Nightmares and Night Terrors – A Frightening Sleep Disorder

At some time in their childhood almost all children experience the sleep disorder of having a nightmare. They are common in children and can begin as early as two years old. They are most common in children between three and twelve years old and are considered part of the normal developmental process. However, only about 3 percent, experience night terrors, also called sleep terrors. Both of these sleep disorders can be very frightening to a child.

Nightmares are dreams that are so frightening that they wake the person up. Everyone has had nightmares occasionally throughout their life and they usually are not something to worry about.

Nightmares occur several hours after going to sleep during the REM stage of sleep when there is general body paralysis and active dreaming.

A child can remember the nightmare once they awake and they still remember it in the morning. Sometimes this nightmare sleep disorder can become a problem if the child has nightmares very often and becomes afraid to go to sleep or becomes sleep deprived. When a nightmare occurs it is important that the parent remains calm and reassuring.

There are several things that a parent can do to prevent nightmares. Discuss calm and comforting things with your child just before putting then to bed. Reading to them, or telling them a story can also be very comforting. Don’t let a child watch violent or scary shows on television, especially just before going to bed. Maintaining a relaxing bedtime routine is also important. Sometimes, nightmares indicate a more severe emotional problem within your child.

Night terrors usually occur during the first few hours of sleep, during deep non-REM sleep. They often occur at the same time each night. Night terrors are characterized by screaming, crying or moaning. It is not unusual for a child experiencing a night terror to sit straight up in bed and scream. Their heart rate is increased and they experience rapid breathing. An episode of this sleep disorder can last from 10 minutes to over an hour. Although the child’s eyes are open, they are actually still asleep and when they wake up in the morning there is no memory of what happened during the night.

Although night terrors can be frightening, they are not dangerous. They usually are not a sign of any type of mental distress. A parent should not try to wake the child, or comfort them, during a night terror. The best thing for a parent to do when their child is experiencing a night terror is to make sure they are safe. Generally, most children outgrow this sleep disorder after a few months or years.

Several of the factors that can contribute to night terrors include being overly tired, staying up extremely late, eating a heavy meal just before going to bed, and taking certain medications.

Although nightmares and night terrors can seem like a very scary type of sleep disorder to both the parents and the children involved, they are generally harmless.

Child Anxiety Attacks

Just like adults, children experience fear, anxiety and apprehension. These are but normal emotional experiences that a person feels regardless of age. However, if anxiety becomes irrational, recurring and severe, and anxiety attacks happen without any apparent reason, and the reaction is disproportionate to the problem at hand, it can be a cause of concern. This is why on the first signs of problem, have your child get proper diagnosis by a health professional to be able to rule out any possible causes and determine the right treatment to be applied.

Since anxiety attack is a type of anxiety disorder, it is important to know what happens to a child who is suffering from such disorder. To be able to identify it, here are the following symptoms:

Frequent feeling of fear and panic
Bed wetting
Tantrums and excessive crying
Fear of making mistakes
Fear of getting embarrassed
Avoidance of certain activities such as school event and summer camps
Nightmares and night terrors
Compulsive behaviors
Resistance to any change
Low self-esteem, lack of confidence
Overly shy and difficulty making friends
Chronic physical symptoms such as stomach aches or headaches without any apparent reason

A child is under an anxiety attack if he shows the following symptoms:

Gush of overwhelming panic
Hot flashes or chills
Trouble breathing or choking sensation
Feeling of loosing control or going crazy
Feeling and fear of dying
Feeling unreal or detach
Nausea or stomach cramps
Hyperventilation
Shaking or trembling
Feeling like passing out
Chest pain or heart palpitation

Different children of different ages or even of the same age may manifest different symptoms. Moreover, some of the symptoms given may be considered as a normal behavior of a child. Thus it is a bit tricky to determine if he or she is really having an attack or not. What should be done is to recognize these symptoms and consider them as a reason of concern, then help your child deal with these symptoms through the following:

Seek help from health professional Effectively stopping anxiety attacks begins with recognition and followed by a compete diagnosis from your medical doctor. A full medical examination should be administered in order to rule out any other physical causes unrelated to anxiety.

Doctors usually give prescription medications to help relieve anxiety. If applicable, SSRI antidepressants may be needed for a long term solution. For a more severe case, doctors may refer the child to a psychologist.

Self-help techniques Parents may seek the help of books available for treating child anxiety. This is also very effective in teaching parents strategies for responsible parenting, which improve parent-child relationship and help build child self-confidence and self-esteem.

Play therapy is the child version of exposure therapy. As an effective child anxiety treatment, play therapy uses the power of play to simulate each fearful situation in a controlled environment, which then helps the child face the problem and come up with a solution.

Herbal medicines is proven and effective means of treating anxiety attacks and other types of anxiety disorder. Some of the commonly recommended remedies include passionflower, valerian, scuttelaria laterifolia (scullcap), California poppy, Melissa officinalis, hypericum perforatum (St. John’s Wort), hops and lavender.