Per wikipedia (I know, I know):
Several circumstances have been
identified that are associated with an
increased risk of sleep paralysis.
These include insomnia and sleep
deprivation, an erratic sleep
schedule, sleeping in the supine
position, stress, overuse of
stimulants, physical fatigue, as well
as certain medications that are used
to treat ADHD[2] . It is also believed
that there may be a genetic component
in the development of RISP due to a
high concurrent incidence of sleep
paralysis in monozygotic twins[8].
Sleeping in the supine position has
been found to be an especially
prominent instigator of sleep
paralysis[16].
Sleeping in the supine position is
believed to make the sleeper more
vulnerable to episodes of sleep
paralysis because in this sleeping
position it is possible for the soft
palate to collapse and obstruct the
airway[16]. This is a possibility
regardless of whether the individual
has been diagnosed with sleep apnea or
not. There may also be a greater rate
of microarousals while sleeping in the
supine position because there is a
greater amount of pressure being
exerted on the lungs by gravity when
lying in the supine position[16].
While there are many factors that can
increase your risk for ISP or RISP
they are easily avoided with some
minor lifestyle changes[5]. By
maintaining a regular sleep schedule
and observing good sleep hygiene you
can drastically reduce your chances of
experiencing sleep paralysis. It would
also be advisable to reduce your
intake of stimulants and attempt to
reduce the stress in your daily life
by taking up a hobby or seeing a
trained psychologist that can give you
coping mechanisms for stressful
situations. Another very easy way to
avoid sleep paralysis is to sleep on
your side instead of in the supine
position. There is a genetic factor
involved is some cases of ISP and RISP
which means that for some people sleep
paralysis could be unavoidable despite
taking all of the preventative
measures mentioned above. By training
yourself to remain calm during
episodes you can lessen the impact
that they have on your daily life and
eventually you will be able to return
to sleep much more quickly.
So from that I'd advice you to sleep on your side, focus on establishing a sleep schedule (and sticking to it), avoid any caffeine or other stimulants, and talk to your doctor about other options if you are on medication for ADHD. Beyond that, work to develop stress coping mechanisms (as they will reduce occurrences and their resulting stress levels) and a usable means to deal with the fear that they bring on.
These episodes are not know to link directly with any existing disease pathology, so don't worry about them being a harbinger of future disorders. If you do not work to correct the issue, however, the resultant stress and sleep deprivation can lead to trouble down the road, so don't completely ignore the issue.