Nightmares: Can They Be Stopped?


Nightmares! We all have them. They can be pretty darn scary.
Be it monsters, desolate places, teeth breaking or falling out, inability to
scream, running at a slug’s pace while being chased by a demonic being. It
doesn’t matter who you are or where you’re from, at least one of these should
sound familiar.

These often visceral, disturbing dreams can leave us feeling off and tired even during the day. When it comes to dreaming in general, it has always been a mystifying subject. Each one of us has different dreams, and while the general gist of it doesn’t differ much, the way our minds shape these ideas and concepts never ceases to amaze. Nightmares are no exception. Even though they’re terrifying, one cannot deny how fascinating they can be. Many even go as far as to read deeper into them and uncover several underlying issues.

Not As Simple As You Think

Dreams, in general, are a whole big field in psychology and neuroscience.
Much is yet to be uncovered, and there are plenty of vague notions and concepts
that are yet to be precisely and reliably
explained by science. This is mainly due to the fact that dreams vary immensely
from one person to the other. It’s actually quite fascinating to hear other
describe their dreams.

One of the biggest mysteries that surround dreaming is the reason behind it. There isn’t much to go off of when it comes to answering this question. However, there is a common hypothesis that seems to make sense. Some scientists believe that dreaming is a way to organize and filter information in our brain. Research has shown that new connections between neurons are formed during our sleep, and that can be attributed to dreaming.

Knowing that, the
expression ‘sleeping on a problem’ makes much more sense now as sleeping and
perhaps dreaming have been linked to an increase in problem-solving

In this article, we’ll be discussing some interesting theories and hypotheses regarding
nightmares that will hopefully give you more insight into the inner workings of
the human brain and might even help you get something positive out of these
horrid dreams

Nightmares: What Are They?

Simply put, nightmares are dreams that carry with them a
sense of dread, fear, terror, and distress. They’re usually very vivid and
visceral, leaving us with a horrible ‘aftertaste’ so to speak.

Don’t confuse bad dreams for nightmares as nightmares are
much more vivid and to the point that they’ll make you wake up startled,
sweaty, and with a racing heart. You’ll also be experiencing the same feelings
of dread and fear that you experienced during the nightmare. This engraves the nightmare in our minds and is the primary
reason as to why we usually have a much clearer recollection of our nightmares than other dreams.

When you’re sleeping, your brain is busy cycling through NREM and REM sleep. REM stands for Rapid Eye Movement sleep. As the name implies, during this state, your eyes move rapidly, your brain consumes a lot of energy, and your muscles get paralyzed. This is why you’re able to move and take action during dreams without actually moving in the real world.  It’s in this state that you enter the dream world. It’s also during this phase nightmares occur.

Still a Mystery

The exact reasons behind dreaming are still shrouded in
mystery, but there are several theories going around. Some believe that dreams
are our brains’ way of managing and organizing subconscious thoughts, while
others think it to be a way of sorting memories and newly acquired information,

Another even more puzzling question is why we have
nightmares. It’s probably closely linked to the events we experience during our
waking, but that remains to be adequately explained.

Nightmares are most common among children, with an estimated
10 to 50% of 3 to 6-year-olds experiencing bad dreams while more than 80% of 7
to 9-year-olds frequently experiencing nightmares.

When it comes to adults, nightmares become scarcer as we
age. However, they still occur as it has been proven by a literature review
that found that around 85% of adults report having at least one nightmare the last
year, while 8 to 29% report having nightmares
on a monthly basis, and 2 to 6% report getting them on a weekly basis. It has
also been shown that older adults tend to be 20 to 50% less likely to
experience nightmares than younger adults.

What Influences the Content of Your Dreams?

Even though nightmares vary a lot from person to person,
they all tend to follow a common theme. We can see this throughout history,
seeing how certain civilizations have their own explanations for certain
nightmares, and we can see that even the people that walked the earth centuries
before us had nightmares that are not far
off ours.

Regarding the matter, a 2014 University of Montreal study[1] that analyzed 431 bad dreams, of which 253 are nightmares found that most of the group’s dreams shared some semblance of physical aggression along with health or death threats.  Men seemed to have nightmares that involved themes of war and natural disasters while women had more nightmares revolving around interpersonal conflicts. What all of these nightmares had in common is that they left the person who experienced them with a feeling of fear, sadness, and even disgust.

A German study[2]
also uncovered similar results and patterns, with the most frequent nightmare
themes involving: being chased, paralyzed, late, falling, or even death of
close friends and family.

There is no apparent reason or consensus as to why we
experience nightmares. However, there are plenty of links between nightmares and our daily lives, be it
relationships, medications, shock and trauma, and other events.

Personal Experiences

Dreams, and nightmares for that matter, often encompass
elements and events from our daily lives, both directly and indirectly. Dreams can involve mundane and everyday
activities such as taking tests, paying bills, working. Feelings of stress,
worry, or anxiety can also be part of slumber visions.

Events usually begin to become incorporated into dreams
within the week during which they occur. Dreams
can also involve past personal experiences and memories, something akin to an
autobiography of sorts. Research showed that these memories are usually
experienced in a fragmented, selective way.

Stress and Anxiety

Anxiety and stress are commonly widespread these days. There
are a variety of things that can cause them. These things can range from
relatively minor stuff like failing a task, working, school, to other more pressing matters, like the loss of a loved
one, divorce, trauma, and in some cases, anxiety disorders.

While stress and anxiety are associated with poor sleep in
general, they are also able to induce horrible nightmares. One study[3]
conducted on German athletes has shown that 15% of the group reported dreadful
dreams before a big event, in most cases, they involve athletic failure. A lot
of students also report experiencing nightmare revolving around tests and
exams. These nightmares can linger well after they’ve finished school.

Movies and TV Shows

We all recall watching some horror movie and then having
nightmares about it. While there’s no scientific proof, plenty of anecdotal
evidence exists. Although it’s tricky to study the effects of visual imagery on
dream content; one can see how some images might linger in our minds and bleed
into our dreams.

An earlier study[4]
on college students found that around 90% of them could recall a frightening movie, TV show, or other media type.
Half of them reported that it had an effect on their sleep or eating habits in both
childhood or adolescence. On top of that, one-fourth of the students reported that they’re still experiencing

Injury, blood, distorted images, and disturbing sounds were
the most frequent types of phobia-inducing factors that the study identified.

Depressive Disorders and Nightmares

Depression is vicious; it can bleed into all aspect of one’s
life as it targets our essence, that is self-attitude and how we view
ourselves. It shouldn’t come as a surprise to know that depression can trigger

According to a recent Finnish study[5]
conducted on a large scale, depression is the strongest predictor of
nightmares, with 28% of depressed subjects reporting more frequent nightmares
compared to the average of just 4%.


A study[6]
has shown that adults who are distrustful, emotionally estranged, or alienated
were more prone to chronic nightmares. Ernest Hartmann, a well-known dream
researcher, believes that creative people with thinner personality bounds are
more prone to experiencing nightmares.

Political ideology is yet another interesting link. A study[7]
done on college students reported that the conservative subjects had more
nightmares with more dreadful content
compared to liberals who seemed to recall more dreams in general.


Trauma has been known to trigger nightmares. Events like
natural disasters, violence, and other shocks can lead to PTSD or post-traumatic
stress disorder.

People with PTSD[8]
are much more prone to having nightmares. Research estimates that 52-96% get them
more frequently compared to the general population that has a nightmare rate of

The National Center for PTSD states that bad dreams
following traumatic events tend to heavily
include themes or elements from the event, and in most cases, might even
replay the whole ordeal altogether, putting the sleeper through an amplified
version of the shock.

Drug, Medications, and Nightmares

Medications that affect neurotransmitters tend to interfere
with one’s dreams and might result in more frequent nightmares. Such drugs include,
but are not limited to, narcotics, barbiturates, and antidepressants. If you start
experiencing nightmares after changing your medication, you might want to talk
to your physician.

The National Institutes of Health’s Medline[9]
states that nightmares can also be linked to alcohol and drug consumption and

Eating Before Going to Bed

Going to bed right after eating can interfere with one’s dreams
and metabolism, according to a study that associated nightmares with junk food,
and another[10]
that reported that a spicy meal before bed can disturb sleep.

Other Factors That May Cause Nightmares

  • Migraines: These
    headaches have been associated with more frequent nightmares and dreams.
  • Pain: A study[11]
    showed that 39% of people suffering from burns also experienced severe pain in
    their dreams and nightmares.
  • Sleep Disorders:
    Those with sleep apnea and restless leg syndrome along with other sleep
    disorders tend to be more prone to experiencing nightmares.
  • Sleep Deprivation:
    In the aforementioned Finnish study, fatigue and insomnia have been linked with
    an increased risk of experiencing nightmares.

How to Get Rid of Nightmares?

Taming nightmares and controlling what we dream about still
remains a mystery to this day. However, there have been a couple of different approaches
to managing nightmares.

For the majority of the population, nightmares are more of
an inconvenience than an actual problem. However, we shouldn’t forget about
those who experience frequent bad dreams, which can heavily decrease the quality of sleep.

For those people who want to minimize the risk of having
nightmares, here are a couple of things to do in order to ensure the least
amount of those horrible dreams.

Maintaining Sleep Hygiene

While it’s impossible to eradicate nightmares completely, there are some steps you can take to limit them. Preparing your mood and the environment for good sleep can go a long way in avoiding bad dreams and increasing the quality of sleep.

Even you’re the place you sleep in can influence one’s
resting state. The best way to set up your bedroom to make sure it’s quiet,
dark, and cool. Temperatures between
60-70°F (15-21°C) are optimal in this case.

It’s also advised to turn off any electronics in your
vicinity as they might interfere with your sleep.

When it comes to good sleeping habits, these mainly include
having a consistent bedtime and wake time throughout the week; this
consolidates your internal clock. Exercise on a daily basis also seems to
improve one’s internal clock, as well as regular sunlight exposure.

You should avoid nicotine, caffeine, and alcohol like the
plague before sleep. All these substances interfere with your sleeping cycles
and resting state. Avoiding spicy diets and eating light before bedtime is
recommended in order to ensure good sleep.

Get it Out of Your System

Since nightmares are so closely linked with what we
experience during the day, it’s important not to go to bed holding inside a
grudge or any form of negative emotions.

Many psychologists[12]
believe that talking about nightmares and dreams and getting social help to put
them into perspective goes a long way in preventing any lingering effects
induced by nightmares.

Another way of doing this is by writing it out. If a
nightmare keeps you from falling back asleep again, you can always write about
the experience and how it makes you feel in order to get it out of your system.

There’s also Image Rehearsal Therapy, which is a Cognitive
Behavioral Therapy that includes remembering the nightmare and imagining a
happier, positive version of it, then
writing and rehearsing the newly written scenario on a daily basis in order to replace
the original nightmare scenario.

Image Rehearsal Therapy is a well-documented approach that
is recommended by the AASM[13]
for both PTSD-related and chronic idiopathic nightmares.

Dealing with Stressors

A poll[14]
that was done by the American
Psychological Association in 2013 associated stress with poor sleep, which was
caused by higher amounts of stress.

It’s critical that we empty our minds of any issues that we
might have and de-stress in order to go to bed with a clear mind. This can be
done through a myriad of ways, you can meditate, take a warm bath, do yoga,
listen to relaxing music, and the list goes on and on. Try these methods and
see what works best with you.

It’s also recommended that you stay away from nightmare
fodder. Horror films, tragedies, arguments, fights, and anything that can breed
negative emotions can only increase the risk of experiencing nightmares. Look
for something light-hearted and warm in order to clear your mind.

There is a method that’s recommended by the American Academy
of Sleep Medicine or AASM for bad dreams known as Progressive Muscle Relaxation[15].
You basically have to gradually tense and relax certain muscle groups in order
to reduce stress. This method can be done at home via an audio track or in a
clinical setting.

Playing Video Games Can Help with Nightmares

A study[16]
that was done on former Canadian and American male soldiers that don’t suffer
from PTSD found that the participants who played video games had less dreadful dreams and nightmares in general.
Researchers hypothesize that this is due to the process of desensitization
associated with gaming carrying over to dreams.

On the other hand, follow-up
found that these benefits are exclusive to men. The subjects in questions were
college students that experienced trauma-related dreams in the past.

The study reported that male gamers experienced traumatic
events were less prone to getting nightmares, while female players had the most
trouble with bad dreams.

Researchers believe that the genre of the game and sex-role
conflicts within it can affect gaming’s ability to protect against bad dreams.

If Nothing Works, Get Help

When nightmares become more than a minor inconvenience, it
should call for an intervention. Why? Because nightmare disorder is a medically-recognized
disorder. By definition, this condition includes persistent nightmares that alter
sleep quality on a regular basis, affect daytime behavior, and cause bedtime
anxiety. Those signs can also be symptoms of PTSD, a disease that can
dramatically change one’s quality of life
for the worse.

If you relate to the aforementioned symptoms, then it’s
probably best for you to bring up the issue with a doctor or psychologist.
Don’t be ashamed of bringing the subject up as it can significantly help you in
the long run and you’ll be thankful for it. Intervening early on is far easier
than trying to solve the problem after it had taken its toll on you.


















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The Medical Extern

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