I have a couple of non-REM parasomnias - night terrors and hallucinations.
Hallucinations involving insects, animals and people are very common in those who experience night time hallucinations. And it’s not just people with PTSD/trauma backgrounds who experience these sorts of parasomnias.
My therapist thinks my night time activity is some kind of response/expression of trauma-related anxiety.
The sleep dr - a neurologist - doesn’t go for a psychological/trauma/repressed emotion explanation at all. Explanation at the sleep clinic is around the brain not cleanly transitioning through different sleep stages - there’s research to suggest a mismatch of some parts of the brain waking up and not others, so non-REM parasomnias such as ‘seeing things’ as we hallucinate, or sleep walking or eating while asleep happen when our brains are in an in-between, limbo state - neither fully aroused/conscious or fully asleep.
I’m fine with the fact that they both come at it from a different angle. I quite like diving in to sleep stuff with my T (either about this stuff or dreams/nightmares) because it usually takes us somewhere interesting and, in the case of bad dreams, it can offer an easier in for me to bring up and talk about some difficult stuff.
But since the sleep dr is a sleep specialist who knows what there is to know about the brain and sleep (still an area with so many unknowns) and my therapist isn’t specialist, I feel more inclined to go with his research and see this as something happening in my brain but not a psychological thing connected to past experiences. It has been a bit freeing to accept that it’s not something I have to make sense of in terms of trying to join dots and connect them to my experiences/feelings in order to resolve the problem.
However, it is thought that sleep deprivation and stress are potential triggers for those who have non-REM parasomnias. So, if you’re not sleeping well (which could be a catch 22 because you’re having hallucinations!) or if you’re stressed (eg processing a lot of trauma, holding on to lots of emotions, having tough therapy sessions etc) that may exacerbate/increase the occurrences.
Non-REM parasomnias tend to happen in the early part of the night. Mine are often within an hour of falling asleep.
Non-REM parasomnias can (but don’t have to) run in families, though the symptoms can be different. Eg your parent may sleep walk, you may hallucinate.
One other thing to mention - when I did my overnight sleep study at the sleep disorder clinic, I didn’t hallucinate or have a night terror but it did show that I have sleep apnoea. So they started by trying to treat that as that can cause non-REM parasomnias - the apnoea (the time you’re not breathing) can stir you out of sleep as you then start breathing again but, again, it can leave you in a weird in-between state, which is ripe for things like hallucinations and night terrors to happen.
My apnoea wasn’t bad, it was only just in the bracket of what they would treat. I couldn’t get on with the CPAP machine and I did still have some hallucinations/night terrors while using it and having a mask on and forceful air whooshing into my mouth made my panic worse, so we agreed that I should discontinue use.
Since January this year I have been taking melatonin and it has settled my hallucinations/night terrors down. I still have them but only very occasionally. They are definitely less frequent now. It’s supposed to work by consolidating the time I spend in the different sleep stages. I certainly think it has worked and helped me.
For me with where I’m at now with mine, I’d say perhaps don’t worry too much about trying to work out what the hallucinations mean psychologically. Perhaps do a bit of research into non-REM parasomnias and maybe even see if you can make it to a sleep disorders clinic. And you might want to try melatonin. Here in the UK it’s only available on prescription but in some countries I know you can easily buy it in a store. It could be worth a try? But just as a warning - it gave me crazy intense dreams for about three weeks when I first started taking it but that did then settle right down.
Sorry for long post but so much of your post resonated with me so I wanted to share what I’d learned/tried in case any of it is helpful to you.
Im actually seeing a psychologist at the sleep clinic today so will post here again if I learn anything else that could be of use/interest.