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Nightmares & Night Terrors

- Summary
- About nightmares
- About night terrors
- Potential causes
- Signs and symptoms
- Diagnosis
- Treatment options
- Questions for your doctor

Reviewed By:
Tahir Tellioglu, M.D., APA, AAAP

Signs and symptoms of nightmares & night terrors

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:

Nightmares

Night Terrors

Sudden awakening from sleep with intense fear, anxiety and feeling of impending harm

Sudden awakening from sleep often accompanied by screaming, crying or yelling

Occurs later in sleep

Occurs earlier in sleep

Immediate recall of frightening dream upon waking

May experience a vague sense of frightening images, but no specific recall of frightening dream upon waking

Little confusion or disorientation upon waking

Confusion or disorientation upon waking

Mild increase in heart rate, breathing rate or sweating

Rapid heart rate (tachycardia) and breathing rate (tachypnea) and profuse sweating

Patients generally awaken on their own

Others have difficulty waking and/or comforting patient


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:

  • Are frequent or persistent
  • Disrupt sleep enough to cause problems during the day
  • Are accompanied by other psychiatric symptoms (e.g., depression, anxiety)
  • Cause injury

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Review Date: 03-15-2007
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