A child with night terrors is frightened but cannot be awakened or comforted easily. The child is agitated and may sit up or run helplessly about, possibly screaming or talking wildly. The child may not appear to realize that the parent is there. Although the eyes are wide open and staring, the child looks right through you. The child may mistake objects or persons in the room for dangers. The episode lasts from 10 to 30 minutes. Afterwards the child cannot remember the episode (amnesia). The child is usually 1 to 8 years old.
Night terrors are an inherited disorder in which a child tends to have dreams during deep sleep from which it is difficult to awaken. They are usually not caused by psychological stress. Night terrors are harmless and each episode will end on its own. The problem will disappear by age 12 or sooner.
Suggestions
Try to calm your child. Your goal is to help your child return to a
calm sleep. You probably won't be able to awaken your child and need
not
do so. Turn on the lights so that your child is less confused by the
shadows.
Make soothing comments such as, "You are all right. You are home in
your
own bed. You can rest now." Speak slowly and repetitively. Such
comments
are usually better than silence. Some children like to have their hand
held during this time, but some will pull away. Hold your child only if
it seems to help your child feel better. There is no way to abruptly
shorten
the episode. Shaking or shouting at your child will just cause the
child
to be more agitated and will prolong the attack.
Protect your child against injury. During a night terror, a child can fall down a stairway or run into a wall. Try to gently direct your child back to bed. Prepare babysitters or adults who supervise an overnight for these episodes. Explain to people who care for your child what a night terror is and what to do if one happens. Understanding this will prevent them from overreacting if the child has a night terror.
If your child has frequent night terrors, try this way to change this distressing sleep pattern. For several nights, note how many minutes elapse from falling asleep to the onset of the night terror. Then awaken your child 15 minutes before the expected time. Keep your child awake for 5 minutes. Carry out these prompted awakenings for 7 consecutive nights. If the night terrors return, repeat this 7 night program.
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