Bad Bedtime Behaviors sleep or nightmare disorder?

By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

child

Sleepy Child.
Photo courtesy of Pixabay.com

Children may turn terrible at bedtime because of sleep problems.

Children who have sleep disorders try to avoid the problems these disorders cause. If you have nightmares the bed and sleep land are not friendly places. Night Terrors get noticed by most parents because the child makes noise and wakes you up but other sleep issues may go unnoticed until the child begins acting up at bedtime.

Below are some of the behavioral changes that occur in children and occasionally in adults that indicate the problems may be related to a sleep disorder.

Long bedtime rituals can be caused by a sleep problem.

When we anticipate something bad happening most of us will put it off as long as possible. Children who experience bad dreams or nightmares will try to avoid the bed and sleep. One way to do this is to draw out the pre-bed routine as much as possible.

If you find your child is avoiding bed with a passion, look for things in the environment. Are adults still up and having fun? But if the whole house is quiet and still your child is finding ways to avoid getting into bed ask them about their sleep and about what happens in that sleep.

Bad dreams and nightmares are not something that children should have to endure. Expecting them to just “grow out of it” is not a good plan. Some children never do outgrow nightmares. Poor and disrupted sleep can result in many emotional problems.

Bedtime resistance suggests a sleep issue.

Long rituals are about what you tell yourself. All those things you need to do before you can sleep. Bedtime resistance is about what you tell or do to others. If the child resists bed like they might resist the doctor’s office then ask yourself why the bed and sleep land is traumatic rather than a friend.

Try making bedtime a positive thing, read a story, say a prayer, whatever fits for your family. If, despite your efforts to reassure your child there is still resistance, try to not dismiss this as bad behavior. Explore with your child what happens when they try to fall asleep and what happens when they dream. If there are problems consider some professional help before the problem becomes serious.

Insomnia Disorder. 

When dreamland is full of nightmares you will avoid it. If delaying bedtime does not work many folks will lie awake. Worry about the future, rumination, and anxiety disorders result in not being able to fall asleep.

In another post, I talked about the problems with Insomnia Disorder

Insomnia is a very real physical and mental disorder. It is treatable and the treatment does not have to be restricted to medication.

Avoiding sleep may be the result of a sleep disorder.

Once through the bedtime routine and into bed, there are a host of ways that children can avoid sleep. The result of this avoidance can show up in poor behavior, impaired attention, or emotional regulation issues the next day.

Today electronic avoidance is becoming all too common. Some children’s bedrooms have more electronic equipment than the store. Spending all night playing games, chatting on social media, and generally staying stimulated has its consequences the next day. Over time this sleep avoidant behavior adds up.

If your child starts the day off in a bad mood and you do not know why look for poor sleep habits or a sleep disorder.

Thoughts I must not sleep.

People with nightmare disorder, night terrors, or just plain old bad dreams will start telling themselves that the solution is to just not sleep. Younger children may not be verbalizing these thoughts but if they are having them some exploration of the reasons can help your child move from struggling with a sleep disorder to a child who routinely gets a restful night’s sleep.

If your child avoids bed or sleep do not automatically jump to a severe conclusion. Poor sleep does not mean your child has experienced abuse or trauma. There are plenty of other reasons they may be having bedtime issues.

If your child is avoiding bed and sleep explore the issue and get help as needed. If it is an adult that is resisting sleep you need help now. Untreated sleep issues undermine your physical and mental health.

You might want to take a look at other posts on:

Sleep

Dreams and Nightmares  

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel

Sleep Paralysis – What causes it? Is it related to PTSD or demons?

By David Joel Miller, MS, Licensed Therapist & Licensed Counselor.

Sleep paralysis.
Photo courtesy of Pixabay.com

Is Sleep Paralysis related to PTSD or the supernatural?

Imagine awakening suddenly in the middle of the night. Sitting on your chest is a demon; there are ghosts, dead people, or spirits standing around your bed. You try to scream but nothing comes from your throat. You would run if you could but your legs won’t work. You are awake and paralyzed. Looking up at the demons you are helpless to do anything beyond saying a silent prayer inside your head. You are experiencing Sleep Paralysis.

Sleep Paralysis is one of those unusual problems. This condition is especially terrifying to someone who has the disorder.  If you have a belief in the supernatural you may dread falling asleep.

Sleep Paralysis has long been more the province of legends and the supernatural than included in the area of mental health. This experience has been connected to many otherworldly phenomena. Similar experiences were described during the Salem witchcraft trials.

Today we have a scientific explanation that satisfies some, some of the time, but are we sure?

In Sleep Paralysis you can see, move your eyes and breathe, but the rest of your body is unable to move.  Some episodes of Sleep Paralysis last seconds. The average is six minutes. Occasional an episode of sleep paralysis will last longer than 6 minutes or on rare occasion’s hours.

Many people with Sleep Paralysis, up to 30% also have a history of Panic Attacks. It is more common among those with PTSD or anxiety disorders. Sleep Paralysis is also most common among those with minority status, especially African-Americans (Sharpless et al 2010.)

Other researchers have suggested that dissociation may be related to the old or “Lizard brains” freeze response to threat or danger. The same mechanism might explain the inability to move despite overwhelming terror found in Sleep Paralysis. Fear and anxiety may both cause and be the consequence of Sleep Paralysis.

Sleep paralysis is more common with overtired or sleep-deprived individuals. It is also associated with taking Antidepressants, Benzodiazepines, and some other medications. Ohayon et al., 1999 (Cited by Sharpless) also suggested a relationship between SSRIs and Sleep Paralysis but Sharpless did not find a connection.

Sleep paralysis can occur when falling asleep or when awakening from sleep. Its main characteristic is not being able to move for an extended period of time. This condition occurs naturally during REM sleep but we don’t know we are becoming paralyzed when we are asleep.

The episodes of paralysis while awake are most often accompanied by very vivid hallucinations. The more vivid the hallucinations the more terrifying the Sleep Paralysis. Sometimes the person will experience hearing sounds. Even when experiencing the full symptoms of Sleep Paralysis, both the visions and the inability to move, many people describe the experience as a “dream” (Fukuda et al, 2000.)

If the hallucinations occur when falling asleep they are called Hypnogogic. Hallucinations that occur when awakening are called Hypnopompic.

Sleep paralysis may be connected with a physical disorder such as Narcolepsy. Reports suggest that those who hear sounds are most likely to also have narcolepsy. Sleep paralysis has also been associated with Migraines. If this occurs more than once or causes significant distress it is wise to seek medical attention.

Sleep paralysis is more likely to occur when someone has moved to a new location, is under stress, or has consumed an excessive amount of alcohol.

Mental health practitioners, therapists, and counselors are mostly concerned with two relationships between sleep and mental health. Is the problem with sleep caused by a mental illness? Symptoms of depression include changes in sleep and appetite. Depression can be seen as the cause of a sleep problem.

Sometimes sleep issues can create symptoms that are diagnosed as mental illness. Nightmares play a role in maintaining depression and PTSD.

Beyond those two alternatives, most other sleep issues are in the providence of medical doctors. There are plenty of sleep problems that are in the International classification of sleep disorders that are not directly included in the DSM.

The following are past posts on connections between sleep and mental health issues.

Getting Rid of Nightmares that Maintain Depression and PTSD

Trauma Steals Your Sleep 

Staying connected with David Joel Miller

Seven David Joel Miller Books are available now!

My newest book is now available. It was my opportunity to try on a new genre. I’ve been working on this book for several years, but now seem like the right time to publish it.

Story Bureau.

Story Bureau is a thrilling Dystopian Post-Apocalyptic adventure in the Surviving the Apocalypse series.

Baldwin struggles to survive life in a post-apocalyptic world where the government controls everything.

As society collapses and his family gets plunged into poverty, Baldwin takes a job in the capital city, working for a government agency called the Story Bureau. He discovers the Story Bureau is not a benign news outlet but a sinister government plot to manipulate society.

Bumps on the Road of Life. Whether you struggle with anxiety, depression, low motivation, or addiction, you can recover. Bumps on the Road of Life is the story of how people get off track and how to get your life out of the ditch.

Dark Family Secrets: Doris wants to get her life back, but small-town prejudice could shatter her dreams.

Casino Robbery Arthur Mitchell escapes the trauma of watching his girlfriend die. But the killers know he’s a witness and want him dead.

Planned Accidents  The second Arthur Mitchell and Plutus mystery.

Letters from the Dead: The third in the Arthur Mitchell mystery series.

What would you do if you found a letter to a detective describing a crime and you knew the writer and detective were dead, and you could be next?

Sasquatch. Three things about us, you should know. One, we have seen the past. Two, we’re trapped there. Three, I don’t know if we’ll ever get back to our own time.

For these and my upcoming books; please visit my Author Page – David Joel Miller

Want the latest blog posts as they publish? Subscribe to this blog.

For videos, see: Counselorssoapbox YouTube Video Channel