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Published on: 7/15/2026

What is the meaning of sleep paralysis in medical terms?

Sleep paralysis is a REM parasomnia—a sleep disorder involving disruptive events during transitions in or out of rapid-eye-movement (REM) sleep. It occurs when you become conscious but temporarily unable to move or speak, either while falling asleep or waking up. Episodes are usually brief but can feel frightening, and may be accompanied by hallucinations or a sensation of pressure on the chest.

Because sleep paralysis can overlap with other sleep disorders, anxiety conditions, or underlying health issues, understanding your specific symptoms is key to finding relief. Take a free, instant, online symptom check to clarify what may be causing your episodes and get personalized guidance on next steps—so you can sleep more soundly and know when it's time to speak with a doctor.

Reviewed for medical accuracy: 07/14/2026

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Explanation

In medical terms, sleep paralysis is a type of REM parasomnia. A REM parasomnia involves undesired events that happen during transition in or out of rapid-eye-movement (REM) sleep. Sleep paralysis is the experience of being awake but unable to move or talk, either when falling asleep or waking up. An episode of sleep paralysis can last a few seconds to a few minutes and can feel very scary. During sleep paralysis, some people might feel like there is a presence in the room and/or see, hear, or feel things that are not there. Sleep paralysis can be a sign of a sleeping disorder like narcolepsy but it can also be "isolated" (which means the sleep paralysis episodes occur without any other sign of a sleeping disorder).

Some Features of Sleep Paralysis:

  • Transition between sleep stages: Sleep paralysis occurs during transitions between wakefulness and sleep.
  • Out-of-body experiences: Some people report feeling like they are floating outside of their body.
  • Feeling of being trapped: The inability to move can feel like being trapped.
  • Hallucinations: Sometimes, people might see or hear things that aren't real, like a person or creature in the room.

Additional Information:

(References)

  • Herrero NL, Gallo FT, Gasca-Rolín M, Gleiser PM, & Forcato C. (2023). Spontaneous and induced out-of-body experiences during .... Journal of sleep research, 36053735.

  • McNally RJ, & Clancy SA. (2005). Sleep paralysis, sexual abuse, and space alien abduction. Transcultural psychiatry, 15881271.

  • Jalal B, & Ramachandran VS. (2014). Sleep paralysis and "the bedroom intruder". Medical hypotheses, 25459150.

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