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People physically act out vivid dreams (kicking, punching, talking). Common in some Parkinson’s-related disorders and Lewy body dementia. Can also occur without dementia.
2. Lewy Body Dementia
Vivid, detailed dreams and dream-like hallucinations are common early symptoms. Often accompanied by changes in alertness, movement issues, or fluctuations in thinking.
3. Other Dementias
Alzheimer’s and frontotemporal dementia can cause confusion between dreams and reality, but it usually appears in later stages.
In early dementia, it’s more common to have daytime confusion rather than purely dream-related confusion.
4. Medication Side Effects
Some drugs — especially sleep aids, antidepressants, Parkinson’s medications, or even certain blood pressure meds — can cause vivid dreams and morning confusion.
5. Sleep Disturbances & Other Causes
Sleep apnea, poor sleep quality, or high stress can make dreams more vivid and leave the brain in a fog upon waking.
Infections (like a urinary tract infection in older adults) can cause short-term confusion that may mix dream and reality.
When to Be Concerned...
See a doctor if:
The confusion about dreams happens often and lasts well after waking. There are memory changes, difficulty with problem-solving, or disorientation during the day.
There are hallucinations (seeing or hearing things while awake). You notice changes in walking, balance, or facial expression along with dream confusion."
According to "Google" "experiencing persistent confusion between dreams and reality, know as oneirophrenia, can be a symptom associated with dementia. This symptom is more commonly seen in Lewy Body dementia, where it can be accompanied by REM sleep behavior disorder(acting out in dreams). However it can also occur in other types of dementia and even with organic brain damage." But..."It's crucial to understand that experiencing oneirophrenia alone does not definitively indicate dementia. However, it's a symptom that, when coupled with other potential signs of cognitive decline, warrants further investigation by a medical professional." And other causes of oneirophrenia can be delirium, certain medications or other neurological conditions, so if you're concerned about this, please have your husband checked out by his doctor.
These may not be dreams but night hallucinations. It, other than his poor balance, was the first sign of my brother's Lewy's Dementia. He was awake at the time he had these "vivid dreams" and they often occurred when he had been up to the bathroom and was returning to bed. He would describe completely vivid and well remembered hallucinations: a garden party outside around his pool (he had no pool) in which he could describe in great detail every person. An immigrant woman in brown monk-like robes, huddling in his corner trying to protect her baby, and etc. I would watch for other problems such as gait changes, poor balance, decreased swallow, confusion in executive functioning (paying bills, addressing things), poor driving decisions, etc. My brother's Lewy's was diagnosed by his symptoms as "probable early Lewy's Dementia. He was dead within a year and one half, and it did not appreciably increase in that time. There were some vision changes as to perspective of how far away or how close things were, etc. He was a wonder at describing "his new world" and how he saw it.
I wish you luck. This is no diagnosis. But it is something to watch closely. Perhaps discuss with doc at next checkup.
My husband had very vivid dreams that he said would continue while he was awake (using the bathroom at night) he could go back to sleep and continue the dream. One evening he woke me up and said he was seeing vapor trails out of the sides of his eyes. Flowing lines of colors. That was enough for me to take him to the ER. MRI showed the beginning of Frontal Temporal Dementia. That was five years ago. Talk to his doctor about your concerns. Neurologist appointment is a very good idea. It might take months to see one.
I had and would have continued to have VERY BAD dream all my life. The dreams would continued even after I woke up and often all through the day. I am not saying that isn't dementia...just that it was a problem for me, I do not have dementia. But, a med called Mini already of prozocin. It has changed my life! I won't bring that up to the doctor too.
Prazosin, originally developed to treat high blood pressure, has been shown to be effective in reducing nightmares associated with post-traumatic stress disorder (PTSD). It works by blocking alpha-1 adrenergic receptors in the brain, which helps reduce excessive norepinephrine activity associated with trauma-related nightmares. How it's used Prazosin is typically prescribed off-label for PTSD-associated nightmares. Treatment is individualized. Effectiveness can be seen within days to weeks, with patients reporting fewer and less intense nightmares, and improved sleep quality. Potential benefits Reduced frequency and intensity of nightmares. Improved sleep quality. Doesn't cause sedation or addiction, unlike traditional sleep medications. Side effects Common side effects include dizziness, headaches, drowsiness, weakness, and low blood pressure. Rarely, prazosin might worsen nightmares or insomnia in some individuals, particularly in complex cases or with pre-existing psychiatric conditions. Patients should be advised to take the initial administration at bedtime while lying down and rise slowly to minimize the risk of dizziness. Important considerations Although studies have shown positive results, the evidence base is relatively small, with ongoing research continuing to refine the understanding of prazosin's efficacy. The effectiveness may vary among individuals, and some may not experience significant relief from nightmares with prazosin. It's crucial to discuss the risks and benefits with a healthcare professional to determine if prazosin is an appropriate treatment option. Alternatives to prazosin for treating nightmares include other medications like trazodone, clonidine, and atypical antipsychotics, as well as therapies like trauma-focused psychotherapy. Combining medication with trauma-focused psychotherapy often provides better results than either approach alone.
Hello - my dad was having these horrible dreams, he would call me at 4 am - he lives with me - telling me to come get him, asking where I was, seeing people who weren't listening to him and this would cause him distress - nurses would say have him tested for a UTI - which we had done but always no infection. Then I couldn't wake him one day and the nurse told me to take him to the hospital, and it turned out he had a terrible blood infection, he was on 5 days of IV antibiotics and 48 days of oral antibiotics, once the infection was contained, the dreams, the seeing people, the phone calls at 4 am stopped. I would suggest speaking to his doctor and making sure there isn't an infection anywhere, not just a UTI - infections present differently in older people.
This is an excellent piece of advice. My very elderly Aunt woke up with "flipped vision" -- which can be a neurological symptom of sepsis. It turns out she had an untreated cat bite on a part of her leg that no one knew about. She did not have any cognitive impairment. She spent a week in the hospital on antibiotics and it cleared up.
Wild dreams could occur after a spicy meal or new medication! You find out if a person has dementia by taking them to a neurologist, who runs tests and orders an MRI.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Possible Causes...
1. REM Sleep Behavior Disorder (RBD)
People physically act out vivid dreams (kicking, punching, talking).
Common in some Parkinson’s-related disorders and Lewy body dementia.
Can also occur without dementia.
2. Lewy Body Dementia
Vivid, detailed dreams and dream-like hallucinations are common early symptoms.
Often accompanied by changes in alertness, movement issues, or fluctuations in thinking.
3. Other Dementias
Alzheimer’s and frontotemporal dementia can cause confusion between dreams and reality, but it usually appears in later stages.
In early dementia, it’s more common to have daytime confusion rather than purely dream-related confusion.
4. Medication Side Effects
Some drugs — especially sleep aids, antidepressants, Parkinson’s medications, or even certain blood pressure meds — can cause vivid dreams and morning confusion.
5. Sleep Disturbances & Other Causes
Sleep apnea, poor sleep quality, or high stress can make dreams more vivid and leave the brain in a fog upon waking.
Infections (like a urinary tract infection in older adults) can cause short-term confusion that may mix dream and reality.
When to Be Concerned...
See a doctor if:
The confusion about dreams happens often and lasts well after waking.
There are memory changes, difficulty with problem-solving, or disorientation during the day.
There are hallucinations (seeing or hearing things while awake).
You notice changes in walking, balance, or facial expression along with dream confusion."
Source: ChatGPT
However it can also occur in other types of dementia and even with organic brain damage."
But..."It's crucial to understand that experiencing oneirophrenia alone does not definitively indicate dementia. However, it's a symptom that, when coupled with other potential signs of cognitive decline, warrants further investigation by a medical professional."
And other causes of oneirophrenia can be delirium, certain medications or other neurological conditions, so if you're concerned about this, please have your husband checked out by his doctor.
I would watch for other problems such as gait changes, poor balance, decreased swallow, confusion in executive functioning (paying bills, addressing things), poor driving decisions, etc. My brother's Lewy's was diagnosed by his symptoms as "probable early Lewy's Dementia. He was dead within a year and one half, and it did not appreciably increase in that time. There were some vision changes as to perspective of how far away or how close things were, etc. He was a wonder at describing "his new world" and how he saw it.
I wish you luck. This is no diagnosis. But it is something to watch closely. Perhaps discuss with doc at next checkup.
Talk to his doctor about your concerns. Neurologist appointment is a very good idea. It might take months to see one.
Prazosin, originally developed to treat high blood pressure, has been shown to be effective in reducing nightmares associated with post-traumatic stress disorder (PTSD). It works by blocking alpha-1 adrenergic receptors in the brain, which helps reduce excessive norepinephrine activity associated with trauma-related nightmares.
How it's used
Prazosin is typically prescribed off-label for PTSD-associated nightmares.
Treatment is individualized.
Effectiveness can be seen within days to weeks, with patients reporting fewer and less intense nightmares, and improved sleep quality.
Potential benefits
Reduced frequency and intensity of nightmares.
Improved sleep quality.
Doesn't cause sedation or addiction, unlike traditional sleep medications.
Side effects
Common side effects include dizziness, headaches, drowsiness, weakness, and low blood pressure.
Rarely, prazosin might worsen nightmares or insomnia in some individuals, particularly in complex cases or with pre-existing psychiatric conditions.
Patients should be advised to take the initial administration at bedtime while lying down and rise slowly to minimize the risk of dizziness.
Important considerations
Although studies have shown positive results, the evidence base is relatively small, with ongoing research continuing to refine the understanding of prazosin's efficacy.
The effectiveness may vary among individuals, and some may not experience significant relief from nightmares with prazosin.
It's crucial to discuss the risks and benefits with a healthcare professional to determine if prazosin is an appropriate treatment option.
Alternatives to prazosin for treating nightmares include other medications like trazodone, clonidine, and atypical antipsychotics, as well as therapies like trauma-focused psychotherapy.
Combining medication with trauma-focused psychotherapy often provides better results than either approach alone.