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Published on: 11/21/2025

What is the difference between REM Sleep Behavior Disorder (RBD) and nightmares where you talk or shout?

REM Sleep Behavior Disorder (RBD) is when people physically act out their dreams during sleep, often with movements and sounds, while nightmares with talking or shouting don't usually involve physical actions.

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Explanation

REM Sleep Behavior Disorder (RBD) and nightmares with talking or shouting are both sleep phenomena but differ in key ways.

  1. REM Sleep Behavior Disorder (RBD):

    • In RBD, people act out their dreams while in the REM stage of sleep. This can include talking, shouting, and even moving arms and legs.
    • It is considered a parasomnia, which means it is a disorder related to sleep.
    • People with RBD might not remember these actions because they happen during deep sleep.
  2. Nightmares with Talking or Shouting:

    • Nightmares are frightening dreams that can cause a person to wake up scared.
    • Sometimes, people might talk or shout during a nightmare, but they usually do not make large physical movements.
    • Unlike RBD, these episodes do not involve acting out the dream's content physically.

Understanding these differences can help in identifying and managing sleep issues. If you or someone you know is experiencing sleep problems, consider speaking with a healthcare provider. For mental health concerns, visit 988lifeline.org.

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