Request an Appointment
Understanding Nightmares and RBD Nightmares
are unsettling dreams that often occur during the REM (rapid eye movement) stage of sleep. Frequent nightmares can be a symptom of an underlying condition such as PTSD, anxiety, or medication side effects. REM Behavioral Disorder (RBD) is a more serious parasomnia where the normal muscle paralysis that occurs during REM sleep is absent. This allows individuals to physically act out their vivid dreams, sometimes with punching, kicking, or yelling, which can lead to injury for themselves or their bed partner.
Our Diagnostic and Treatment Approach
The first step is a comprehensive consultation to review your sleep patterns and medical history. We will likely recommend a polysomnography (sleep study) to monitor your brain waves and muscle activity during sleep to accurately diagnose RBD or rule out other sleep disorders. Your customized treatment plan will be based on the specific condition. For nightmares, this may involve addressing underlying anxiety or trauma. For RBD, we may prescribe medication to help control the disruptive behaviors and restore the muscle paralysis that should occur during REM sleep.
Sleep Safely and Peacefully
You don’t have to live with the fear and disruption of frequent nightmares or the dangers of RBD. Our team is here to provide the expert care and support you need to feel safe and rested.
Schedule a consultation today to learn more about your treatment options.
FAQs About Nightmares & RBD
Q: What is the main difference between a nightmare and RBD?
A: A nightmare is a frightening dream that you don’t act out; your body remains still due to the natural muscle paralysis of REM sleep. With RBD, this muscle paralysis is absent, allowing you to physically act out your dreams. RBD can be dangerous as you are not in control of your movements.
Q: What causes RBD?
A: The exact cause of RBD is unknown, but it is often linked to neurodegenerative disorders like Parkinson’s disease and Lewy body dementia. It can also be caused by certain medications or other neurological conditions.
Q: Can I stop having nightmares?
A: Yes, in many cases. If your nightmares are related to anxiety, stress, or PTSD, we can help you find a psychologist or therapist who specializes in dream imagery rehearsal therapy. If they are caused by a medication, we can work with your doctor to adjust your dose or switch to a different drug.