Sudden nighttime awakenings are often associated with generalized anxiety, panic disorders, PTSD, social fears and compulsive-obsessive disorders. Treatment that helps with sleep will also lessen symptoms that happen with these things.

Anxiety is an intense fear or discomfort that reaches a peak withing 10 minutes. It would include four or more symptoms of: pounding heart, sweating, shortness of breath, choking feeling, chest pain, nausea, dizzy, detachment, fear of losing control, fear of dying, numbness, or hot flashes. Anxiety and worry go with three or more of the following (for children-only one is needed):

· Restlessness or on edge

· Being easily fatigued

· Difficulty concentrating

· Irritability

· Muscle tension

· Sleep disturbance:

Difficulty falling or staying asleep

Restless, unsatisfying sleep

Social fears is anxiety of being in places or situations from which escape is difficult or embarrassing. This commonly happens when being away from home, in a crowd, standing in line, being on a bridge, or traveling in a bus, train or automobile.

Panic attacks can occur with or without social fears. Just having fear of having another panic attack can create one.

PTSD or Post Traumatic Stress Disorder has symptoms of increased arousal (not present before a trauma) which is expressed by two or more of:

· Difficulty falling or staying asleep

· Irritability or outbursts of anger

· Difficulty concentrating

· Hypervigilance

· Exaggerated startle response

Obstructive sleep apnea is very common with PTSD. Improved sleep and sleep hygiene will greatly improve these conditions.

Sleep Apnea Side Effects

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