Nightmare disorder

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Clinic

  • Also known as dream anxiety disorder characterized by frequent nightmares.
  • Nightmares, which often portray the individual in a situation that jeopardizes their life or personal safety, usually occur during the REM sleep.
  • Though most people have experienced at least one nightmare during their life, subjects with nightmare disorder experience them with a greater frequency.
  • Nightmare disorders are included in the group of parasomnias


Nightmare disorder vs Sleep terror disorder

  • Nightmare disorders can be confused with sleep terror disorders.
  • After a sleep terror episode, the patient wakes up with more dramatic symptoms than with a nightmare disorder, such as screaming and crying.
  • In sleep terror disorders, they don't remember the reason of the fear, while in nightmare disorder, they remembers it by details.
  • Sleep terrors usually occur during NREM Sleep Nightmare disorder usually occur during the REM sleep.


Nightmare disorder vs Bad dreams

  • Bad dreams have less emotional intense.
  • Nightmares contain more scenes of aggression than bad dreams and more unhappy endings.
  • Nightmares have more fear than with bad dreams.


Signs / Symptoms

  • During the nightmare, the sleeper may scream and yell out things.
  • He is often awakened by these threatening, frightening dreams and can often vividly remember their experience.
  • Upon awakening, the sleeper is usually alert and oriented within their surroundings, but may have an increased heart rate and symptoms of anxiety, like sweating.
  • They may have trouble falling back to sleep for fear they will experience another nightmare.
  • Nightmares have deep effect on everyday tasks
  • Recurring episodes of awakening while recalling the intensely disturbing dream manifestations which usually result from fear or anxiety, but can also be triggered by anger, sadness, disgust, and other dysphoric emotions.


Characteristics

  • Fear is the most frequent emotion associated with nightmares, even if other emotions such as sadness, anger, and confusion can also be present.
  • Presence of frequent nightmares that imply danger for the person and impact mood in a negative way is needed.
  • When waking up from nightmares, the person behaves in an alert way.
  • The disorder has to have a significant impact on the patient's personal, social or professional functioning, in areas like mood, sleep, cognition, behaviour, fatigue, family and occupation.



Comorbidity

  • 50- 70% of the cases for PTSD,
  • 17.5% for depression,
  • 18.3% for insomnia,
  • 16.7% for schizophrenia
  • 49% for borderline personality disorder
  • Sleep disorders such as night terrors, chronic insomnia and sleep-disordered breathing


Remedies

Caust

Stram

Top remedies in children Calc
  • Children who dream of monsters and have strong fears of being observed.
Aloe
  • Bad dreams of danger where the child is so terrified he is unable to cry.
  • The child has dreams of soiling himself.
Phos
  • Nightmares in children with restlessness over work they could not finish during the day.
  • Sleepwalking
Falling sleep Cann-i
  • Immediately after falling asleep
  • Nightmares are accompanied by jerking of limbs, waking the person from sleep.
Gels
  • Night terrors from the nose being blocked and dry.
Nit-ac
Kali-p
  • Bad dreams are accompanied by sighing and moaning sounds.
nightmares of death of near ones Hydrog
  • Dreams of death of loved ones, esp children.
Equisetum
  • Where a person has nightmares of crowds of people surrounding him,
Ars
  • Dreams of death or dead people.
Calc-f
  • Nightmares of death of relatives.
nightmares of misfortune Calc
  • Dreams of misfortune, disasters and groundless fears of financial loss.
Graph
  • In case of persistent thoughts where the person is haunted by unpleasant issues and dwells on disagreeable occurrences of the past at night,
Lyc
  • In case of bad dreams about losing power
Being poisoned Ars
  • Persistent fear of disease, germs, viruses, of being harmed by poisoning
Kreos
  • Feeling pain in the limbs and sleeplessness which gets worse before midnight. 
Kali-n
  • Constant dreaming is interrupted by episodes of waking up.
  • The person is chased by uneasy dreams of being poisoned or being in dangerous situations.
nightmares of sexual abuse Cench The best indicated Homeopathic medicines for nightmares of sexual abuse are Cenchris Contortix, Sepia and Staphisgaria. Homeopathic medicine Cenchris Contortix is prescribed for nightmares of sexual abuse and rape. It shows great recovery in persons having constant nightmares of committing rape as well. Nightmares of rape, of being pursued, chased by a knife and waking with screams at night from frightful dreams are treated well with Sepia. Staphysagria is one of the best Homeopathic medicines for nightmares where the persons wakes up extremely frightened, pushes things away, wants everyone to leave his room and often calls for his mother.
Sep
Staph

Calcarea Carbonica, Aloe and Phosphorus – Best Homeopathic medicines for nightmares in children

Cannabis Indicus, Gelsemium, Nitric Acid and Kali Phosphoricum – Known Homeopathic medicines for nightmares soon after falling asleep

Hydrogen, Equisetum Hyemale, Arsenic Album, and Calcarea Fluorata – Top Homeopathic medicines for nightmares of death of near ones

Calcarea Carbonicum, Graphites and Lycopodium – Top rated Homeopathic medicines for nightmares of misfortune

Arsenic Album, Kreosotum and Kali Nitricum – Best Homeopathic medicines for nightmares of being poisoned

Cenchris contortix, Sepia and Staphisgaria – Most effective Homeopathic medicines for nightmares of sexual abuse