Nighttime panic attacks result in issues both directly and indirectly. However, recovering and reaching a calmer state from a nighttime panic attack may take longer and make going back to sleep more difficult. Similarly, nocturnal panic attacks can last the same amount of time as a regular panic episode. Like conventional panic attacks, nocturnal panic attacks can surge abruptly and often reach a peak within minutes. How Long Do Nocturnal Panic Attacks Last?
People with posttraumatic stress disorder PTSD. Those with sleep-wake disorder like insomnia. Individuals with an anxiety-related condition. People who are encountering major life changes or stressful events such a loss of a loved one. People who have family members who also experience panic attacks. People more at risk for panic attacks include: 1,5,6 Also those who experience daytime panic attacks will likely endure nighttime panic episodes. Is not uncommon for people with panic disorder to suffer nocturnal panic attacks. Who Might Experience a Nocturnal Panic Attack? Physiological issues in the brain that communicate that the body is awake when it is actually asleep. Underlying medical issues like thyroid problems. Having family members with a history of anxiety and panic can result in increased risk. 2,4įactors that may cause a person to have panic attacks while sleeping include: 2,4 Some believe these attacks are the result of high stress levels, a genetic predisposition, or certain changes in brain functioning. The exact causes of nighttime panic attacks are not well understood by professionals. It cannot begin some time after waking to be considered nocturnal. With nocturnal panic attacks, the surge must have already begun while asleep. These symptoms must be part of an abrupt surge that peaks quickly. Fear of dying due to intensity of symptoms. Fear of “going crazy” or losing control of self. Feeling detached from self or feeling like life is not real. Dizziness, feeling unsteady, faint, or light-headed. Heart changes, like palpitations, pounding heartbeat, or quick heart rate. Like during the day, panic attacks at night occur when a person experiences at least four of the following symptoms at once: 1 Typical panic attacks occur during the day, but nocturnal panic attacks happen while sleeping. Though the duration of the panic attack, symptoms, and experience will be the same, the most important difference is the timing. The symptoms of panic attacks at night will match other symptoms of panic attacks. Sleep apnea: People with obstructive sleep apnea may wake up with a choking sensation, but sleep apnea happens more often, lacks the intense panic, and is linked to prolonged daytime sleepiness. The person will be confused and disoriented in the moment and usually forget about it by morning. 
Night terrors: A night terror, also called sleep terror, is one type of sleep arousal disorder that wakes the person up in a fearful state during the first part of the night.Separating nocturnal panic attacks from other physical health and mental health conditions can be difficult. with panic disorder will note nocturnal panic attacks. Nocturnal attacks are unexpected and unpredictable, since there are no warning signs to indicate one is pending. Second, just because the panic attack begins shortly after waking does not mean that it is a nocturnal panic attack. A couple of things to keep in mind: First, just because the panic attack happens at night does not mean that it is technically a nocturnal panic attack. To be considered a nocturnal panic attack, the panic must wake the person from their sleep.
Nocturnal panic attacks can easily be confused with other panic attacks that happen when the person is awake. This specific form of panic attack will have many of the same symptoms as other panic attacks, like extreme worry, sweating, and fear, with the difference being the timing of the anxiety. 1 A person who wakes up in a state of panic is having a nocturnal panic attack, while others might have mini panic attacks when falling asleep. Nocturnal panic attacks are periods of intense anxiety symptoms that first emerge when the person is sleeping.
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