Who Develops Sleep Paralysis?
Up to as many as four out of every 10 people may have sleep paralysis. This common condition is often first noticed in the teen years. But men and women of any age can have it. Sleep paralysis may run in families. Other factors that may be linked to sleep paralysis include:
- Lack of sleep
- Sleep schedule that changes
- Mental conditions such as stress or bipolar disorder
- Sleeping on the back
- Other sleep problems such as narcolepsy or nighttime leg cramps
- Use of certain medications, such as those for ADHD
- Substance abuse
How Is Sleep Paralysis Diagnosed?
If you find yourself unable to move or speak for a few seconds or minutes when falling asleep or waking up, then it is likely you have isolated recurrent sleep paralysis. Often there is no need to treat this condition.
Check with your doctor if you have any of these concerns:
- You feel anxious about your symptoms
- Your symptoms leave you very tired during the day
- Your symptoms keep you up during the night
Your doctor may want to gather more information about your sleep health by doing any of the following:
- Ask you to describe your symptoms and keep a sleep diary for a few weeks
- Discuss your health history, including any known sleep disorders or any family history of sleep disorders
- Refer you to a sleep specialist for further evaluation
- Conduct overnight sleep studies or daytime nap studies to make sure you do not have another sleep disorder
How Is Sleep Paralysis Treated?
Most people need no treatment for sleep paralysis. Treating any underlying conditions such as narcolepsy may help if you are anxious or unable to sleep well. These treatments may include the following:
- Improving sleep habits — such as making sure you get six to eight hours of sleep each night
- Using antidepressant medication if it is prescribed to help regulate sleep cycles
- Treating any mental health problems that may contribute to sleep paralysis
- Treating any other sleep disorders, such as narcolepsy or leg cramps
What Can I Do About Sleep Paralysis?
Sleeping in the supine position is believed to make the sleeper more vulnerable to episodes of sleep paralysis because in this sleeping position it is possible for the soft palate to collapse and obstruct the airway.This is a possibility regardless of whether the individual has been diagnosed with sleep apnea or not. There may also be a greater rate of microarousals while sleeping in the supine position because there is a greater amount of pressure being exerted on the lungs by gravity.