“I think my child is having night terrors.”
It’s the middle of the night and you are awakened by your child screaming from his bedroom. You rush in to see what’s wrong and you find him sitting up in bed with a blank stare but very agitated. You try to wake him, asking him what is wrong but he doesn’t respond, he just keeps screaming. You are scared and don’t know what to do. After a few minutes, your child goes back to sleep and in the morning he doesn’t remember the episode.
- Your child seems frightened, but cannot be awakened or consoled.
- Your child may sit up in bed, or walk around the room, screaming or talking senselessly.
- Your child doesn’t acknowledge you, his eyes may be open but he seems to stare right through you.
- Objects or persons in the room might be mistaken for dangers.
- Episodes usually last between 10 and 30 minutes.
- Usually occur in children 1 to 8 years old.
- Your child cannot remember the episode in the morning.
- Usually happens within 2 hours of falling asleep.
- Night terrors are harmless and each episode will end on its own.
Night terrors are an inherited problem and occur in about 2% of children. It is as if the child is having a bad dream during deep sleep and cannot wake up. Night terrors are not caused by psychological stress, but they seem to be associated with being overtired.
Yes, most children with night terrors will stop having them by age 12, usually sooner.
1. Help child go back to sleep.
Do not try to awaken your child. Turn on the lights so that your child won’t be confused by shadows. Remain calm, talk in a soothing tone, “you are okay, you are at home, you are in your own bed, you can go back to sleep”. Again, speak calmly, and keep repeating these soothing comments. You can try holding his hand or snuggling him, but if he pulls away don’t persist. Don’t try to wake him with shaking or shouting, this will only agitate him more and prolong the attack.
2. Protect him from getting hurt.
Keep you child away from stairs, windows or sharp objects. Try to gently direct him back to bed.
3. Educate your caregivers.
Be sure to warn babysitters, family members, or others who might be caring for him at night. Explain to them what to do in case of an attack, so that they don’t overreact.
The following exercise has been shown to stop night terrors in 90% of children. For several nights, keep track of the time between falling asleep and the onset of the night terror. Then, wake him up 15 minutes prior to the expected time of the episode, get him out of bed and fully awake for 5 minutes. Do this for seven consecutive nights. If the night terrors recur, repeat the seven nights of awakenings.