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Nighttime Frights — Can Sleep Apnea Give You Nightmares?

September 23, 2025

Woman frowning during sleep, experiencing a nightmare

Nightmares can leave you feeling shaken and unsettled, making restful sleep seem out of reach. If you find that bad dreams happen more often than you would like, you might wonder if something more than stress or a scary movie is at play. One surprising factor that can influence the frequency and intensity of nightmares is sleep apnea. How are these issues connected? Continue reading this blog post to discover some fascinating information.

What Is Sleep Apnea?

Sleep apnea is a disorder that causes your breathing to stop and start repeatedly during the night. These interruptions in airflow lower the oxygen levels in your brain and disrupt your natural sleep cycle. As a result, you might not get the restorative sleep your body needs. Common symptoms of sleep apnea include:

  • Waking up multiple times throughout the night
  • Feeling tired or having trouble focusing during the day
  • Loud snoring or gasping for air while asleep
  • Headaches upon waking up in the morning
  • Dry mouth or sore throat after sleep

Beyond leaving you exhausted, sleep apnea carries serious health risks. For example, it increases your likelihood of experiencing heart attacks, strokes, high blood pressure, and diabetes. It can even play a role in the frequency and intensity of nightmares.

How Sleep Apnea Can Cause Nightmares

Research reveals a strong connection between sleep apnea and nightmares. Each time your breathing stops, your body reacts with a stress response, which often causes you to wake up suddenly. These abrupt awakenings usually occur during REM sleep, the sleep stage most associated with vivid dreams and nightmares. Because you wake up in the middle of these intense dreams, they may feel even more memorable and disturbing.

Additionally, some individuals with sleep apnea report dreams that involve suffocation or feelings of choking. These themes likely arise from the breathing pauses that occur during sleep and your body’s efforts to restore normal oxygen levels.

Another factor that might contribute to nightmares is the fact that poor quality sleep disrupts your ability to regulate emotions, which can increase anxiety. Higher anxiety levels often lead to more frequent and intense nightmares, creating a cycle that is difficult to escape.

What Steps Can You Take for Better Sleep?

If sleep apnea is causing your nightmares, there are actions you can take that may improve your sleep and reduce bad dreams:

  • Speak with a healthcare provider to receive an accurate diagnosis. A sleep test can determine if you have sleep apnea and how severe it is.
  • Follow the treatment plan your provider recommends. This may involve CPAP therapy, oral appliances, or making lifestyle changes. Sticking to your treatment will help restore normal breathing patterns and improve sleep quality.
  • Address any underlying mental health concerns that could contribute to nightmares. If you struggle with anxiety, PTSD, or related issues, support from a mental health professional can make a significant difference.
  • Cut back on caffeine and alcohol, especially before bedtime, as these substances can worsen both sleep apnea and nightmare frequency.
  • Maintain a healthy weight and stay active. Regular exercise and a balanced diet can lessen the severity of sleep apnea and support better rest.

Find Relief from Nightmares Linked to Sleep Apnea

Sleep apnea can make nightmares more frequent and intense, but you do not have to accept restless nights as your new normal. By recognizing the signs of sleep apnea and taking proactive steps to address it, you give yourself the best chance of peaceful sleep and more pleasant dreams.

Meet the Practice

At SleepMed Solutions, our team of three experts — including a physician’s assistant, a sleep dentist, and our medical director who has both a dental and medical degree — work together to help patients find freedom from sleep apnea. If you are struggling with poor quality sleep, we would be happy to consult with you and recommend your next steps. Contact our Greensboro office at 336-907-7773.