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Sleep Paralysis: symptoms, causes and treatment (2016-04-03)

Sleep paralysis is a temporary inability to move or speak that happens when you're waking up or, less commonly, falling asleep. Although you're awake, your body is briefly paralysed, after which you can move and speak as normal. The paralysis can last from a few seconds to several minutes.

Sleep paralysis doesn't cause you any harm, but being unable to move can be very frightening.
Sleep paralysis can affect men and women of any age group. The average age when it first occurs is 14 to 17 years. It is a fairly common sleep problem. Estimates of how many people have it vary widely from 5% to 40%. You may be more likely to have it if a relative also has it.

Some people have sleep paralysis once or twice in their life, while others experience it a few times a month or more regularly.

Sleep paralysis can affect people of all ages, but it's more common in teenagers and young adults. Men and women are equally affected.

What causes sleep paralysis?
It's normal for your muscles to be paralysed at certain times when you're asleep. Sleep paralysis occurs when the mechanism that causes your muscles to relax during sleep temporarily persists after you've woken up.
During rapid eye movement (REM) sleep the brain has vivid dreams, while the muscles of the body are essentially turned off. While sleeping, the muscles are unable to move so that the person won't be able to act out dreams with their body. Sleep paralysis happens when a person wakes up before REM is finished. The person will be conscious, but the body's ability to move hasn't been turned back on yet.

Sleep paralysis can sometimes be a symptom of narcolepsy. This is a relatively rare sleep disorder, which causes severe disruption to the sleep-wake cycle. An inability to stay awake for more than three or four hours is usually the main symptom.

Other things that increase your risk of getting sleep paralysis include:

  • sleep deprivation

  • irregular sleeping patterns

  • age – it's more common in teenagers and young adults

A lack of sleep can make you more likely to have sleep paralysis. It is also more likely if you have a sleep schedule that often changes.
Mental stress may also be a factor. It seems to occur more often when you sleep on your back.
It may also be related to any of the following factors:

  • Bipolar disorder

  • The use of certain medications

  • Sleep related leg cramps

If you have sleep paralysis you can improve your sleep, such as keeping to a regular sleeping routine and creating a restful sleeping environment.
If your symptoms are severe or possibly linked to another sleep-related condition, such as narcolepsy, your GP may refer you to a sleep disorder specialist.

The symptoms of sleep paralysis can often be improved by altering your sleep habits and sleeping environment.

Sleep paralysis often affects people who are sleep deprived, so ensuring you get enough sleep may reduce the number of episodes you have. Most adults need six to eight hours of good quality sleep each night.

Going to bed at roughly the same time each night and getting up at the same time each morning may also help.

For more information
NHS Choices
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American Academy of Sleep Medicine
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MDN