Hypnic Jerks: Why Your Body Jerks When Falling Asleep
You're warm, comfortable, just drifting off, and then your leg kicks out, or your whole body jolts. It feels like you missed a step on a staircase. Your heart races, and you're wide awake.
This is called a hypnic jerk, also known as a sleep start.
If this happens to you, you're in the majority. According to the American Academy of Sleep Medicine, up to 70% of people experience these involuntary twitches at some point. For most, it's a rare annoyance. For others, it happens frequently enough to cause real frustration at bedtime.
Hypnic jerks are almost never dangerous. They're a sign that your brain and body are having a minor miscommunication during the transition from wakefulness to sleep.
Here's why this happens, how to tell if it's something more serious, and what you can do about it.
What exactly is a hypnic jerk?
A hypnic jerk is a type of myoclonus, a sudden, involuntary muscle twitch. Hiccups are another form of myoclonus. But hypnic jerks are unique because they typically occur during the hypnagogic state, the window between being awake and entering Stage 1 non-REM sleep.
You may also hear them called:
-
Sleep starts
-
Hypnagogic jerks
-
Myoclonic jerks
Sleep specialists classify hypnic jerks as a normal phenomenon of the sleep-wake transition, not a sleep disorder or sign of underlying disease.
Are hypnic jerks dangerous?
Hypnic jerks are considered a normal part of the sleep–wake transition and are almost always harmless. They can feel frightening—especially if your heart races or you get a strong falling sensation—but they are not known to cause heart and brain damage, or sudden death in otherwise healthy people.
What does a hypnic jerk feel like?
The experience varies from person to person. Hypnic jerks are often accompanied by brief sensory experiences, such as hypnagogic hallucinations, though some people notice only the jolt.
Common symptoms include:
-
Falling sensation — The most frequent report is a vivid feeling of tripping, slipping off a ledge, or the bed vanishing beneath you
-
Visual disturbances — A sudden flash of light, geometric patterns, or a brief image of a physical threat
-
Auditory hallucinations — A banging sound, a snap, or even hearing your own name called right as the jerk occurs
-
Racing heart — Following the jolt, many people experience a rapid heartbeat and breathing caused by a surge of adrenaline
Also Read: What Is Sleep Anxiety? Signs, Causes, and Natural Ways to Find Relief
Why does the brain misfire like this?
To understand why your body jolts, it helps to know how brain activity changes as you fall asleep.
How brain waves shift during sleep onset
-
Beta waves (13–30 Hz): The state of active wakefulness. When you're working, talking, or stressed, your brain operates in Beta.
-
Alpha waves (8–13 Hz): As you relax, close your eyes, or meditate, your brain slows into Alpha.
-
Theta waves (4–8 Hz): The twilight state of Stage 1 sleep. You may feel somewhat awake but lose track of time.
Hypnic jerks almost always occur during the transition from wakefulness into light Stage 1 non-REM sleep, when brain activity is shifting from relaxed wakefulness (alpha) into theta-dominant sleep.
During this shift, the brain's wake system and sleep system are both changing gears, and researchers believe this brief overlap can lead to a short, unintended burst of motor activity that you feel as a jolt.
The role of neurotransmitters
This glitch is often influenced by chemical activity in the nervous system.
GABA (gamma-aminobutyric acid) is the brain's primary inhibitory neurotransmitter. It acts like the brakes on your nervous system, and a lower inhibitory tone can make the system more excitable, which, in general, makes muscle twitches and jerks more likely.
Glutamate is the main excitatory neurotransmitter—the brain’s accelerator. States of high arousal, such as stress or high caffeine intake, can increase overall brain excitability and have been reported to make hypnic jerks more frequent or intense, especially around sleep onset.
Is a hypnic jerk the same as a seizure?
No. While both involve involuntary movement, there are clear differences.
Key differences between hypnic jerks and seizures
|
Feature |
Hypnic jerk |
Seizure |
|
Timing |
Typically occurs as you are falling asleep, at sleep onset only |
Can happen at any time: while awake or asleep, including during the night |
|
Duration |
Single, brief twitch or jolt |
Often lasts seconds to minutes |
|
Awareness |
You usually wake up immediately and remember the event clearly |
Often involves confusion, amnesia, or loss of consciousness during and after the event |
|
Pattern |
One sudden movement of a limb or the whole body |
Often involves rhythmic, repetitive, or clustered movements |
If your movements are accompanied by tongue biting, loss of bladder control, or prolonged confusion upon waking, contact a healthcare provider. These may be signs of a nocturnal seizure rather than a benign hypnic jerk.
How is a hypnic jerk different from other sleep movement conditions?
It’s important to distinguish hypnic jerks from other movement disorders that happen at night.
Restless leg syndrome (RLS)
Unlike hypnic jerks, which are involuntary, RLS involves an uncomfortable, often irresistible urge to move your legs to relieve crawling or tingling sensations. These symptoms usually start in the evening or at night, often while you’re still awake and at rest.
Periodic limb movement disorder (PLMD)
PLMD involves rhythmic, repetitive kicking or twitching that typically occurs every 20 to 40 seconds during sleep. Most people with PLMD don’t realize it’s happening, but the repeated sleep disruptions can leave them feeling unrefreshed or exhausted the next day.
Comparison of sleep movement disorders
|
Condition |
Timing |
Characteristics |
Voluntary? |
|
Hypnic jerk |
Sleep onset |
Single, sudden jolt; often with a falling sensation |
No |
|
Restless leg syndrome |
Evening or night, while at rest and often awake |
Uncomfortable crawling or tingling; strong urge to move |
Partly – the urge is involuntary, but the movement is a conscious response |
|
Periodic limb movement |
During sleep |
Repetitive kicking or jerking every 20–40 seconds |
No |
Can medications cause hypnic jerks?
Yes. Certain prescription medications can increase the frequency or intensity of these twitches.
Stimulants used for ADHD can increase arousal and keep your nervous system more activated close to bedtime, which may make hypnic jerks more noticeable or more frequent.
SSRIs (selective serotonin reuptake inhibitors) are a more clearly documented culprit. These antidepressants change serotonin signaling in the brain, and case reports have linked escitalopram, sertraline, and fluoxetine to new‑onset or intensified hypnic jerks in some people.
In these reports, reducing the dose, changing the medication, or adding a small dose of clonazepam often reduced the jerks.
These twitching sensations can feel similar to a phenomenon known as brain zaps—brief, electric shock–like sensations most often reported during antidepressant withdrawal—although brain zaps are considered a separate withdrawal symptom rather than a type of hypnic jerk.
If you’ve recently started, increased, or stopped a medication and notice more twitching during sleep, mention it to your healthcare provider so they can review whether your medication might be contributing.
Also Read: Insomnia Can be Triggered by Antidepressants
What lifestyle factors can trigger hypnic jerks?
If you're experiencing these jerks frequently, something in your routine may be keeping your body on high alert.
Stress and anxiety
This is one of the most common triggers. Stress and anxiety keep your stress hormones and fight‑or‑flight system more active, so your brain stays on guard and is more likely to startle as you drift off.
Caffeine and stimulants
Caffeine blocks adenosine, a chemical signal that helps your brain feel sleepy. If you have coffee or other stimulants too late in the day, your brain tries to stay “on” even as your body tries to turn “off,” which can increase hypnic jerks.
Sleep deprivation
Being overtired can actually make sleep more unstable. When you’re exhausted, your brain’s transition into sleep is more fragmented, and this overtired, hyperaroused state is linked with more frequent hypnic jerks.
Late‑night exercise
Vigorous exercise raises body temperature, heart rate, and alertness. If you work out intensely too close to bedtime, your body may still be revved up when you get into bed, making sleep onset jerks more likely.
Also Read: Why Sleep Deprivation Can Lead to Serious Health Issues
Can vitamin deficiencies cause hypnic jerks?
Possibly. There’s limited direct research, but several nutrients play a key role in muscle and nerve function and can influence twitching or cramping.
Magnesium helps muscles relax after they contract. Low magnesium—fairly common in adults—can increase nerve and muscle excitability and is linked with muscle tension, twitches, and night‑time cramps.
Iron deficiency is a primary driver of restless legs syndrome and other forms of limb restlessness, and correcting low iron can significantly improve those symptoms. This kind of motor restlessness may make sleep more fragmented and jerky.
Calcium and potassium are electrolytes vital for nerve transmission and muscle contraction. Imbalances in these minerals can cause cramps, spasms, or muscle twitching.
If you suspect a deficiency, a healthcare provider can check your levels with blood tests and guide supplementation if needed. Adding nutrient‑dense foods like leafy greens, nuts, seeds, and bananas can also support healthier levels of these minerals over time.
Also Read: Best Foods for Sleep: What to Eat and Avoid Before Bed
How can you reduce hypnic jerks?
Hypnic jerks are a normal physiological event. You probably can’t eliminate them entirely, but you can often reduce how frequently they happen by calming your body and improving your sleep habits.
-
Create a buffer zone before bed: Stop checking emails and put away screens 30 to 60 minutes before sleep. Blue light and stimulating content can keep your brain too alert and delay the natural wind‑down into sleep.
-
Limit caffeine after noon: Caffeine can stay in your body for many hours and make sleep more shallow or restless. Cutting it off earlier in the day gives your brain more time to wind down.
-
Manage stress: Deep breathing, meditation, or light stretching before bed can lower stress and reduce the startle‑prone, hyperalert state that makes hypnic jerks more likely.
-
Keep a consistent sleep schedule: Going to bed and waking up at the same time every day supports smoother sleep transitions and reduces overtiredness, which is associated with more frequent hypnic jerks.
-
Avoid intense evening exercise: Try to finish vigorous workouts at least 2 to 3 hours before bedtime so your heart rate, body temperature, and adrenaline have time to come down.
Also Read: 13 Tips to Fall Asleep Faster
What to do if a hypnic jerk wakes you up
The jerk itself lasts a fraction of a second. The harder part is often falling back asleep afterward, especially if your heart is racing and your mind starts running.
If you're lying awake and can't settle:
-
Get out of bed and walk around for a few minutes
-
Do a light stretch or drink some water
-
Avoid looking at your phone or clock
-
Try slow, deep breathing to calm your nervous system
This resets your sleep attempt and lets your brain try the transition again, often more smoothly.
A natural sleep aid can also help. Sip2Sleep® is designed for exactly this situation—when you need help calming down and easing back into slumber. It contains Venetron® (rafuma leaf extract) and Montmorency tart cherry, both of which support relaxation without causing next-day grogginess.
Unlike pills or gummies that require water and digestion time, Sip2Sleep® is a liquid sleep aid you can take directly—1 to 3 full droppers—right when you need it. It's completely melatonin-free, so it won't interfere with your body's natural sleep hormones.
When to see a healthcare provider
Most people don’t need treatment for occasional hypnic jerks, but it is worth talking to a healthcare provider if:
-
Jerks happen most nights and make it very hard to fall asleep or stay asleep.
-
You or a bed partner notices violent movements, getting out of bed, or acting out dreams.
-
There are red-flag symptoms such as tongue biting, loss of bladder control, prolonged confusion on waking, or suspected seizures.
-
You have loud snoring, gasping, choking, or pauses in breathing during sleep, which could point to sleep apnea or another sleep disorder.
A doctor can check for other sleep conditions, review your medications, and decide whether you might benefit from further testing, such as a sleep study or EEG.
The bottom line
Hypnic jerks are sudden muscle twitches that happen as you fall asleep. They're common, harmless, and experienced by most people at some point.
They're often a signal that your nervous system is overburdened by stress, caffeine, or fatigue. Reducing these triggers, maintaining good sleep hygiene, and using a natural sleep aid like Sip2Sleep® can help your body make a smoother, quieter transition into the ZZZ it needs.
If hypnic jerks are disrupting your sleep regularly, talk to a healthcare provider to rule out other conditions.
Frequently asked questions
Can you die from a hypnic jerk?
No. While the sensation can be startling, hypnic jerks are considered a benign, normal part of the sleep–wake transition. They are not known to cause heart problems, brain damage, or sudden death.
How do I stop a hypnic jerk immediately?
If you're twitching and can't sleep, don’t lie there fighting it. Get out of bed, walk around for a few minutes, drink some water, or do a light stretch to let your body and mind reset, then try going back to bed once you feel calmer.
Why do I hear a loud bang when I fall asleep?
This is called exploding head syndrome. Like hypnic jerks, it is a benign sensory event that occurs during transitions between wakefulness and sleep. Instead of a motor twitch, the disturbance affects how your brain processes sound, creating the perception of a loud noise even though nothing actually happened.
Do hypnic jerks mean I have a sleep disorder?
Not usually. Hypnic jerks are classified as a normal phenomenon of the sleep–wake transition, not a disorder on their own. However, if they’re happening frequently, causing distress, or significantly disrupting your sleep, a healthcare provider can help rule out other conditions and discuss treatment options.
References
-
American Academy of Sleep Medicine. (2021, January). Sleep starts. Sleep Education. https://sleepeducation.org/sleep-disorders/sleep-starts/
-
National Institute of Neurological Disorders and Stroke. (2025, April 7). Myoclonus. National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/health-information/disorders/myoclonus
-
Elsevier. (n.d.). Hypnic jerk: An overview. ScienceDirect Topics. https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/hypnic-jerk
-
Jobst, B.M., Hindriks, R., Laufs, H. et al. Increased Stability and Breakdown of Brain Effective Connectivity During Slow-Wave Sleep: Mechanistic Insights from Whole-Brain Computational Modelling. Sci Rep 7, 4634 (2017). https://doi.org/10.1038/s41598-017-04522-x
-
Siclari F, Bernardi G, Riedner BA, LaRocque JJ, Benca RM, Tononi G. Two distinct synchronization processes in the transition to sleep: a high-density electroencephalographic study. Sleep. 2014 Oct 1;37(10):1621-37. doi: 10.5665/sleep.4070. PMID: 25197810; PMCID: PMC4173919.
-
Cantero JL, Atienza M, Stickgold R, Kahana MJ, Madsen JR, Kocsis B. Sleep-dependent theta oscillations in the human hippocampus and neocortex. J Neurosci. 2003 Nov 26;23(34):10897-903. doi: 10.1523/JNEUROSCI.23-34-10897.2003. PMID: 14645485; PMCID: PMC6740994.
-
Bollu PC, Yelam A, Thakkar MM. Sleep Medicine: Restless Legs Syndrome. Mo Med. 2018 Jul-Aug;115(4):380-387. PMID: 30228773; PMCID: PMC6140269.
-
Mansur A, Castillo PR, Rocha Cabrero F, et al. Restless Legs Syndrome. [Updated 2023 Feb 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430878/
-
Kumar R, Ali SN, Saha S, Bhattacharjee S. SSRI induced hypnic jerks: A case series. Indian J Psychiatry. 2023 Jul;65(7):785-788. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_207_23. Epub 2023 Jul 12. PMID: 37645359; PMCID: PMC10461585.
-
Maravi, Prashant; Mathur, Rahul; Choudhary, Richa; Sandhu, Simran; Pal, Virendra S.. Escitalopram-induced hypnic jerks: An overlooked side effect. Indian Journal of Psychiatry 67(2):p 274-276, February 2025. | DOI: 10.4103/indianjpsychiatry.indianjpsychiatry_985_24
-
Alghamdi SA. Hypnic Jerks, Major Depressive Disorder, and Antidepressant Use: A Possible Relationship. Cureus. 2023 Oct 21;15(10):e47436. doi: 10.7759/cureus.47436. PMID: 37869048; PMCID: PMC10590197.
