What is sleep paralysis?

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Last updated: May 6, 2025View editorial policy

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From the Research

Sleep paralysis can be effectively managed with a combination of lifestyle modifications and, in severe cases, pharmacologic interventions, such as selective serotonin reuptake inhibitors (SSRIs), with escitalopram being a promising option 1. To manage sleep paralysis, it is essential to maintain a regular sleep schedule with 7-9 hours of sleep nightly and create a relaxing bedtime routine. Avoiding alcohol, caffeine, and heavy meals before bed can also help reduce episodes. Sleeping on your side rather than your back may reduce episodes, and stress management techniques like meditation can help, as stress and sleep deprivation are common triggers. Some key points to consider in managing sleep paralysis include:

  • Maintaining a consistent sleep schedule
  • Avoiding stimulants and heavy meals before bedtime
  • Practicing stress management techniques
  • Considering pharmacologic interventions, such as SSRIs, in severe cases If episodes are frequent or severe, consulting a doctor who might recommend a sleep study or prescribe medications like SSRIs in some cases is crucial. Most episodes resolve on their own within seconds to minutes. During an episode, remaining calm and focusing on controlling small movements like wiggling fingers or toes can help break the paralysis. Sleep paralysis is generally harmless though frightening, often accompanied by hallucinations or a sense of pressure on the chest, as noted in studies on the condition 2.

References

Research

Escitalopram for recurrent isolated sleep paralysis.

Journal of sleep research, 2020

Research

A clinician's guide to recurrent isolated sleep paralysis.

Neuropsychiatric disease and treatment, 2016

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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