Has a liked one ever began thrashing and screaming with concern and panic whereas sleeping? They could be experiencing night time terrors. They could get up sweating, confused, and disoriented and have a tough time catching their breath because of the night time terrors.
Sadly, night time terrors and autism typically go hand in hand. Folks on the spectrum are inclined to expertise these sleep disturbances extra ceaselessly than neurotypical people. However what can dad and mom and caregivers do to assist their family members with autism deal with the night time terrors and maintain them protected?
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What are night time terrors?
Of their easiest definition, night time terrors are sleep disturbances that contain plenty of shaking, screaming, and crying. They normally occur previous to speedy eye motion or REM sleep. In comparison with nightmares, night time terrors are normally extra horrifying.
Nightmares are inclined to occur throughout REM sleep. The dreamer can normally recall vivid particulars after they get up. In distinction, night time terrors are inclined to make the individual much less prone to settle for consolation. They normally don’t keep in mind what triggered the night time terror episode after they awaken.
Some widespread indicators of night time terrors could embrace:
- Sudden screaming and thrashing
- Quick respiration
- Open eyes however not absolutely awake
- Problem recognizing acquainted folks
Whereas anybody can expertise nightmares, night time terrors are extra widespread amongst younger youngsters. Night time terrors are inclined to happen between the ages of three and eight.Â
Hyperlink between night time terrors and autism spectrum dysfunction
Sadly, night time terrors are usually extra widespread amongst youngsters with autism. Many autistic youngsters will battle with sleep issues. Night time terrors can find yourself being simply one other situation interrupting their sleep patterns.
Night time terrors might be anxious for each the youngsters experiencing them and their dad and mom. With autism spectrum dysfunction added to the combination, stress ranges can undergo the roof.
Many potential elements can contribute to youngsters with autism experiencing night time terrors. These potential causes might be neurological, emotional, or environmental, and might embrace:
- sensory sensitivities
- cognitive overload
- anxiousness
- stress
- disrupted sleep patterns
Moreover main to nighttime terrors, these elements also can contribute to autistic youngsters having bother falling asleep and result in sleep deprivation.
Night time terrors in autistic youngsters and toddlers
When youngsters expertise night time terrors as toddlers, they may typically manifest as sudden and intense episodes of concern whereas they’re sleeping. Kids with autism experiencing night time terrors will typically thrash, scream, and cry, changing into inconsolable.
They could not acknowledge their dad and mom or caregivers, making it nearly inconceivable to consolation them till they relax on their very own.
Autistic youngsters are inclined to expertise extra intense and extra frequent night time terrors than usually growing youngsters. It’s tougher for youngsters with autism to stay calm throughout night time terrors. This may result in additional sleep issues as they battle with sleep regulation.
Some widespread results of night time terrors embrace:
- Problem falling asleep
- Sleep deprivation
- Fatigue
- Problem concentrating
- Emotional misery
- Anger and frustration
- Impacted social interactions and relationships
Night time terrors in autistic adults
Whereas night time terrors are extra widespread amongst youngsters, they will proceed into maturity, particularly amongst autistic adults.
Grownup night time terrors can typically be triggered by stress, sleep deprivation, psychological well being or different developmental delays, or perhaps a household historical past of sleep issues.
When adults with autism spectrum dysfunction have night time terrors, they could expertise distinctive sleep disturbances in comparison with autistic youngsters. These can embrace:
- issue sleeping and insomnia,
- early morning waking,
- sleep apnea,
- stressed leg syndrome,
- and nightmares on prime of night time terrors.
Adults with autism spectrum issues could expertise anxiousness or PTSD with each day routines that manifest as they put together to go to sleep. These can result in overstimulation that negatively impacts sleep patterns.
Managing night time terrors and autism
If the one you love struggles with night time terrors, there are issues you are able to do as a mum or dad or caregiver to assist handle them. This consists of bettering sleep habits, making a bedtime routine, and offering a snug sleep setting.
Bettering sleep habits
Some ideas that may assist enhance sleep patterns embrace:
- avoiding caffeine earlier than mattress,
- limiting display screen time,Â
- utilizing glasses to dam blue mild,
- guaranteeing the sleep setting’s temperature and noise ranges are acceptable.

Making a bedtime routine
A constant bedtime routine may also help autistic youngsters who expertise night time terrors. Establishing a set time to go to mattress and get up may also help set a constant sleep schedule that helps each the kid and the mum or dad.
Creating this optimistic bedtime routine can embrace delicate music or a mum or dad studying to a toddler. Utilizing visible prompts to encourage the bedtime transition also can assist enhance a toddler’s sleep.
Offering a snug sleep setting
Kids with autism spectrum dysfunction could battle with sensory processing dysfunction, so it might be extra essential to offer a snug sleep setting. Weighted blankets and soothing textures have been proven to cut back sleep disturbances.
Whereas these may also help scale back night time terrors, they will nonetheless happen. In case your little one experiences night time terrors, it’s vital to stay calm and assist them as a result of they gained’t have the option to take action.
As soon as their intense episodes subside, you may present reassurance and luxury to assist them know they don’t seem to be alone and don’t have anything to concern.
When to hunt skilled assist
Night time terrors can attain the purpose the place a caregiver should search skilled assist to deal with the difficulty. That is widespread when night time terrors persist into maturity, as a healthcare skilled can typically develop efficient methods to handle them.Â
These can embrace therapeutic interventions, like ABA or medicinal choices.
Some sleep issues, corresponding to night time terrors, can severely disrupt sleep patterns, particularly in autistic youngsters. Melatonin or medicines could also be required to assist them sleep.
Supporting higher sleep for folks with autism
Night time terrors is usually a drawback, particularly for school-aged youngsters with autism. There might be many potential triggers for night time terrors, which suggests there’s no one-size-fits-all method to managing them. It’s vital to individualize every administration method for the individual battling night time terrors.

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Assist Your ASD Youngster Sleep Higher Now
Keep in mind that you’re not alone on this journey. Your beloved isn’t the primary autistic individual to expertise night time terrors. You aren’t the one caregiver caring for somebody fighting sleep issues.
Search assist for those who want it. There are assist teams able to information and encourage you and the one you love as you navigate the challenges of night time terrors collectively.
FAQs
Q: Is there a hyperlink between autism and night time terrors?
A: Autistic youngsters usually tend to undergo from night time terrors than usually growing youngsters. Sensory sensitivities, anxiousness, stress, disrupted sleep patterns, and melatonin dysfunction can all contribute to nighttime terrors in youngsters with autism.
Q: What are the sleep issues linked to autism?
A: There are a number of sleep issues linked to autism, together with insomnia, obstructive sleep apnea, and circadian rhythm issues.
Q: Are nightmares a symptom of autism?
A: Anybody can expertise nightmares. Nonetheless, it has been proven to be a symptom of autism spectrum dysfunction. Analysis discovered greater than 40% of adults and kids with ASD skilled nightmares.
Q: At what age do sleep issues begin with autism?
A: Most dad and mom start noticing sleep issues in youngsters with ASD round 30 months of age when they’re usually toddlers. Nonetheless, relying on the person little one and the place they could fall on the autism spectrum, sleep disturbances could manifest earlier or later than 30 months.
References
Cromer, L. D., Barlaan, D. R., Pruiksma, Okay., Davis, J. L., & Buck, T. R. (2023). Case examine. Cognitive-behavioral remedy for nightmare dysfunction in a youth with comorbid autism spectrum dysfunction. In Handbook of Lifespan Cognitive Behavioral Remedy (pp. 441-447)
Mughal, R.; Wong, S.S.; Dimitriou, D.; Halstead, E. Nightmares in Kids with Foetal Alcohol Spectrum Issues, Autism Spectrum Issues, and Their Sometimes Growing Friends. Clocks & Sleep 2021, 3, 465-481.
Pellegrini, E., Scarpelli, S., Alfonsi, V., Gorgoni, M., Pazzaglia, M., & De Gennaro, L. (2025). Behind Closed Eyes: Understanding Nightmares in Kids and Adolescents with Autism Spectrum Dysfunction–A Systematic Assessment Neuroscience & Biobehavioral Critiques, 106012.
Schreck, Okay. A., & Schreck, R. E. (2020). The distinctive affiliation of autism spectrum dysfunction with sleep issues. Sleep difficulties and issues in autism spectrum dysfunction, 3-28. https://books.google.com/books?hl=en&lr=&id=ticDEAAAQBAJ&oi=fnd&pg=PA3&dq=night time+terrors+and+autism&ots=6iGwZ26tYb&sig=gDENPOSI4xIpdEanKI3AbF8c_M4
Sidhu, N., Wong, Z., Bennett, A. E., & Souders, M. C. (2024). Sleep Issues in Autism Spectrum Dysfunction. Pediatric Clinics, 71(2), 253-268. https://www.pediatric.theclinics.com/article/S0031-3955(24)00006-3/summary