instruction: hello doctor I have daily sleep attacks during the day irresistible sleep attacks and before I fall to sleep I see things like I am dreaming but I knew I am awake at night before I fall asleep I have multiple episodes of sleep paralysis sometimes in every morning I have sleep attacks and I fall asleep and sometimes I have dreams but when I am awake I realize it has been only seconds or a few minutes it started last year initially I was unable to stay awake beyond 10 am then I started to have multiple episodes of sleep attacks during the day it started as an irresistible urge to sleep which I tried to resist but then I go into a hallucination where I see and hear things like a dream but I am aware that I am awake and when I realized that the sleep become more intense and I fall asleep this episode lasts for 12 30 minutes and in between the episodes I feel refreshed but only for a few minutes and then the next attack will start at night upon falling asleep I have sleep paralysis and it is usually once but two incidences happened for three consecutive times it mostly happened when I am not doing activities after meal using phone watching to or when I am sitting in the car for long distance this been happening for a duration of four months and after that it comes and go with no specific pattern I saw a doctor and my labs were all normal I did a sleep study and melt and also normal and I do not have depression what do you think is the possible cause of that
output: hello irresistible sleep attacks during daytime are called narcolepsy they are usually considered harmful and should be treated with stimulant drugs amphetamines are used to treat them sleep paralysis is also treated with antidepressant medicines and benzodiazepine usually it is observed that if a person has good night time sleep there will be a reduction in the sleep attacks during the daytime the reasons are usually not very clear but some genetic factors play a role I would advise you to contact a sleep medicine expert at your place and start the treatment