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Nightmares and night terrors

There are sleep disorders that are not directly due to the habit of anesthesia:


Children who are afraid to go to sleep, wake up at night screaming and crying, sometimes report something scary: monster, witch, lion ... or vice versa, do not respond at all to the parents' attempts at sedation and seem to be in a deep sleep. These symptoms can be nightmares or nightmares and the distinction between them, detailed below, is very important for the diagnosis, coping and treatment of the problem.


Night terrors - defined as fits of terror or fear expressed as screaming or crying loudly from sleep, in the first half of the night mainly - in which the child does not respond to his environment or to the attempts at sedation by the parents, and calms himself "as if nothing". One of the defining characteristics of night terrors is that the child does not remember the events of the next morning. This phenomenon does not occur following a dream - but from deep sleep. Frequency of the phenomenon once or twice a week for several weeks. Another characteristic of night terrors is that waking a child in a state of terrors usually frightens him even more, and in the long run may create a secondary-behavioral sleep problem (e.g., unwillingness to sleep in his bed, wandering to the parent bed at night and repeated requests from parents at night demanding attendance Parents during anesthesia, some people fall asleep with a bottle of water or milk - which are also of course unnecessary and create dependence on independent anesthesia, etc.)


Nightmares - are defined as bouts of fear that are also expressed in tears, including the parents' outcry and verbal expression and even a description of the source of the fear (monster in the closet). They usually occur in the second half of the night mainly, out of a dream sleep or during anesthesia (difficulty in anesthesia due to fear of the dark, etc.). In such cases the child consciously calls the parent for reassurance. It is important to note that in contrast to the fears - the child remembers that there were nightmares at night, talks about them during the day and expresses concern about going to sleep or the darkness. The phenomenon of nightmares often occurs in response to a threatening experience such as a movie, a show that the child is exposed to during the day (at home or in kindergarten), or more or less dramatic changes in the child's life - this occurs frequently, every night, for a short time until the child "processes" The emotionally threatening information.


Dealing with fears or nightmares is very difficult for parents - and they do not know how to respond - and often, with good intentions, indirectly aggravates the situation. Many times this is also accompanied by feelings of guilt towards the boy or girl, fears that the child is "going through something" during the day or being exposed to frightening content, or that the child may be going through a crisis.
In the therapeutic session we find out what the background is and what is the cause of these difficulties. Before the session the parents are asked to keep a sleep diary for several nights as well as answer various questions related to the phenomenon.

And

What is the therapeutic solution?
The treatment usually consists of a single session or 2 sessions (depending on the age of the boy or girl): the first session is with the parents only. In this session, the diagnosis (fears / nightmares / anxieties) of the phenomenon is given, as well as explanations related to the described phenomenon. After the explanations, the parents are given tools to deal with the phenomenon - what to do and what to avoid. What tools to give the child so that he or she can deal with the fears themselves optimally. The purpose of the tools is to give the boy or girl the control over the situation, and the ability to deal with the fear.
Another meeting is held when needed with the child in the presence of the parents.

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