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Hypnagogia is the transitional state from wakefulness to sleep, also defined as the waning state of consciousness during the onset of sleep. (Its corresponding state is hypnopompia –sleep to wakefulness.) Mental phenomena that may occur during this "threshold consciousness" include hallucinations, lucid dreaming, and sleep paralysis.
Sleep paralysis may include hallucinations, such as an intruding presence or dark figure in the room. These are commonly known as sleep paralysis demons. It may also include suffocating or the individual feeling a sense of terror, accompanied by a feeling of pressure on one's chest and difficulty breathing. [9]
Its mirror is the hypnagogic state at sleep onset; though often conflated, the two states are not identical and have a different phenomenological character. Hypnopompic and hypnagogic hallucinations are frequently accompanied by sleep paralysis, which is a state wherein one is consciously aware of one's surroundings but unable to move or speak.
Onset insomnia is characterized by difficulty falling asleep at night, leaving people tossing and turning for hours. Maintenance insomnia involves the inability to stay asleep throughout the night ...
Hypnagogic hallucinations can occur as one is falling asleep and hypnopompic hallucinations occur when one is waking up. Hallucinations can be associated with drug use (particularly deliriants), sleep deprivation, psychosis, neurological disorders, and delirium tremens. Many hallucinations happen also during sleep paralysis. [15]
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