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By Kate Lee CONSUMER HEALTH INTERACTIVEBelow: • What are night terrors? • What should I do if my child is having one of these episodes? • How can I prevent night terrors from happening? • When should I call the doctor?
Note: This article has been localised for an Irish audience. What are night terrors? If you've never seen them before, watching your child in the grip of night terrors can be pretty frightening. She may yell, cry, thrash, or even run about wildly with her eyes open and you probably won't be able to wake or soothe her. But don't be alarmed. These episodes are harmless and your child won't even remember them the next day. Night terrors (sometimes referred to as confusional arousal) generally occur in the first few hours of the night, during deep, non-dream sleep. Technically, a child who's having them has partly awakened from deep sleep and is stuck between two sleep stages. Up to 15 percent of children experience night terrors at some point, usually between the ages of four and six years, although they aren't unheard-of in babies as young as nine months and may continue to occur sporadically until a child reaches adolescence. What should I do if my child is having one of these episodes? A child who's having night terrors can't be calmed down. You may be very frustrated or frightened when repeated attempts to soothe your child have no effect. These episodes are not like nightmares; they're closer to sleep walking or sleep talking. Its not dangerous to wake your child, but you shouldn't attempt to, since it will probably just scare her more. If she's left her bed, you can try to guide her gently back to it, but she may push you away. Its best to stay nearby in order to make sure she doesn't hurt herself and wait till the episode ends of its own accord. Some experts recommend that you repeat something soothing, like, "You're all right. You're home in your own bed." Within 15 to 30 minutes she should calm down, curl up and fall asleep again. How can I prevent night terrors from happening? Children who go to bed agitated or over tired are likelier to suffer these sleep disturbances, so make sure your child is getting enough sleep. Lengthen her naptime, let her sleep a little later in the morning, or put her to bed earlier. Be sure to schedule plenty of time for calming bedtime rituals - a bath, a song, or a book, plus lots of cuddling. If your child is having night terrors regularly, you can try to prevent them by gently waking her up about 15 minutes before a typical episode would start (they tend to occur around the same time each night). Keep her awake and out of bed for five minutes. If you do this several nights in a row, you may be able to alter the child's sleep pattern and keep night terrors at bay. When should I call the doctor? Consult your general practitioner if your child starts having night terrors more than once a week, or if the episodes last longer than 30 minutes or occur during the second half of the night. This article has been revised by Vhihealthe for its audience and may contain, among other things, information or medical practices that are unique to Ireland. Neither Consumer Health Interactive nor the original author make any warranty as to the accuracy of the article as revised, and assume no responsibility for modified content.
References American Academy of Pediatrics, Caring for Your School-Age Child, Ages 5-12
The Sleep Well, Night Terrors in Children, http://www.stanford.edu/~dement/terrors.html
Reviewed by Paul C. Young, M.D., associate professor of pediatrics at the University of Utah School of Medicine, in Salt Lake City, Utah.
First published June 29, 2004
Last updated August 3, 2006
Copyright © 2004 Consumer Health Interactive
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