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Nightmares in Narcolepsy Are Way Worse Than You Think (And We Can Rewrite Them)

Episode 115 Published 1 week ago
Description

Narcolepsy isn’t just about “falling asleep at the wrong time.” For many patients, the scariest part is what happens inside their sleep—long, vivid, emotionally intense nightmares that can blur into sleep paralysis, hallucinations, and even waking life.

In this episode of Sleep Is My Waking Passion, Dr. Alison Kole sits down with clinical psychologist and sleep researcher Dr. Jennifer Mundt (University of Utah) to unpack a symptom almost no one is talking about: nightmares in narcolepsy—and how cognitive behavioral therapy for nightmares (CBT-N) and imagery rehearsal techniques may help rewrite them.

You’ll learn:

  • How narcolepsy nightmares differ from typical “bad dreams”
  • Why dream-reality confusion and lucid dreaming can make these episodes feel dangerously real
  • What current research suggests about nightmare burden in narcolepsy, type 1 and type 2, and idiopathic hypersomnia
  • How CBT-N and imagery rehearsal therapy work, step by step, and how they can be adapted for excessively sleepy patients
  • How to learn more about Dr. Mundt’s DAWN Study and remote participation options

This episode is essential viewing for:

  • Clinicians treating narcolepsy, idiopathic hypersomnia, or trauma-related sleep disorders
  • Researchers interested in REM dysregulation, dream phenomenology, and behavioral sleep medicine
  • Patients and families living with narcolepsy, sleep paralysis, and disturbing dreams

If you’re ready to look beyond medications and explore how behavioral treatment might change the dream landscape in narcolepsy, start here.

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