What are night terrors?

Night terrors, also called sleep terrors, are episodes in which children wake up suddenly at night and are very upset. The child might scream and jump out of bed, as if running away from something scary. They might be sweating, breathing fast, or have a racing heart. You won't be able to calm your child down, even if you try.

A night terror usually lasts about 10 to 20 minutes. A child might have 2 or 3 night terrors a week.

What are confusional arousals?

Confusional arousals are episodes in which children act confused because they are in between sleeping and waking up. They sit up in bed, moan, or cry. You won't be able to calm your child down, even if you try.

A confusional arousal episode usually last 10 to 30 minutes.

Night terrors and confusional arousals usually happen in the first part of the night. They are also more likely to happen in children who have a fever or are not getting enough sleep.

Although it can be scary to see your child having a night terror or confusional arousal, these conditions aren't dangerous. Also, your child won't remember them the next day.

What are nightmares?

Nightmares are very scary, sad, or upsetting dreams that wake a person up. After a nightmare, children often have trouble going back to sleep.

Nightmares usually happen in the second half of the night.

Are there other conditions that can happen during sleep?

Yes. Another common condition is sleepwalking, which is when a child walks or talks while asleep.

Night terrors, confusional arousals, and sleepwalking sometimes run in families. Children can have 1 or more of these conditions.

Will my child need tests?

Probably not. If these conditions don't happen very often and don't lead to other problems, your child will not need further tests.

Some children might need tests to make sure another medical problem isn't causing their nighttime behavior. Doctors might order tests if a child has frequent night terrors or confusional arousals, or has any of these symptoms:

• Loud snoring or gasping for breath during sleep

• Wetting the bed (if the child used to stay dry at night)

• Seizures – These are waves of abnormal activity in the brain that can make people pass out or move or behave strangely.

How can I help my child when these conditions happen?

If your child has a night terror or confusional arousal, stay with them until the episode stops. Do not try to wake them up. Once the episode stops, your child will go back to sleep.

If your child has a nightmare, you can:

• Remind your child it was only a dream and not real.

• Help your child think of a new, happy ending to the dream.

• Draw a picture or write about the dream, which often makes it less scary.

Will my child need other treatment for these conditions?

Probably not. If these things are happening 1 or 2 times a month only, your child won't need any other treatment. Most children outgrow their night terrors and confusional arousals over time, but it can take 1 to 2 years.

If these conditions are happening much more often or leading to problems, talk with your child's doctor or nurse. Possible treatments for night terrors and confusional arousals can include:

• Medicines

• Behavior plan called "scheduled awakening" – This involves waking your child every night (for a few moments) at a certain time.

If your child has frequent nightmares, the doctor or nurse might recommend your child talk with a therapist.

Can these conditions be prevented?

Maybe. Children are more likely to have night terrors and confusional arousals in certain situations, such as when they do not get enough sleep or have a fever.

You might be able to prevent night terrors and confusional arousals by making sure your child gets enough sleep. To do this, try to stick to a regular sleep schedule. In general:

• Children 3 to 5 years old should get 10 to 13 hours of sleep (including naps).

• Older children should get 9 to 11 hours each night.

• Teens should get 8 to 10 hours each night.

If your child has trouble falling asleep or getting a good night's sleep, you can try these things:

• Have a set bedtime and bedtime routine for your child.

• Keep your child's bedtime and wake-up time about the same every day (on school and non-school days).

• Make the hour before bed a quiet time. Avoid TV or other screens and high-energy activities.

• Keep your child's room quiet and dark. If your child is scared of the dark, use a night light that is not too bright.

• Keep screens, including TVs, tablets, and smartphones, out of your child's bedroom.