Understanding and Addressing Night Terrors: A Mindful and Therapeutic Approach
Night terrors—sometimes referred to as “sleep terrors”—are a form of parasomnia that can be deeply unsettling. They may cause someone to scream, cry, breathe rapidly, experience an elevated heart rate, sweat, stare blankly, sit upright in bed, or flail their limbs. It can be challenging to awaken someone in the midst of a night terror, and even when they do awaken, they may feel confused, disoriented, and difficult to soothe. Although these episodes often last only a few minutes, they can occasionally persist longer, and many individuals have no recollection of the experience by morning.
In my practice, I view night terrors through a lens that integrates narrative therapy, positive psychology, cognitive behavioral therapy (CBT), and mindfulness. Rather than treating night terrors as isolated disruptions, I explore the broader story of a person’s emotional life and sleep experience. Together, we examine how meaning, stress, habits, and the body interact. Often, the focus of treatment lies in addressing the underlying contributors.
Here are a few common areas we explore:
1. Fatigue and Sleep Deprivation: Paradoxically, insufficient rest can lead to more frequent night terrors. Part of our work may involve examining your current sleep patterns and introducing small, realistic changes to increase restorative rest. Whether that means going to bed earlier or allowing for short, intentional naps, creating a rhythm of rest often becomes an essential part of the healing process.
2. Stress and Anxiety: Many clients I work with discover that their night terrors are linked to unresolved stress or persistent anxiety. From a CBT perspective, we explore the thoughts and beliefs that may be fueling these stress responses. By using mindfulness techniques, such as gentle breathing exercises or guided meditation, we can cultivate a sense of calmness before bedtime. If emotional distress or life challenges are surfacing, we may use narrative therapy to explore the stories you hold about your safety, identity, or relationships, offering room to re-author those narratives in a way that fosters healing and security.
3. Inconsistent Sleep Patterns: Maintaining a consistent bedtime and wake time is a foundational step in improving sleep quality. In therapy, I support clients in identifying barriers to consistency and help co-create routines that feel grounding rather than rigid. This might involve setting up a soothing nighttime ritual that signals the body and mind that rest is near.
In some instances, medication may be necessary to regulate sleep patterns and reduce the occurrence of night terrors. If this is the case, I will help coordinate care with a prescribing provider to ensure that any medical approach aligns with your broader mental health goals.
Are Night Terrors Disrupting Your Life?
If you are experiencing night terrors, you are not alone. I understand how distressing and exhausting these episodes can be—not only for you but also for your loved ones. Every story is unique, and in our work together, I will take time to understand your lived experience. From there, I will develop a treatment plan tailored to your specific needs, drawing on evidence-based practices and a deep respect for your unique journey.
You deserve peaceful rest and a sense of safety during your most vulnerable hours. If you would like support, I invite you to reach out. I am here to help you reclaim a sense of calm and restore your connection to restful, healing sleep.