Sleep Paralysis: What Causes It and How to Treat It Effectively

by Dr. Keni Ravish Rajiv

It is frightening to wake up in the middle of the night, not being able to move, talk, or respond. To a lot of individuals, this is not a nightmare. It is a real medical disorder called sleep paralysis. It is a condition that affects all age groups and may go unreported because of fear or misunderstanding.

The first step to relieving the sleep paralysis symptoms​ is to address the fundamental questions of “What causes sleep paralysis​?” Join us as we uncover the secrets of sleep paralysis.

What Exactly Is Sleep Paralysis

Sleep paralysis is a short-term inability to move or talk as you fall asleep or wake up. It normally lasts a few seconds or a couple of minutes. Your body is still but your mind is alert and conscious of the things around you.

In other instances, individuals also experience hallucinations or pressure on the chest, and this makes the experience even worse. This is not a life-threatening condition, but it can be a very disturbing one. It can happen just occasionally, or it can turn into a common issue that disturbs your sleep and peace of mind.

Common Reasons for Sleep Paralysis

Several factors can increase your risk of experiencing sleep paralysis. In many cases, it is linked to disrupted sleep cycles or irregular routines. Some of the most common reasons for sleep paralysis include:

  • Sleep deprivation or poor sleep quality
  • Sudden changes in sleep schedule
  • Sleeping on your back
  • High stress or anxiety levels
  • Use of certain medications
  • Underlying sleep disorders such as narcolepsy

These triggers disturb the normal pattern of rapid eye movement (REM) sleep. During REM sleep, your brain is active while your body remains relaxed and still. When you wake up or fall asleep before the REM cycle is complete, the brain regains awareness while the body remains paralysed.

Recognising Sleep Paralysis Symptoms

The most telling sign is the inability to move or speak during sleep transitions. But there are other sleep paralysis symptoms you should be aware of. These include:

  • A sense of being awake but unable to respond
  • Pressure on the chest or difficulty breathing
  • Hallucinations, such as seeing shadows or hearing sounds
  • A feeling of panic or fear
  • Lasting fatigue after the episode

Some people may confuse these symptoms with nightmares or mental health issues. That is why a proper diagnosis is important, especially if the episodes are frequent.

Understanding What Causes Sleep Paralysis in More Detail

At its core, sleep paralysis is caused by a disruption in the REM cycle. However, deeper neurological and psychological factors can also contribute. People with anxiety disorders, post-traumatic stress, or depression are more likely to experience it. Genetics may also play a role.

Irregular working hours, such as night shifts, can increase the chances as well. Students and working professionals with high-stress lifestyles are often at risk due to erratic sleep patterns. Even diet and screen exposure before bedtime can have an impact. To get a complete understanding of what causes sleep paralysis, you may need to consult a sleep specialist or a neurologist in India with experience in sleep disorders.

How to Stop Sleep Paralysis in the Moment

If you are in the middle of an episode, it can be difficult to stay calm. But learning how to stop sleep paralysis in the moment can reduce the fear and help you recover faster. Try the following:

  • Focus on moving a small part of your body, like your fingers or toes
  • Breathe slowly and deeply to control panic
  • Blink repeatedly to send signals to your brain
  • Avoid resisting the episode aggressively
  • Mentally reassure yourself that the event is temporary

These steps may not stop the episode instantly, but they can make the experience less frightening. Over time, you will feel more in control.

Long-Term Sleep Paralysis Treatment

While isolated episodes can be ignored, frequent occurrences need professional care. A proper sleep paralysis treatment plan may include the following:

  • Improving sleep hygiene and routine
  • Treating underlying mental health conditions
  • Using medication if related to narcolepsy or anxiety
  • Cognitive behavioural therapy for stress and trauma
  • Lifestyle changes such as exercise and reduced screen time

In complex cases, neurological evaluation is advised. Choosing a trusted neurology hospital in India can help you identify deeper causes and get the right treatment. These hospitals often provide sleep studies to observe brain activity and sleep stages in real time.

When to See a Neurologist

If sleep paralysis happens regularly or begins to affect your day-to-day life, do not delay consulting a specialist. A neurologist in India can assess your symptoms, rule out other disorders, and design a treatment plan suited to your case. You should also see a doctor if:

  • You feel extremely tired despite getting enough sleep
  • You have signs of narcolepsy or disrupted REM sleep
  • You experience hallucinations or mental health issues
  • Your sleep paralysis is linked to physical conditions like migraines

Early diagnosis ensures quicker relief and better sleep.

Conclusion

Sleep paralysis can feel terrifying, but it is treatable. Knowing the reasons for sleep paralysis and recognising the sleep paralysis symptoms helps you take the right steps. From understanding what causes sleep paralysis to learning how to stop sleep paralysis in the moment, awareness is key.

With the right sleep paralysis treatment and guidance from a qualified neurologist in India, you can regain control and sleep peacefully again. For accurate diagnosis and care, reach out to a trusted neurology hospital in India, such as Aster Hospital, and begin your journey to restful, uninterrupted sleep.

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