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- $Unique_ID{BRK00771}
- $Pretitle{}
- $Title{What Causes Disturbing Nightmares?}
- $Subject{sleep nightmares types Mental Emotional Conditions condition brain
- stress nightmare syndrome night terrors post-traumatic stress disorder onset
- stage 2 delta wave stages 3 4 rapid eye movement REM regular schedule caffeine
- alcohol cigarettes exercise}
- $Volume{E-1}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What Causes Disturbing Nightmares?
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- QUESTION: I occasionally experience a sleep-disturbing nightmare that hits
- right in the middle of the night, and is so vivid that I can still remember
- many details in the morning. Can you tell me what causes them, and what I can
- do to prevent their recurrence?
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-
- ANSWER: The study of the causes and cures for nightmares is an interesting
- one, and more has become known as research continues. Many people experience
- nightmares on occasion, almost 80 percent of the adult population has had the
- fright of the bizarre and vivid stories that can haunt our sleep. The
- occasional nightmare is usually associated with increased stress in an
- individual's life, and may be a normal response to the situation. However
- chronic nightmares, defined as at least 2 nightmares a week for more than six
- months, require careful consideration and diagnosis. Nightmares can be
- classified into three categories, nightmare syndrome, night terrors, and
- post-traumatic stress disorder. The diagnosis depends in part upon which
- sleep stage is occurring when the nightmare strikes. These dreams may take
- place during sleep onset (stage 2), delta wave sleep (stages 3 and 4) and
- rapid eye movement (REM) sleep. The different classifications each require a
- different mode of treatment. There are some general rules and tips which may
- help you prevent your occasional experiences. Try to maintain a regular sleep
- schedule, retiring and waking at the same hour each day. Avoid caffeine,
- alcohol or cigarettes once your evening meal is over. Try to keep regular
- evening meals light, and take a small snack and milk before retiring. Instead
- of a nap in the early evening hours before really "going to bed", try a period
- of exercise, an energetic walk would do nicely. Avoid stressful mental
- activity before bedtime, that includes using television in the bedroom as a
- "sleeping aid". Check with your physician about any medications you may be
- taking, as certain types of prescription drugs, beta-blockers, tricyclic and
- other antidepressants, reserpine and other blood pressure medications may
- cause nightmares. Withdrawal from barbiturates, benzodiazepines as well as
- alcohol can also provoke a haunting dream. Last but not least, don't force
- yourself to go to sleep, it doesn't help. Instead, if sleep won't come, get
- out of bed and read for a while, until you feel tired. Following these tips
- should reduce your nightmares to the 2 or 3 occasions each year that most
- people experience.
-
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-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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