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Can't move when falling asleep or waking up

Also called: Sleep paralysis

Being unable to move when falling asleep or waking up is called sleep paralysis. It's common and harmless, though frightening, and usually lasts seconds to minutes.

Common causesSleep deprivation, stress, narcolepsy
Usually serious?No
Get checked ifIt happens often
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Sleep paralysis happens when the body is still in REM sleep while the mind wakes up.

It's more common with poor sleep and narcolepsy.

When to get medical care

Call 911Not an emergency.
Get care todayNot usually urgent.
See a doctor soonFrequent episodes. Daytime sleepiness.

Causes

Causes include sleep deprivation, stress, and narcolepsy.

OwieClear has pages on 1 condition that can cause can't move when falling asleep or waking up. Each shows how soon to get care.

Common causes

  • Sleep paralysisOften treated at home

    Being awake but unable to move for a few seconds to minutes while falling asleep or waking up, sometimes with a feeling that someone is in the room.

What you can do at home

  • Get regular sleep.

Medicines

Usually none needed.

At the doctor

Diagnosed by symptoms.

Questions you may be asked

  • Frequency
  • Sleepiness

The exam

A physical exam.

Tests

  • Sleep study if needed

Prevention

Sleep well.

  • Regular sleep schedule

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

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Sources

Last updated 2026-11-13.