There are two things going on: sleep paralysis and hypnagogic hallucinations. They don’t necessarily go together.
My experience of sleep paralysis began in my teens and has continued over the years. There are sometimes long intervals of months or even a year between episodes, and sometimes they occur in close proximity. They are invariably terrifying. I always feel that I am about to die.
What I experience is an awake mind in a sleeping body.
Worse, it is a limp, motionless, powerless body.
Much worse still, it is a body that can’t breathe. Is suffocating. Is struggling to breathe and can’t open its throat. Is desperate to turn to the side to free the lungs, but can’t move.
It seems to last a very long time. But when you cannot breathe, any amount of time is long.
It takes the fiercest concentration to gain any motion at all. Over decades I have learned that I can begin with a small movement, a finger or a toe, and parlay that tiny motion into something more, a hand or a foot. Eventually I can gain enough leverage to turn. It takes the utmost effort. Meanwhile I can’t breathe. My throat is closed and my lungs are paralyzed.
I can hear myself making small whimpers. I can’t get enough air to gasp or cry out. I feel like I’m screaming, but I’m not. My heart is pounding so violently that I think it will burst. The pressure is enormous. I know I am going to asphyxiate or die of a heart attack.
Sometimes I reach a hand out to my husband beside me, pleading for help. I try anything to awaken him, gain his attention, so he can rescue me. I think I am clawing and scratching him like a wildcat. I think I am pounding on his side or his back. I think I am thrashing wildly. In reality I am not moving at all, or moving so slightly that it is like a feather touch.
If he does hear me making a strange whimpering sound, he knows to wake me up—shake me, I don’t care how roughly. I don’t care about bruises or even being shoved out of bed. Movement is the only way to recover. But he is a sound, sound sleeper—doesn’t even hear the phone ring next to his head, or sirens in the neighborhood, or tree cutters right out front. Doesn’t wake up for his own noisy nightmares.
I have trained myself not to lie on my back at all unless I know that something will disturb me in an hour or less. Episodes nearly always occur in that position. I have also trained myself to keep one foot over the edge of the bed so I can eventually pull myself onto my side. It is a frantic race to make it before I run completely out of air. One day I think I won’t.
I have a horror of being an old person stuck in a hospital bed and being left on my back, too weak and helpless to turn. They’ll just call it heart failure. They won’t know I suffocated trapped in conscious immobility.
I have tried to train myself to wake myself up, saying, “If I’m really awake, I can open my eyes. If I’m not able to open my eyes, I’m just asleep, and it’ll be all right.” But the experience of this state is never so calm. On the contrary, it is sheer panic.
When it’s over, I am always gasping, exhausted, sometimes distressed, and sometimes hysterical.
I think this disorder, if disorder it is, must be what gave rise to the lore of incubi and succubi.
Hypnagogic hallucinations are just really vivid states that seem quite distinct from a dream. They are nothing like a dream. I usually know when I’m dreaming. They are like reality. That’s what makes them hallucinations.
I have thought my husband came into the bedroom while I was sleeping, and woke me, and we had entire conversations. I have seen him come in and get something and leave, forgetting to close the door. Later I asked him about it and he said he never came in. I have thought I got up and did things that I didn’t do. A few times I have thought there was a stranger in the room, but it didn’t happen. On numerous occasions I have thought that I woke from a dream and was awake, only to find later that that was still a dream, a dream within a dream. Once in the dream I even described to my husband the dream I had just had; only I didn’t—I was still dreaming.
These are no more frightening than the reality of dreaming and waking is frightening. If you wouldn’t be afraid of waking up and talking to your husband, you wouldn’t fear a hallucination in which you thought you awoke and talked to your husband. I never think I’m going to die in those things. I just think I’m awake.