Dreams, Nightmares, Night Terrors
The human brain is a mysterious mass of neurons. We are still not clear about how and why it operates like it does. The question of whether dreams actually have a physiological, biological or psychological function has yet to be answered.
Sleep consists of two parts: rapid eye movement sleep (REM) (துரித கண் இயக்க தூக்கம்) and non rapid eye movement (NREM) (துரித கண் இயக்கமல்லாத் தூக்கம்). During about eighty percent of your sleeping hours, you are in increasingly deep stages of NREM sleep, during which time your heart rate and breathing become slower and more regular and your cerebral cortex (பெறு மூளைப்புறணி) —the outer shell of the brain—is dominated by high voltage, slow-wave activity (உயர் மின்னழுத்த மெது அலை).
Dreams work hand in hand with sleep to help the brain sort through everything it collects during the waking hours. During the day your brain is met with hundreds of thousands, if not millions of inputs (புறத்தூண்டுதல்) each day. Some are minor sensory (உணர்வு) details like the color of a passing car, while others are far more complex, like the powerpoint presentation you’re putting together for your job. The cerebral cortex is the largest structure in the brain and is associated with these thoughts and actions. During our waking hours it is actively involved and its electrical activity is low voltage (தாழ் மின்னழுத்த வேக அலைகள்) with very fast waves,”—the opposite of its activity during NREM sleep.
During sleep the brain is not required to focus on anything. Therefore during sleep the emotions of the day battle it out in our dream cycle. REM sleep gets its name from the rapid eye movements that are present during this phase. Though you are sleeping, the cortex is in an awake-like state, dominated by low voltage, fast-wave activity. REM sleep is believed to be the most active period for dreaming. During sleep, the brain works through all of the information collected during the day to decide what to keep and what to forget. Dreams play a role in this process.
You may be dreaming that you’re flying through the air, Or that you’re being chased by a gang of goondas. Or perhaps you’re chatting with a long-dead family member. If something is weighing heavily on your mind during the day, chances are you might dream about it either specifically, or through obvious imagery. For instance, if you’re worried about losing your job to company downsizing, you may dream you’re a shrunken person living in a world of giants, or you’re wandering aimlessly through a great desert.
When one clear-cut emotion is present during the day, dreams are often very simple. Thus people who experience trauma–such as an escape from a burning building, an attack or a rape–often have a dream something like, “I was on the beach and was swept away by a tidal wave.” It is obvious that the dreamer is not dreaming about the actual traumatic event, but is instead picturing the emotion, “I am terrified. I am overwhelmed.”
When the emotional state is less clear, or when there are several emotions or concerns at once, the dream becomes more complicated. In such instances, when you are going through a number of events in a day dreaming activates and reorganizes the recent experiences.
- The person wakes up during a dream feeling scared, anxious, angry, or sad
- The person can recall details of your dream
- The person is unable to go back to sleep easily
- The person suddenly sit up in bed in the middle of sleep, screaming, shouting, kicking or thrashing
- He / she is sweating, and breathing heavily, but is hard to awaken
- Whe awakened the person may be confused, get out of bed and run around the house or engage in violent behavior
- The person easily goes back to sleep but does not remember the dream after waking up in the morning.
Nightmares (கொடூர கனவுகள்) are vivid and terrifying dreams from which the person wakes up and is able to describe a detailed, horrifying, often bizarre dream plot. Usually, the dreamer has difficulty returning to sleep after a nightmare. Nightmares are more common in children. Contrary to popular belief, frequent nightmares in children do not suggest underlying psychopathology (உளவியல் கோளாறு). Nightmares are commonly seen in post-traumatic stress disorder (PTSD) (உளவியல் அதிர்ச்சி பின் விழைவு). Persons with PTSD generally report awakening from dreams that involve reliving the trauma. In these dreams, they experience strong emotions, such as rage, intense fear or grief, that would have been appropriate reactions to the original traumatic event. Nightmares can also be symptoms of more severe psychiatric disorders such as Depression (மனச்சோர்வு), schizophrenia (மனச் சிதைவு நோய்), panic disorder (பேரச்சக்கோளாறு), addiction (போதப் பொருமள் அடிமைக் கோளாறு) etc.
Night terrors (இரவு அலரல்) are nocturnal episodes of extreme terror and panic that occur early in the sleep period.They are associated with autonomic discharge, confusion and vocalizations, often a “blood-curdling” scream. Persons with night terrors start screaming while asleep. They are difficult to wake up, and if woken up, they are confused and disoriented. They go back to sleep after a while in the morning they cannot recall anything that happened during the night. Night terrors are often associated with drug abuse and bipolar affective disorders (இருதுருவ உணர்சிக் கோளாறு).Epilepsy (மூளை அதிகிளர்ச்சி / கால் கை வலிப்பு) during sleep can mimic nightmares, nigh terrors or REM behavior disorder.
Some people suffer from REM behavior disorder (RBD) (துரித கண் இயக்க நடத்தை சீர்குலைவு) act out their dreams. They physically move limbs or even get up and engage in activities associated with waking. Some engage in sleep talking, shouting, screaming, hittting or punching. Some even jump or fall out of bed while sleeping! For most people, their bodies are still even when they are having vivid dreams in which they imagine they are active. But, persons with RBD lack this muscle paralysis, which permits them to act out dramatic and/or violent dreams during the REM stage of sleep. The good news is that this disorder is very easily treatable with simple medicines.
Therefore, it is important that disorder of dreaming (கனவுக் கோளாறுகள்) are properly diagnosed by a neuro psychiatrist (மூளை-மன நல மருத்துவர்) and treated early before other complications set in.