That sounds frightening for both of you. **Fear of monsters is common at six, but Sammy’s increasing distress and disrupted sleep deserve attention.** Arrange an appointment with his pediatrician soon; fears that interfere with sleep or everyday activities may need extra support. [American Academy of Pediatrics](https://www.healthychildren.org/English/family-life/family-dynamics/Pages/help-your-child-manage-fears-and-anxieties.aspx)

His words alone can’t tell us whether he’s describing imagination, a nightmare, or an actual person. When he’s calm, gently ask, “Tell me what happened,” “Who do you mean by ‘he’?” and “What did you see or hear?” Let him explain in his own words without suggesting answers. If he identifies someone who has threatened or hurt him, take that seriously and seek help to keep him safe.

For now:

- Comfort him: “I can see you’re scared. I’m here with you.” Avoid teasing, punishment, or confirming that a monster exists.
- Keep bedtime predictable, avoid frightening videos and games, and offer a nightlight or familiar toy. Work toward sleeping in his bed gradually, with your support.
- Avoid turning repeated monster searches into a bedtime requirement; focus on helping him feel safe and settle.
- Note when episodes happen, whether he’s fully awake, his exact words, and any recent stress or changes. Bring this to the appointment.

These approaches follow pediatric guidance on reassurance, routines, and gradually managing fears. [AAP guidance on childhood fears](https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/pages/Understanding-Childhood-Fears-and-Anxieties.aspx)

**If he reports seeing or hearing a pursuer while fully awake, contact his pediatrician promptly.** This can have several explanations and does not automatically mean a severe mental illness. Seek urgent medical care if he becomes confused, acutely unwell, or behaves dangerously; call emergency services if there is an immediate threat. [American Academy of Child and Adolescent Psychiatry](https://www.aacap.org/AACAP/aaCaP/Families_and_Youth/Facts_for_Families/FFF-Guide/Hearing-Voices-and-Seeing-Things-102.aspx)

Was he fully awake during last week’s episode, and has he described who “he” is?