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Psycology » Psychiatry and psychotherapy » Organic mental disorders » Parasomnias

Nightmares (disturbing, frightening dreams) When frightening dreams sleeper awakens from REM sleep, immediately turning to normal waking consciousness with a clear and detailed, and keeping alive the memory of its saturated fear or anxiety dream. In children nightmares are most often at the age of five or six years. Nightmares can be stimulated by any frightening experiences during the day, and frequent nightmares often occur during periods when the person constantly feels anxiety (see: Kales et al. 1987).
Night terror attacks Night terrors are much less common than nightmares (frightening dreams). In some families, they apparently inherited. This condition begins in childhood and usually occurring in childhood and ends at the same age, but sometimes continues into adulthood. A few hours after the child falls asleep, between the third and fourth stages of deep slow-wave sleep, he suddenly sits up in bed and looks very scared, sometimes shouting and often do not realize what is happening. He has a marked acceleration of heartbeat and breathing. After a few minutes the child slowly and falls back already immersed in normal restful sleep. Upon awakening he either could remember nothing about this episode, or remembers very little. Effective means to prevent night terrors, were benzodiazepines and imipramine (see: Kales et al. 1987), but should avoid prolonged use.
Sleepwalking At the heart of sleepwalking is automatism manifested during the phase of deep non-REM sleep, usually at the beginning of the night. This disturbance most typically between the ages of 5 to 12 years, and 15% of children belonging to this age group, sleepwalking occurred at least once in their lifetime. Sometimes it persists in adults. Sleepwalking can be observed in families in which it appears, is inherited.
Most children do not actually go, but only sit in bed and make stereotyped movements. Some roam the room, usually with his eyes open, moving as if mechanically, but while avoiding collisions with objects standing in their usual places. They do not respond to your questions are very difficult to wake up, but usually you can take to bed and lay down. Most attacks continue a few seconds or minutes, but occasionally they last up to an hour. Since the sleepwalking man can accidentally cause injury to themselves, should be protected from injuries such patients, by taking certain precautions. Doors, windows, balconies in the house must be carefully closed at night, dangerous items removed. When sleepwalking usually help benzodiazepines (see: Kales et al. 1987).


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