Initiated during (after) sleep

OBEs are often initiated through lucid dreaming, though other types of initiation also used. In many cases, people claim to have had an OBE, reported being asleep, on the verge of sleep, or having been asleep shortly before the experience. A large percentage of these cases referred to situations where the sleep was not particularly deep (due to illness, noises in other rooms, emotional stress, exhaustion from overworking, frequent re-awakening, etc.). In most of these cases, the subjects then felt themselves awake; about half them noted a feeling of sleep paralysis.[4] Some subjects report having had an OBE during near death conditions.

There appear to be two common forms of such lucid experiences. The first involves lucid dreaming, where the subject is immersed in unrealistic worlds, or in a modified form of the reality with impossible or inconsistent features. A second experience is of a more physical nature where the environment is consistent with reality; this is often called an etheric or ethereal experience. This type can be frightening, as extremely realistic physical sensations may occur, often including magnetic and vibrating phenomena, loss of balance, and confusion. The person believes he has awoken physically and panic can be caused by the realization that limbs appear to be penetrating objects.

The OBE may or may not be followed by other experiences which are self-reported as being "as real" as the OBE feeling; alternatively, the subject may fade into a state self-reported as dreaming, or they may wake completely. The OBE is sometimes ended due to a fearful feeling of getting "too far away" from the body. Many end with a feeling of suddenly "popping" or "snapping" and sometimes a "pulling" back into their bodies; some even report being "sucked back" into physical form. A majority describe the end of the experience by saying "then I woke up". However it's worth noting that even those who describe the experience as something fantastic that occurs during sleep, and who describe the end of the experience by saying "and then I woke up", are very specific in describing the experience as one which was clearly not a dream; many described their sense of feeling more awake than they felt when they were normally awake. One compared the experience to that of lucid dreaming, but said that it was "more real".

People often report having these experiences after suffering from traumatic experiences such as motor vehicle accidents. They are able to recall the accident as if observing from a location outside the vehicle.