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Are Nightmares Dangerous?
nightmare can be dreaded , fearful ; panic in the dream but the trend of this disorder is not dangerous in most of the cases . Almost all compositor’s case resolve mechanically with age and only few cases postulate aesculapian treatment for it . Reassurance and conservative management is the only treatment ask in sporadic and occasional cases . The events seen or felt during the nightmare can be recalled and easily described . The answer after awakening from the bad pipe dream is not grievous and the patient is alert and stressed .
But when comparing to night holy terror , the response seen is unlike , knockout and grievous also . The affected role is absolutely panic-stricken and can assault the fellow dormancy persons because of being under the impression of living - threatening location in the dream . These individuals may make hurt and can respond with abusive behavior if tried to be consoled.(1 )
How Do You Know If You Have A Nightmare Disorder?
incubus are a common sleep disorderliness which can be easily diagnosed by the account and symptoms experienced by the person . It is defined as recurrent awakening episodes from eternal sleep with stir up orientation due to dysphonia dreams . It has been depict in sleep disorders in Diagnostic and Statistical Manual of Mental Disorders , fifth edition ( DSM-5 ) along with its diagnostic criteria . There are five characteristic in the diagnostic criteria which may moderate the diagnosis towards nightmare disorder.[1]These are as follows:-
After the diagnosis , classification of nightmare disorder is done on the fundament of duration of symptom and the severity of the disease . On footing of continuance it can be disunite into three parts ; sharp disorder ( symptoms of less than one month ) , sub - sharp ( symptom for the duration between 1 to 6 month ) and chronic ( symptoms lasting more than 6 months ) . The severity of the disorderliness is determine by the frequence of episodes and is divided into two three contribution ; soft ( less than or adequate to 1 instalment per week ) , moderate ( multiple instalment in a hebdomad ) and knockout ( episodes occurring every night ) .
Since this order is very common in children , it is usually experienced by the parents with disturbance of rest due to the wakening of child and other symptoms like crying , fearful , stressed , etc . and then parent ’s hypersomnolence could lead to indirect diagnosis of nightmare disorderliness in their children.(1 )
Conclusion
nightmare are commonly encountered symptoms in sleep disorders and are usually experienced in childhood . It is a ego - limiting disorder which decreases with age and only one - third of the pillow slip are carried forrader in adolescence . Only a few compositor’s case remain till adulthood and most of the vitrine are cured . These are usually not dangerous because the dream is not very severely panic and sequence can be well remembered and retrieve .
The diagnosis of nightmare disorder is not very difficult and is unremarkably name by any medico on the first assignment because it show with a very characteristic chronicle . Although the diagnostic criteria are describe in the DSM 5 classification of psychiatric disorders it is mostly dependent upon the physician ’s assumption , practical knowledge and subjective verbal description of the episode by the patient . Usually there is no need for medical treatment in most of the case and only reassurance and conservative treatment is sufficient .
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