adults also can also have them.

Check it's a night terror or nightmare

Night terrors and nightmares are different and happen at different stages of sleep.

During a night terror you may talk and move about but are asleep. It's rare to remember having a night terror.

Nightmares are bad dreams you wake up from and can remember.

Night terrors are most common in children between the ages of 3 and 8, while nightmares can affect both children and adults.

Differences between night terrors and nightmares.
Night terrors Nightmares
Mainly affect children Affect both children and adults
Scream, shout, thrash about, jump out of bed, eyes open but not awake, will not remember it Strong feelings of fear, child may wake up and be able to remember the dream
Happen in the early part of the night, sometimes more than once, lasting up to 15 minutes Happen later in the night

Information:

If you cannot move or speak as you wake up or fall asleep, you may have sleep paralysis. This is not the same as having a night terror.

Causes of night terrors and nightmares

Common causes of night terrors and nightmares include:

  • being very tired or unwell
  • sudden noises at night or needing to pee during the night (which can affect your deep sleep)
  • something that's frightened you (such as watching a scary film) or made you stressed, anxious or worried

They can also be caused by:

Night terrors are more common in people with family members who have had night terrors or who sleepwalk.

Non-urgent advice: See a GP if:

  • your child has night terrors several times a night or has them most nights
  • your child has lots of nightmares about the same thing
  • you're having regular nightmares that are affecting your sleep and everyday life

How to help a child who has night terrors or nightmares

For most people, night terrors and nightmares get better on their own.

If your child is having night terrors or nightmares, there are things you can try to help.

Do

  • try having a relaxing bedtime routine

  • keep a sleep diary (including things you did during the day and evening, how you were feeling and how you slept) to help identify any causes

  • try to deal with things that might be causing stress or anxiety

How to help someone having night terrors

During a night terror, you should:

  • stay calm and wait for the person to calm down
  • do not talk to them or try to stop them moving about, unless there's a risk they could hurt themselves or someone else
  • do not try to wake them – they may not recognise you and may get more upset if you try to comfort them

If they're having a night terror at the same time every night, try waking them up 15 minutes before the night terror every night for a week. This can sometimes stop the night terrors happening.

Treatments for night terrors and nightmares

Treatment for nightmares in adults depends on what may be causing them.

If you're having nightmares caused by a traumatic event, a GP may recommend psychological treatment such as counselling.

If you have a condition that affects your sleep, treatment will usually involve trying to manage the condition better.

Page last reviewed: 21 April 2022
Next review due: 21 April 2025

Night terrors and nightmares (2024)

FAQs

Night terrors and nightmares? ›

Night terrors and nightmares are different and happen at different stages of sleep. During a night terror you may talk and move about but are asleep. It's rare to remember having a night terror. Nightmares are bad dreams you wake up from and can remember.

What is the difference between nightmares and night terrors? ›

Nightmares are disturbing dreams you can easily remember upon waking, while night terrors are episodes of screaming and flailing that you typically won't recall. While children more commonly experience these sleep disturbances, adults can have them too.

What mental illness has night terrors? ›

Night terrors in adults

Adults may be more injury-prone than children, as many people suddenly get out of bed when one happens. Night terrors in adults usually point to an underlying mental health condition, like post-traumatic stress disorder or anxiety disorder.

What kind of trauma causes night terrors? ›

PTSD often causes night terrors, a sleep disruption they may not even remember the next morning. Help your loved one find the treatment they need to help reduce their PTSD symptoms.

How do I stop nightmares and night terrors? ›

To help prevent night terrors, try to:
  1. Help your child manage stress.
  2. Help your child have a bedtime routine that's simple and relaxing.
  3. Make sure your child gets enough sleep.
  4. Follow the doctor's treatment recommendations if your child has obstructive sleep apnea or reflux.

What vitamin deficiency causes night terrors? ›

Night terrors can be caused by deficiencies in certain vitamins or minerals, such as magnesium, calcium, iron, zinc and Vitamin B6. Deficiencies in these vitamins and minerals can lead to low levels of serotonin in the brain. Serotonin is a chemical that helps regulate sleep and calming responses.

What are the three types of nightmares? ›

The three types of nightmares are idiopathic, recurrent, and post-traumatic. Idiopathic Nightmares – are dream sequences that are not the result of trauma but often happen when a person is very stressed.

Are night terrors a precursor to schizophrenia? ›

Similarly, experiencing night terrors doubled the risk of such problems, including hallucinations, interrupted thoughts or delusions. Younger children, between two and nine years old, who had persistent nightmares reported by parents had up to 1.5 times increased risk of developing psychotic experiences.

Can night terrors be caused by anxiety? ›

Anxiety: Although night terrors are common among children, they've been linked to separation anxiety in some children. Adults with post-traumatic stress disorder (PTSD) or another mood disorder may be more likely to have night terrors.

Are night terrors part of bipolar? ›

Many people with bipolar disorder experience nightmares and even night terrors. This can become even more troubling when coupled with either insomnia or too much sleep, depending on whether they're experiencing a manic or depressive episode.

Why shouldn't you wake up someone having a night terror? ›

The main concern is that waking someone up during a night terror could prolong the episode, because the person may believe in their half-asleep state that people or things in the room are dangerous, Singh says. It's also possible that someone experiencing night terrors will harm you out of fear.

Who is prone to night terrors? ›

Night terrors are most common in children ages 3 through 7, and much less common after that. Night terrors may run in families. They can occur in adults, especially when there is emotional tension or alcohol use.

What does the Bible say about night terrors? ›

Psalm 91:5-6 (ESV)

"You will not fear the terror of the night, nor the arrow that flies by day, nor the pestilence that stalks in darkness, nor the destruction that wastes at noonday." Psalm 91 is often regarded as a powerful prayer for protection. The theme is that God is a strong fortress; he is our refuge.

When should I be concerned about night terrors? ›

While night terrors are not harmful, they can resemble other conditions or lead to problems for the child. Consult your child's healthcare provider if you notice any of the following: The child has drooling, jerking, or stiffening. Terrors are interrupting sleep on a regular basis.

What is the best medication for night terrors? ›

Sleep Terrors Medication
  • Tricyclic Antidepressants.
  • Benzodiazepines.
  • Antidepressants, selective serotonin reuptake inhibitors (SSRIs)
Aug 13, 2024

How do you escape night terrors? ›

Get enough sleep.

Extreme tiredness can contribute to sleep terrors. If you're not getting enough sleep, try an earlier bedtime and a more regular sleep schedule. Sometimes a short nap may help. If possible, avoid noises or other stimuli that could interrupt sleep.

What does a night terror look like? ›

A night terror is a partial waking from sleep with behaviors such as screaming, kicking, panic, sleep walking, thrashing, or mumbling. They are harmless and each episode will end in deep sleep. These are common characteristics of a night terror: Your child is frightened but can't be awakened or comforted.

What age do night terrors stop? ›

Night terrors are most common in children aged 2-4 years, but they can happen in children aged up to 12 years. Most children outgrow night terrors by the time they reach puberty.

What can be mistaken for night terrors? ›

Seizures in people with SHE are characterized by frequent brief hypermotor seizures in sleep. A person may average 8 seizures in one night. The seizures can look like a simple arousal from sleep, at times confused as a nightmare or night terror.

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