Simply waking up and not even being able to open your eyelids or move your body in the slightest way can send you into a panic. The panic happens so instantaneously that the mind usually has to conjure up some explanation as to why you can't move, most involve you being paralyzed with fear. So the scenario will differ form person to person, it depends on the context you are currently in. Its why so many people used to claim they were abducted by aliens, it was a reasonable explanation at the time.
At least, this is how I view it all.
I've yet to actually see anything, but I've heard some scary stuff, which is partially why I just keep my eyes closed until I can move again, and by habit, go turn on my lights after it's over. xD It just, personally, helps me calm down faster.
The other few I've endured, I just couldn't move. Both times, I found myself with my face in my pillow, which made it very hard to breathe and sent me into a panic, but I always recovered fairly quickly.
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