Are you born with narcolepsy?
Noah Mitchell
Published Jan 12, 2026
The exact cause of narcolepsy is unknown. People with type 1 narcolepsy have low levels of the chemical hypocretin (hi-poe-KREE-tin). Hypocretin is an important neurochemical in your brain that helps regulate wakefulness and REM sleep. Hypocretin levels are particularly low in those who experience cataplexy.The exact cause of narcolepsy is unknown. People with type 1 narcolepsy have low levels of the chemical hypocretin (hi-poe-KREE-tin). Hypocretin is an important neurochemical in your brain that helps regulate wakefulness and REM sleep. Hypocretin levels are particularly low in those who experience cataplexy This medication is highly effective for cataplexy. Sodium oxybate helps to improve nighttime sleep, which is often poor in narcolepsy. In high doses it may also help control daytime sleepiness. It must be taken in two doses, one at bedtime and one up to four hours later. › narcolepsy › drc-20375503
Can you just develop narcolepsy?
Narcolepsy affects both males and females equally. Symptoms often start in childhood, adolescence, or young adulthood (ages 7 to 25), but can occur at any time in life. It is estimated that anywhere from 135,000 to 200,000 people in the United States have narcolepsy.
What is the main cause of narcolepsy?
What causes narcolepsy. Narcolepsy is often caused by a lack of the brain chemical hypocretin (also known as orexin), which regulates wakefulness. The lack of hypocretin is thought to be caused by the immune system mistakenly attacking the cells that produce it or the receptors that allow it to work.
Is narcolepsy genetic?
Inheritance. Most cases of narcolepsy are sporadic, which means they occur in people with no history of the disorder in their family. A small percentage of all cases have been reported to run in families; however, the condition does not have a clear pattern of inheritance.
What are the 5 signs of narcolepsy?
There are 5 main symptoms of narcolepsy, referred to by the acronym CHESS (Cataplexy, Hallucinations, Excessive daytime sleepiness, Sleep paralysis, Sleep disruption). While all patients with narcolepsy experience excessive daytime sleepiness, they may not experience all 5 symptoms.
24 related questions foundHow can you tell if someone has narcolepsy?
Symptoms
- Excessive daytime sleepiness. People with narcolepsy fall asleep without warning, anywhere, anytime. ...
- Sudden loss of muscle tone. ...
- Sleep paralysis. ...
- Changes in rapid eye movement (REM) sleep. ...
- Hallucinations.
Can narcolepsy be cured?
There is no cure for narcolepsy, but medications and lifestyle modifications can help you manage the symptoms.
How often do narcoleptics fall asleep?
A person with narcolepsy usually has the condition for life. All people with narcolepsy have extreme levels of sleepiness during the day, but how this shows itself can differ. For instance, some people with narcolepsy might fall asleep for 10 to 20 minutes several times every day, whether they want to or not.
Is narcolepsy a mental illness?
However, narcolepsy is frequently misdiagnosed initially as a psychiatric condition, contributing to the protracted time to accurate diagnosis and treatment. Narcolepsy is a disabling neurodegenerative condition that carries a high risk for development of social and occupational dysfunction.
Do I have narcolepsy or am I just tired?
Excessive daytime sleepiness is usually the first sign of narcolepsy. It can have a significant impact on everyday life. Feeling drowsy throughout the day and struggling to stay awake makes it difficult to concentrate at work or school. People with narcolepsy may be misjudged as being lazy or rude.
Is narcolepsy caused by stress?
It is often triggered by sudden, strong emotions such as laughter, fear, anger, stress, or excitement.
What can mimic narcolepsy?
Narcolepsy is often misdiagnosed as other conditions that can have similar symptoms, including:
- Depression.
- Anxiety.
- Other psychologic/psychiatric disorders.
- Insomnia.
- Obstructive sleep apnea.
Are narcolepsy and ADHD related?
Can you have both? It is possible for a person to have both ADHD and narcolepsy. ADHD and narcolepsy are closely linked, with around 33% of people with narcolepsy experiencing symptoms of ADHD.
Does narcolepsy make you crazy?
One of the main symptoms is daytime sleepiness. You also might have: Hallucinations. Loss of muscle control for minutes at a time.
How does narcolepsy affect personality?
Narcolepsy can be associated also with less conspicuous problems, including introversion, sorrowfulness, feelings of inferiority, impaired affectivity modulation, emotional lability, irritability, aggressiveness, and poor attention that some authors have defined as the “narcoleptic personality” (4).
Why do narcoleptics have insomnia?
People with narcolepsy may have fewer than normal nerve cells that produce orexin, while those with insomnia may have too much orexin or an inappropriate release of orexin at night. Too little orexin may cause sleepiness, and too much can cause an inability to sleep.
Can you test for narcolepsy?
The diagnosis of narcolepsy is usually supported by test results from a polysomnogram and the Multiple Sleep Latency Test (MSLT). A polysomnogram helps your physician assess brain activity during sleep, in particular, how frequently and when REM activity is occurring.
Do narcoleptics sleep well at night?
Do narcoleptics sleep well at night? About half of people with narcolepsy have trouble sleeping through the night. You may wake up frequently (fragmented sleep) and have difficulty falling back to sleep.
Can you wake up someone with narcolepsy?
Most of the time, when you wake up someone with narcolepsy, you're pulling them out of a very vivid dream. For Mike, those are usually nightmares. He gets incredibly startled and seems ready to fight, regardless of how long he's been asleep.
What foods help narcolepsy?
Research is limited, but some people with narcolepsy say their symptoms improve when they follow a ketogenic (or keto) diet, which is a restrictive, low-carbohydrate, high-fat, moderate-protein diet. “There's some clinical data from small studies of low-carbohydrate, ketogenic diet in people with narcolepsy,” Li says.
What happens if narcolepsy goes untreated?
When left untreated, narcolepsy can be socially disabling and isolating. It often leads to the onset of depression. Type 2 diabetes mellitus may occur more often in people with narcolepsy. Making lifestyle changes can help manage the symptoms.
Who is most affected by narcolepsy?
Approximately one in 2,000 Americans has narcolepsy. The disorder affects males and females equally. Up to 10% of people who have narcolepsy have a relative who also has the disorder. Narcolepsy occurs in people of all ages, but the first sign of daytime sleepiness usually appears in the teenage years or twenties.
Why do I fall asleep everytime I sit down?
Narcolepsy is a neurological disorder that affects your ability to wake and sleep. People with narcolepsy have excessive, uncontrollable daytime sleepiness. They may also suddenly fall asleep at any time, during any type of activity.
Can you have narcolepsy and not know it?
There are barriers to narcolepsy diagnosis because it isn't as obvious as a broken arm. You may not know you keep falling asleep during the day, and friends and family might overlook it. It's important to see a specialist who can run thorough tests and exclude medical reasons for your sleep troubles.
Does Adderall help narcolepsy?
Adderall is a prescription medication that doctors commonly prescribe to treat attention deficit hyperactivity disorder, or ADHD. Adderall can also help treat narcolepsy, which is a sleep disorder.