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What You Should Know About Sleepwalking

Discussion in 'Psychiatry' started by Egyptian Doctor, Jan 18, 2014.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Sleepwalking, formally known as somnambulism, is a behavior disorder that originates during deep sleep and results in walking or performing other complex behaviors while asleep. It is much more common in children than adults and is more likely to occur if a person is sleep deprived. Because a sleepwalker typically remains in deep sleep throughout the episode, he or she may be difficult to awaken and will probably not remember the sleepwalking incident.

    Sleepwalking usually involves more than just walking during sleep; it is a series of complex behaviors that are carried out while sleeping, the most obvious of which is walking. Symptoms of sleepwalking disorder range from simply sitting up in bed and looking around, to walking around the room or house, to leaving the house and even driving long distances. It is a common misconception that a sleepwalker should not be awakened. In fact, it can be quite dangerous not to wake a sleepwalker.

    The prevalence of sleepwalking in the general population is estimated to be between 1% and 15%. The onset or persistence of sleepwalking in adulthood is common, and is usually not associated with any significant underlying psychiatric or psychological problems. Common triggers for sleepwalking include sleep deprivation, sedative agents (including alcohol), febrile illnesses, and certain medications.

    The prevalence of sleepwalking is much higher for children, especially those between the ages of three and seven, and occurs more often in children with obstructive sleep apnea. There is also a higher instance of sleepwalking among children who wet the bed. Sleep terrors are a related disorder and both tend to run in families.

    SYMPTOMS:

    Sleepwalking is most often initiated during deep sleep but may occur in the lighter sleep stages or NREM, usually within a few hours of falling asleep, and the sleepwalker may be partially aroused during the episode.

    In addition to walking during deep sleep, other symptoms of sleepwalking include:

    • Sleeptalking
    • Little or no memory of the event
    • Difficulty arousing the sleepwalker during an episode
    • Inappropriate behavior such as urinating in closets (more common in children)
    • Screaming (when sleepwalking occurs in conjunction with sleep terrors)
    • Violent attacks on the person trying to awaken the sleepwalker
    TREATMENT:

    There is no specific treatment for sleepwalking. In many cases simply improving sleep hygiene may eliminate the problem. If you are experiencing symptoms, you should talk to your doctor or a sleep specialist about ways to prevent injury during the episodes and about the possibility of underlying illness. Also, be prepared to discuss with your doctor or pediatrician any factors, such as fatigue, medication, or stress, which may trigger symptoms.

    Treatment for sleepwalking in adults may include hypnosis. In fact, there are many cases in which sleepwalking patients have successfully treated their symptoms with hypnosis alone. Also, pharmacological therapies such as sedative-hypnotics or antidepressants have been helpful in reducing the incidence of sleepwalking in some people.

    Sleepwalking is common in children and is usually outgrown over time, especially as the amount of deep sleep decreases. If symptoms persist through adolescence, consult your doctor or psychiatrist.

    COPING:

    As sleep deprivation often contributes to sleepwalking, increasing the amount of time scheduled for sleep can be helpful. Other possible triggers for sleepwalking include alcohol and certain medications. Also, experts recommend establishing a regular, relaxing routine prior to bedtime to cope with sleepwalking.

    Creating a safe sleep environment is critical to preventing injury during sleepwalking episodes. For example, if your child sleepwalks, don’t let him or her sleep in a bunk bed. Also, remove any sharp or breakable objects from the area near the bed, install gates on stairways, and lock the doors and windows in your home.

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    rajkumar lakhyani likes this.

  2. Beth

    Beth Active member

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    My brother talks in his sleep and so do I. Sometimes we make sense but most of the time we say something weird. Like for instance, on Christmas Day my brother fell asleep sitting on the couch next to me. My mom and I were talking and he suddenly sat up and said " I would be mad if that was my brownies ". He woke up immediately after.
    My brother sleep walks. The first time I noticed, he was 8 and I was 14. He walked into my room and started knocking my stuff on my dressers off and pulling my stuff out of the drawers. He looked awake but his eyes were glassy. I asked what he was doing and why he was destroying my room. He said " I can't find the gym. " I asked what gym he was looking for. He said " diamonds and sapphires". Then he laid on my bed and started snoring. I woke my mom up and she woke him up. He doesn't remember any of it.
     

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  3. sakshi supehia

    sakshi supehia Famous Member

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    Sleep behaviors are pretty fascinating. Some people snore, some grind their teeth -- and some take a little stroll, or perhaps a drive.:D
     

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