Matt takes the opportunity this week to explore the perplexing sleep phenomenon of night terrors (sleep terrors). Matt clarifies that these are distinct from nightmares, defining them as parasomnias arising from abrupt arousals out of deep Non-REM sleep, not REM sleep where dreaming occurs. He details the often dramatic symptoms – intense fear, screaming, sweating, rapid breathing, confusion, sometimes thrashing or sleepwalking – emphasizing the typical lack of memory of the event afterward. Matt discusses prevalence, noting night terrors primarily affect children (1-6%, peaking ages 3-5) and are usually outgrown, while adult cases (<1%) are rarer and often linked to other factors.

Our host delves into the multifactorial causes, including potential genetic predispositions, stress, sleep deprivation, and, in adults, comorbid conditions like anxiety or sleep apnea, as well as alcohol use. He contrasts the impact on children versus adults and notes that diagnosis involves history and observation, sometimes supplemented by polysomnography (sleep studies). Management strategies discussed include optimizing sleep hygiene, managing stress (mentioning CBT-I for related anxiety), scheduled awakenings, and, rarely, medication as a last resort. Matt concludes by touching on ongoing research into the underlying mechanisms and potential future treatments.

Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.

One of our sponsors this week is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. If you want to give LMNT a try, just head on over to drinklmnt.com/mattwalker and get your eight free samples with your first purchase.

Matt will be the first to tell you that launching his sleep-related merchandise sales was incredibly smooth, thanks to our new sponsor Shopify and their integrated sales and inventory system. And now, just for you, Shopify is generously offering an exclusive trial at shopify.com/mattwalker. Whether it's online or in-person sales, Shopify simplifies it all. So, be sure to stop in at shopify.com/mattwalker to start your exclusive journey now!

As always, if you have thoughts or feedback you’d like to share, please reach out to Matt on Instagram.

Matt: Instagram @drmattwalker or on X @sleepdiplomat

YouTube https://www.youtube.com/@sleepdiplomatmattwalker9299

Full Episode: Monday, December 01, 2025

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