Dream Anxiety Disorder - Meaning, Causes, Symptoms, And Treatments.

Do you want to know the meaning of dream anxiety disorder? The causes, symptoms, and treatments?...

Anxiety
March 21, 2025

Do you want to know the meaning of dream anxiety disorder?

The causes, symptoms, and treatments?

Have you ever had trouble sleeping at night?

Do you experience frequent disturbing dreams when you sleep?

If you are, you may be living with a form of anxiety called " dream anxiety disorder or nightmare disorder"'.

What Is The Meaning Of Dream Anxiety Disorder?

Dream anxiety disorder, also called nightmare disorder, is a mental health condition characterized by excessive or inappropriate fear of miseries.

Nightmare disorder is a distressing pattern of repeated dysphoric and vivid dreams.

The theme of the disorder tends to consist of threats to survival, security, and physical well-being (Kamron A, 2021).

The third edition of the International Classification of Sleep Disorders (ICSD) has classified dream anxiety disorder as a parasomnia usually associated with rapid eye movement (REM) sleep.

This disorder affects about 4% of adults, as a part of other disorders such as posttraumatic stress disorder (PTSD), and can significantly degrade the quality of life.

This mental health condition is characterized by difficulty maintaining sleep continuity or poor sleep quality.

A person with a dream anxiety disorder may experience intense feelings of fear or distress during the day because they have had a nightmare the night before.

They may also avoid going to sleep because they are afraid of having monsters and becoming anxious when they wake up.

By Frequency

  • Acute - nightmare lasts less than a month.
  • Subacute - nightmare lasts more than a month but less than four months.
  • Persistent - nightmare lasts more than three months.

By Severity

  • Mild - experiences nightmares between 1-2 times a week.
  • Moderate - experiences nightmares between 3-4 times a week
  • Severe - experiences frequent or nightly nightmares.

What Are The Causes Of Dream Anxiety Disorders?

There are different causes of dream anxiety disorders. However, scientists have classified the major causes into medical conditions, psychological conditions, and other factors (Bibek, 2021).

Medical Conditions

These causes can include

  • Neurologic: headache, stroke, restless leg syndrome, central sleep apnea.
  • Endocrine: menopause, pregnancy, diabetes mellitus.
  • Pulmonary: obstructive sleep apnea, asthma.

Psychological Conditions

These causes can include

  • Depression: dream anxiety is prevalent among depressed people. They find it difficult to fall asleep and maintain sleep.
  • Anxiety and stress: people living with anxiety also find it difficult to maintain sleep. While sometimes, the ordinary stresses from daily life activities can trigger nightmares.
  • Post Traumatic Stress Disorder (PTSD): past traumatic activities such as accidents, war, rape, and the death of one's beloved can also trigger sleep disorders.
  • Medications: antidepressants such as Benzodiazepines may result in severe parasomnia, especially in the elderly.
  • Substance abuse: excessive consumption of alcohol and drugs can result in frequent nightmares.

man laying in bed awake with his hand over part of his face

Other Factors

These causes include

  • Horror books and movies: for some people, especially children, reading scary books or seeing horror movies at night can trigger dream anxiety.
  • Childhood trauma: childhood trauma, such as a family crisis, can be associated with the cause of nightmares.
  • Aging: almost half of the elderly population find it difficult to maintain sleep, as early adverse events can hunt them.

What Are Common Symptoms Of Dream Anxiety Disorder?

How do you know if you have dream anxiety? A study conducted in 2008 also indicated that the condition might be associated with borderline personality disorder (BPD). The symptoms can be generally brief, but they can cause you to be awake, and returning to sleep might be difficult.

Common symptoms include:

  • Poor concentration at school or the workplace because you can't stop thinking of the images in your dreams
  • Scared of going to sleep at night
  • Your dream often awakes you during the night.
  • You feel afraid, anxious, angry, sad, or disgusted due to your dream.
  • You feel clammy or have a pounding heartbeat while in bed.
  • You can think undoubtedly upon awakening and can reminisce details of your dream.
  • Your dream causes despair that retains you from falling back to sleep fast.
  • Daziness during the daytime.
  • Fatigue or low energy
  • Fear of the dark
  • Impaired interpersonal/social function.

Treatment Approaches

An occasional dream anxiety disorder does not require treatment. However, doctors can treat chronic nightmare disorder in several ways to constrain the frequent occurrences of disturbing dreams. Two major approaches employed to treat this illness are the behavioral and pharmacological approaches.

Behavioral Treatment Approach For Dream Anxiety Disorder

Some of the techniques employed under this section to treat nightmares include:

Image Rehearsal Therapy (IRT)

IRT is a form of modified cognitive-behavioral therapy technique that involves altering the content of a disturbing sleep by creating a new set of positive images. The approach is based on the belief that rewriting the imagery during the day will help influence the dreams at night.

Cognitive Behavioral Therapy (CBT)

The CBT technique is used to modify a person's dysfunctional thoughts, emotions, and behaviors. The goal is to adapt your mindset and behavior by treating your distorted feelings or thoughts.Other behavioral techniques include lucid dreaming, sleep dynamic therapy and self-exposure therapy.

Pharmacological Treatment Approach For Dream Anxiety Disorder

To pharmacologically treat nightmare or dream anxiety disorder, the America Academy of Sleep Medicine (AASM) recommends the following medications:

  • Prazosin
  • Nitrazepam
  • Triazolam

Any of the following can be prescribed for the treatment of PSTD-associated nightmares.

  • Olanzapine
  • Risperidone
  • Aripiprazole
  • Clonidine
  • Cyproheptadine
  • Fluvoxamine
  • Gabapentin
  • prazosin
  • Topiramate
  • Trazodone
  • Tricyclic antidepressants
  • Nitrazepam and triazolam
  • Venlafaxine

You can find detailed information on the drugs mentioned above here.

Conclusion

Dream anxiety disorder is a form of sleep disorder often caused by PTSD.

The disorder is classified by DMS-5 into frequency and severity and can be treated with various techniques and medications.

Author
Jennifer Luttman, LPC, ACS

I am a Licensed Professional Counselor, and owner of Overcomers Counseling. I'm dedicated to helping individuals find strength and healing through life’s challenges. With a deep understanding of mental health and years of professional experience, I specialize in fostering hope and resilience while equipping her clients with tools to thrive. Passionate about empowering others, she creates a safe, supportive space where everyone feels seen, valued, and capable of overcoming obstacles on their path to well-being.

Common Questions about Anxiety

What can happen if I don't seek help for my anxiety?

Ignoring anxiety can exacerbate symptoms and make it more challenging to manage over time. This can result in a negative impact on your personal, professional, and social life, leading to feelings of isolation and even depression.

How long does anxiety counseling typically take?

The duration of anxiety counseling varies for each individual, depending on the severity of their anxiety and their progress in therapy. Our therapists will regularly assess your progress and adjust your treatment plan as needed.

Why is it important to address anxiety?

Addressing anxiety is crucial because it can significantly impact your quality of life and overall well-being. Left untreated, anxiety can lead to more severe mental health issues, relationship problems, and difficulty functioning in daily life.

Will medication help with my anxiety?

Medication is often prescribed for anxiety due to the fact that it works quickly to ease symptoms of distress or panic attacks in some cases. However, this should always be discussed with your doctor so they can provide guidance on what's right for you and the type of medication best suited for your needs.

What can I do to reduce my anxiety?

To reduce your anxiety, you can practice relaxation techniques such as deep breathing, progressive muscle relaxation, guided imagery, and mindfulness practices. Additionally, regular exercise has been found to be beneficial in managing stress and improving mental health.

What other activities are beneficial for reducing anxiety symptoms?

Other activities which have been found helpful in reducing both immediate feelings of anxiousness and long-term anxieties associated with chronic disorders include yoga, journaling, nature walks, art therapy, volunteering, and other low-stress activities. Additionally, developing a healthy lifestyle incorporating adequate sleep, physical activity, and nutritious meals can help reduce overall stress levels.