Nightmares, What Are They?

What is a nightmare?
A nightmare is a very distressing dream which usually forces at least partial awakening. The dreamer may feel any number of disturbing emotions in a nightmare, such as anger, guilt, sadness or depression, but the most common feelings are fear and anxiety. Nightmare themes may vary widely from person to person and from time to time for any one person. Probably the most common theme is being chased. Adults are commonly chased by an unknown male figure whereas children are commonly chased by an animal or some fantasy figure.

Who has nightmares?
Just about everyone has them at one time or another. The majority of children have nightmares between the ages of three or four and seven or eight. These nightmares appear to be a part of normal development, and do not generally signal unusual problems. Nightmares are less common in adults, though studies have shown that they too may have nightmares from time to time. About 5-lO% have nightmares once a month or more frequently.

What causes nightmares?
There are a number of possibilities. Some nightmares can be caused by certain drugs or medications, or by rapid withdrawal from them, or by physical conditions such as illness and fever. The nightmares of early childhood likely reflect the struggle to learn to deal with normal childhood fears and problems. Many people experience nightmares after they have suffered a traumatic event, such as surgery, the loss of a loved one, an assault or a severe accident. The nightmares of combat veterans fall into this category. The content of these nightmares is typically directly related to the traumatic event and the nightmares often occur over and over. Other people experience nightmares when they are undergoing stress in their waking lives, such as difficulty or change on the job or with a loved one, moving, pregnancy, financial concerns, etc. Finally, some people experience frequent nightmares that seem unrelated to their waking lives. These people tend to be more creative, sensitive, trusting and emotional than average.