Journal of Sleep Disorders & Therapy
Open Access

Sleep Paralysis

Sleep paralysis is a state, during waking up or falling asleep, in which a person is aware but unable to move or speak. During an episode, one may hallucinate (hear, feel, or see things that are not there), which often results in fear. Episodes generally last less than a couple of minutes. It may occur as a single episode or be recurrent.

The condition may occur in those who are otherwise healthy or those with narcolepsy, or it may run in families as a result of specific genetic changes.The condition can be triggered by sleep deprivation, psychological stress, or abnormal sleep cycles. The underlying mechanism is believed to involve a dysfunction in REM sleep.Diagnosis is based on a person's description.[2] Other conditions that can present similarly include narcolepsy, atonic seizure, and hypokalemic periodic paralysis.

Treatment options for sleep paralysis have been poorly studied. It is recommended that people be reassured that the condition is common and generally not serious. Other efforts that may be tried include sleep hygiene, cognitive behavioral therapy, and antidepressants.