Nocturnal Panic Attacks

Another issue that is standing in the way of Americans going to sleep at night is nocturnal panic (NP), which is waking up in a state of panic. This is a common event for those who suffer with panic disorder, with 44 to 71 percent of that population reporting at least one such attack. NP is a non-REM event that is distinct from sleep terrors, sleep apnea, nightmares or dream-induced arousal.

Panic attacks that awaken people from sleep (nocturnal panic attacks) can actually be a sign of a sleep disorder. Obstructive sleep apnea (OSA), sleep-related gastroesophageal reflux disease (GERD), sleep-related laryngospasms, and sleep-related seizures can cause people to wake from sleep with symptoms of a panic attack. Experts say those with NP may be fearful of sleep and sleeplike states.

Tests such as overnight sleep studies, manometry, pH monitoring, or electroencephalography can help physicians determine if patients complaining of nocturnal panic attacks have possible sleep disorders.