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Relational hypnotherapy, lucid dreaming, and sleep paralysis: A case study

Carlos A. Ramos

American Journal of Clinical Hypnosis April 3, 2026 DOI: 10.1080/00029157.2026.2661649 (opens in new tab) via OpenAlex

Summary

AI-generated from the abstract

Sleep paralysis (SP) is a temporary muscle paralysis during the transition between REM sleep and wakefulness, often accompanied by frightening hallucinations. It affects about 20% of the population and is common in narcolepsy. This article describes using relational hypnotherapy combined with lucid dreaming suggestions for a 62-year-old white male whose recurring waking nightmares from SP harmed his mental health. While hypnosis has treated SP, little research has examined combining it with lucid dreaming. Lucid dreaming—awareness of dreaming—can reduce nightmares and improve sleep quality. The article shows how lucid dreaming interventions can be integrated into hypnotherapy to transform waking nightmares into preferred dream experiences.

Study at a glance

Characteristics Case study Case report Peer reviewed
Sample size 1
Population 62-year-old white male with sleep paralysis and recurring waking nightmares
Interventions relational hypnotherapy lucid dreaming suggestions
Topics Lucid dreaming
Keywords Sleep system call Electroencephalography Sleep stages Polysomnography
Key finding Lucid dreaming interventions can be included with hypnotherapy to transform waking nightmares into preferred dream experiences.

Abstract

Sleep paralysis (SP) is understood as a form of temporary muscle paralysis that occurs during the transition between rapid eye movement (REM) sleep and wakefulness. SP is normally associated with vivid, fear-provoking hallucinations such as being threatened or attacked by home invaders and paranormal encounters like alien abductions. SP affects about 20% of the population, and it is a common symptom of narcolepsy, a disorder that disrupts regular sleep cycles and causes sleep deprivation. This article is intended to illuminate the use of relational hypnotherapy in conjunction with lucid dreaming suggestions with a 62-year-old white male suffering from SP in the form of recurring, waking nightmares that affected his overall mental health. Although clinical hypnosis has been used to treat SP, little to no research has explored the connection between hypnosis and lucid dreaming as a means of altering SP. Lucid dreaming, an individual's ability to realize they are dreaming, has been shown to reduce nightmares and distress, and improve sleep quality. This article will demonstrate how lucid dreaming interventions can be included with hypnotherapy and discuss how a lucid dreaming experience can transform waking nightmares into preferred dream experiences.

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