Occassionally, I suffer from sleep paralysis with different "symptoms" you have listed on different occassions. It used to really freak me out when I was young, but its become somewhat common-place now and I can slowly work my way out of it without freaking out. That being said, sometimes if I don't realize what is going on immediately or if I'm experiencing symptoms that I rarely/never have experienced before, well, then it's really freaky. I've never woken up to a nightmare I was having though. I could imagine how that would mess with your perception of reality. I'd imagine it would be like waking from a dream within a dream or waking up from an especially deep sleep and being disoriented.
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