If you've ever experienced the anguish of seeing your child thrashing in the middle of the night with wide, terrified, unresponsive eyes, they may be experiencing a night terror episode. Night terrors are a phenomenon that affects some children at this stage of their development, and while they can be frightening for parents, it's essential to understand that, for the most part, they are not a cause for concern. In this post, we'll provide you with information about what night terrors are, when they occur, what their symptoms are, and how you can help your child during these episodes.
What are night terrors?
A night terror is a type of sleep pattern that resembles a nightmare but is different in several respects. Technically, it is considered a parasomnia, which refers to any undesirable or abnormal behavior that occurs during sleep.
In terms of prevalence, night terrors are relatively rare, affecting approximately 3-6% of children in the 4-12 age range. Although witnessing a night terror can be unsettling for parents, it's important to note that, unlike nightmares, children generally fall back to sleep quickly after an episode and remember nothing about it. These episodes usually last between 5 and 15 minutes and, in most cases, are not a cause for concern or an indication of serious medical problems.

At what age do night terrors start?
A common question that arises is whether babies can experience night terrors. Normally, these episodes occur in older children, typically in the 4-12 age range. Although there have been rare cases of night terrors in babies as young as 18 months, they are unlikely to occur at such an early age. Some children may experience a single episode of night terror, while others may experience several throughout their childhood. However, it's important to note that these episodes tend to disappear as the child's nervous system matures. In unusual cases where night terrors are frequent, it is recommended to consult a pediatrician for guidance.
Symptoms of night terrors
The symptoms of night terrors can be shocking for parents, but it's crucial to understand what's happening and how to respond. During a night terror episode, your child might:
- Sit up in bed suddenly.
- Scream or cry in distress.
- Breathe faster.
- Experience an increased heart rate.
- Sweat.
- Punch or kick.
- Show signs of anger and fear.
- Open their eyes, but remain in a deep sleep state.
- Calm down after a few minutes and fall back asleep.
- Not remember the episode upon waking.
If you sleep in another room or are a deep sleeper, you may not realize your child is having a night terror unless you are awakened by a scream or a thud. It's essential to remain calm and remember that your child is not aware of what is happening at that moment.

What are the causes of night terrors in children?
Night terrors are usually related to excessive central nervous system arousal during sleep. They generally occur within the first two hours after falling asleep and can last from 5 to 15 minutes. Some factors that can trigger night terrors, according to child health experts, include:
- Extreme fatigue or lack of sleep.
- Illness or stress.
- The introduction of new medication or a change in the sleep environment.
- Family history of night terrors or sleepwalking.
It's important to note that night terrors are not dreams or nightmares. These episodes occur in a transition between different sleep phases, and most of the time, the transition is smooth. However, some children may feel frustrated or scared during this transition and experience a night terror as a result.
How to help your child during a night terror
As a parent, it's natural to feel worried and bewildered when your child experiences a night terror. However, there are several ways you can help and support your little one during these episodes:
1. Remain calm: The most important thing is to stay calm. Remember that your child is not aware of what is happening, so they will not understand your words or comforting gestures.
2. Do not try to wake them up: Unlike nightmares, trying to wake a child during a night terror can be counterproductive and cause more confusion.
3. Check for safety: Keep a close eye to ensure they don't get hurt during the episode. You can gently guide them back to bed if necessary.
4. Maintain a consistent sleep schedule: Help prevent night terrors by ensuring your child has a regular sleep schedule and sufficient rest.
5. Reduce stress and anxiety: If you notice your child is experiencing night terrors due to stressful situations, try to address those concerns and provide emotional support.
6. Talk to a healthcare professional if necessary: If night terrors are frequent or severe, or if you have additional concerns, do not hesitate to consult a pediatrician or a pediatric sleep specialist.

Night terrors can be a worrying experience for parents, but it's essential to understand that, in most cases, they are a normal phenomenon that passes with time. With knowledge and patience, you can help your child deal with these episodes and ensure they continue to have restful and healthy sleep. Remember that you can always seek support from healthcare professionals if you have additional concerns or if night terrors persist. Your child trusts you to guide them through these moments, and you are prepared to provide them with the safety and love they need.



