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Nightmares and night terrors are similar in that they both involve abrupt awakenings from sleep. However, there are important differences that distinguish the two disorders from one another.
Signs and symptoms of nightmares and night terrors include:
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Nightmares
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Night Terrors
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Sudden awakening from sleep with intense fear, anxiety and feeling of impending harm
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Sudden awakening from sleep often accompanied by screaming, crying or yelling
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Occurs later in sleep
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Occurs earlier in sleep
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Immediate recall of frightening dream upon waking
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May experience a vague sense of frightening images, but no specific recall of frightening dream upon waking
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Little confusion or disorientation upon waking
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Confusion or disorientation upon waking
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Mild increase in heart rate, breathing rate or sweating
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Rapid heart rate (tachycardia) and breathing rate (tachypnea) and profuse sweating
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Patients generally awaken on their own
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Others have difficulty waking and/or comforting patient
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Individuals who experience nightmares may also suffer from anxiety or depression.
Nightmares and night terrors do not usually require a visit to a physician. However, a physician should be consulted if nightmares or night terrors:
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Are frequent or persistent
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Disrupt sleep enough to cause problems during the day
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Are accompanied by other psychiatric symptoms (e.g., depression, anxiety)
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Cause injury
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