Q. I found myself talking to my loved one in sleep. Why?

Answered by
Dr. Mehwish Mursaleen
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 04, 2016 and last reviewed on: Sep 15, 2020

Hi doctor,

In the middle of my sleep, I feel like I have virtually talked to my close one. Suddenly, when I awake, I realize that he is not beside me. Why am I getting such feel?



Welcome to icliniq.com.

  • I completely understand what you are feeling after this strange situation where you found yourself talking to your loved one in the midst of the sleep and then you just woke up.
  • This is quite a normal sleep phenomenon in most of the people and research shows that everyone can experience this condition at least once in life.  But, generally people do not share this to doctors due to fear of labeling themselves as mentally ill.
  • The occurrence of mere hypnopompic hallucinations is nothing to worry about, however, if you find any other sleep related problem then this is the matter of concern.

The Probable causes:

There could be associated psychological condition such as narcolepsy. Narcolepsy is explained by the bouts of sleep during any time in the day, even a person may sleep at workplace. This causes extreme disturbance and requires medical or psychological treatment.

Differential diagnosis:

If hypnopompic hallucinations are the only thing you have experienced and no narcoleptic bouts are present, then this is the indication that you are going through normal process of transitions during rapid eye movement sleep.

Probable diagnosis:

Hypnopompic hallucinations (auditory type).

Treatment plan:

There is no particular medical or psychological treatment for mere hypnopompic hallucinations. However, some doctors prescribe medicines to treat the disturbance that is anxiety caused by this condition.
If you are fine with your hypnopompic hallucinations after learning that it is a normal thing, then you do not need any further treatment. If you find yourself worried about your condition, then you can just take a counseling session with a psychologist.

Preventive measures:

I appreciate that you just noticed this phenomenon and consulted a specialist. If you find any other psychological factors such as narcolepsy, then this is the alarming point. Just get the problem treated as soon as possible without any hesitation and delay.

Also, check if there is any other sleep related problem present such as nightmare, sleep terror, narcolepsy, etc. You can consult a sleep specialist in order to rule out these conditions.

Regarding follow up:

For further information consult a psychologist counsellor online.---> https://www.icliniq.com/ask-a-doctor-online/psychologist-counsellor

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