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Nightmares and Parasomnias
Virtual visit

Nightmares and Parasomnias

Get expert care for your nightmares or parasomnias by completing a brief questionnaire and video consult with our medical team.

Licensed providers in all 50 states

Expert-guided, evidence-based treatments

Skip the trip to the doctor's office

Visit options

We'll check any insurance and show you your options before you book.

Video Visit

$25

Est. or $100 w/o insurance

Chat Visit

$30

w/o insurance

Most insurance accepted

Board-certified

No hidden fees

Available nationwide

What to expect from a Nightmares and Parasomnias visit

1

Share your health story

Answer a few questions about your goals and concerns. And, we'll gather your full health history from past providers.

2

Meet your clinician

Pick a time that works for you to speak with a licensed clinician. They'll review your health story beforehand, so your visit can be used to listen and dig deeper.

3

Get your care plan

Leave with clear next steps and a personalized care plan. If you need medication, labs, or to see a specialist, your clinician will take care of the details for you.

4

Own your health

Track your progress, schedule follow-ups, and adjust care as your needs evolve. Your care team and General AI is only a few taps away.

Virtual visit with clinician

Ongoing support, always available.

You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

Reasons to book your nightmares and parasomnias visit

Disturbing dreams or unusual sleep behaviors that disrupt your rest are worth evaluating. This visit identifies what type of parasomnia is involved and whether treatment is needed.

You have frequent, distressing nightmares that are affecting your sleep quality

You or a bed partner has witnessed unusual behaviors during sleep — talking, moving, or acting out dreams

Nightmares started after a trauma or a medication change

You wake up in a panic with no memory of what triggered it

Sleep disruption from nightmares is affecting your mood or daytime functioning

You want to know whether medication, therapy, or a sleep study is the right next step

What our customers have to say

“I feel like I’m finally on the right path to improving my health with the right support now! It’s so refreshing and reassuring.”

Emerald

“My experience with General Medicine was amazing. The understanding and care that was taken to figure out what is exactly going on with me. I feel like a weight has been lifted off of me.”

Kaylee

“I couldn’t be happier with my experience with General Medicine! They are fast, responsive, kind and knowledgeable. It is much easier, more affordable and faster.”

Nika

Get the care you need, without the wait.

Frequently Asked Questions

What is the difference between nightmares and night terrors?

Nightmares occur during REM sleep — causing vivid, frightening dreams that typically awaken the sleeper with clear recall of the dream. Night terrors (sleep terrors) are NREM parasomnias — occurring in deep sleep, with the person appearing agitated or screaming but being difficult to wake and having no dream recall. They are more common in children.

When do nightmares require clinical evaluation?

Evaluation is appropriate when nightmares are frequent (multiple times per week), causing significant distress or sleep avoidance, associated with daytime PTSD symptoms, beginning after a new medication, or severely disrupting sleep quality. Nightmare disorder — clinically significant nightmare frequency — has effective treatments.

Can medications cause nightmares?

Yes — beta-blockers, certain antidepressants, melatonin at high doses, varenicline, and some blood pressure medications are known to cause vivid dreams and nightmares. If nightmares began around a medication change, a clinical review is appropriate. Often, timing adjustment or a switch to an alternative resolves the problem.

What treatments are available for PTSD-related nightmares?

Prazosin — an alpha-1 blocker — has the strongest evidence for reducing PTSD-related nightmares and improving sleep. Image rehearsal therapy (IRT) — a cognitive behavioral technique involving rewriting and mentally rehearsing a revised dream — is highly effective and durable. Trauma-focused therapy addresses the underlying PTSD.

What side effects are associated with nightmare treatments?

Prazosin may cause low blood pressure and dizziness — starting at a low dose minimizes this. Image rehearsal therapy carries no physical side effects. REM sleep behavior disorder (a different parasomnia with dream-enactment behaviors) is treated with clonazepam or melatonin, each with their respective side effect considerations. Nightmares and Parasomnias visit What to expect from a Nightmares and Parasomnias visit
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