It always starts by the awareness that it's starting. You can't move, but are awake. Sometimes I see shadows, or figures walking around my room. Once I saw a face go up in flames in my bedroom doorway. Another time I could feel what felt like a hand grabbing my ankle and pulling down on my leg. No matter what the visuals are, there is always audio. It starts with what kind of sounds like a ringing/static noise, then sometimes I can hear voices talking to me loud and clear, but it seems like your brain won't process what they are saying. Even though I've had it for so long, and I know I'll be ok after, each time it happens, as soon as it starts, the fear is always there like the first time. It doesn't go away.