NIGHTMARE DISORDER

Description

A nightmare is a disturbing dream associated with negative feelings, such as anxiety or fear

Symptoms

  • Parasomnia
  • Dream seems vivid and real
  • Feel scared, anxious, angry, sad or disgusted as a result of dream
  • Feel sweaty or have a pounding heartbeat, but do not leave the bed
  • Mild sleep deprivation
  • Decreased mental clarity
  • Problems paying attention

Causes

  • Stress
  • Trauma
  • Sleep deprivation
  • Medicines
  • Substance abuse
  • Scary books and movies

Diagnostic Tests

  • Sleep study (polysomnography)
  • Referring the psychiatrist

Treatment

  • Psychological counseling
  • Stress or anxiety treatment
  • Imagery rehearsal therapy

Medications

  • Antihypertensives :
  • Beta-blockers (atenolol )
  • Sedatives:
  • Ketamine
  • Short-acting barbiturates

Lifestyle Management

  • Offer comfort
  • Talk about the dream
  • Put stress in its place
  • Rewrite the ending
  • Provide company
  • Yoga
  • Meditation
  • Exercise