Formally known as somnambulism, sleepwalking involves not only walking during sleep but also performing several other complex behaviors. More common in children and in those who are sleep deprived, this disorder occurs during deep sleep and sufferers are therefore difficult to wake during the episode. In the morning, most people aren’t able to remember the event.
Thanks to the name, the most obvious symptom of this disorder is walking during sleep, but it could be as simple as sitting up in bed and looking around the room. Elsewhere, others find themselves walking around the house while a small percentage will leave the house and even drive long distances. It is a common misconception that a sleepwalker should not be awakened. With sleepwalking, the opposite is true, and it can actually be dangerous not to wake them.
Sleepwalking occurs in between 1% and 15% of Americans and doesn’t normally suggest a psychological or psychiatric problem.
There are some common triggers for sleepwalking;
- Certain medications
- Febrile illnesses
- Sedative agents such as alcohol
- Sleep deprivation
Sleepwalking is far more common in children and tends to peak between three and seven years of age; it’s even more common when the child suffers from sleep apnea. There is also a higher instance of sleepwalking among children who experience bedwetting and sleep terrors.
Causes of Sleepwalking
Despite all the improvements in technology these days, we’re still unable to highlight the exact cause of sleepwalking. However, we know that, alongside night terrors, it’s something that passes down from one generation to the next. If close family members sleepwalk, the next generation is likely to have sleepwalking behaviors as well.
We also know that there are certain things that make sleepwalking more prevalent;
- Being abruptly awoken from deep sleep (by a touch or noise)
- Waking up abruptly with a need for the toilet
- Sedatives and other medication
- Consuming recreational drugs
- Too much alcohol
- Infections with a fever (in children especially)
- Anxiety and stress
- Lack of sleep
In other cases, it’s another sleep disorder that causes us to suddenly wake up during the night and trigger sleepwalking episodes (such as restless legs syndrome and obstructive sleep apnea). A doctor will advise patients to reduce these triggers by dealing with stress, getting more sleep, etc.
Exploring a Sleepwalking Episode
In the most basic episodes, a sleepwalker might sit up in bed and take a look around the room while appearing confused. As perhaps the most known type of sleepwalking, the next level would be walking around the home, getting dressed, opening cupboards, and potentially even eating. In less common and extreme cases, sleepwalkers might drive a car or perform other complex activities.
The reason the experience is traumatic for loved ones is because the eyes are open while someone is sleepwalking, but they look straight through people. If you speak to a sleepwalker, they can respond but the answer won’t make much sense. Also, sleepwalkers tend to move well around familiar rooms and objects.
Although the majority of episodes are over within ten minutes, some can last longer. At the end, the sleepwalker either goes back to bed or wakes up. If the former, they can wake up in the morning as if nothing happened. If woken in the middle of an episode, it leads to confusion and a lack of memory.
Dealing with a Sleepwalker
If you live with a sleepwalker, the priority should always be their safety. If you can guide them back to bed, this is the ideal solution; without too much disturbance, they will normally drift back to sleep. If you’re worried about a second episode, gently wake them and keep them awake for a couple of minutes (to end the deep sleep cycle) before allowing them back to sleep.
DO NOT: Shout or try to shock them in some way. Unless in danger, we also advise against restraining them because they can lash out.
Preventing Accidents: When there’s a sleepwalker in the home, it’s important to clear the common pathways and trip hazards. Furthermore, it’s best to keep them indoors which is why doctors will tell you to lock the windows and doors.
If it’s a child, think about everything that could go wrong if they were to sleepwalk, and then deal with the potential hazards. If your child sleepwalk,, they should never sleep on the top bed of a bunk bed because they could easily fall or jump. It would also be wise to put a safety gate at the top of the stairs so that their path is blocked. Whenever somebody else looks after your child, let the babysitter know the situation and how you deal with their sleepwalking. It's also a good idea to keep windows and doors locked.
Contacting a Doctor
If sleepwalking is irregular and causing no harm, medical attention is unnecessary. It doesn’t normally suggest a deeper problem and may get better with time (especially when it comes to children). You SHOULD see a doctor if the following is true;
- Episodes start in adult life
- You or family members are concerned for your safety
- Sleepwalking episodes are becoming frequent
Depending on the case, you might be asked to attend a sleep center where you can have a proper conversation with a sleep specialist. In some cases, sleepwalkers take part in sleep studies so that certain medical conditions can be eliminated (including restless leg syndrome and obstructive sleep apnea).
Common Treatments for Sleepwalking
Rather than a specific medical treatment, dealing with sleepwalking is often about improving one’s lifestyle. For example, we should all try to get sufficient sleep each night and adopt a good bedtime routine. You may find the following advice helpful:
- Read, have a bath, or do something else to get relaxed before bed
- Go to the toilet before going to sleep
- Avoid caffeine in the last couple of hours before bed
- Make sure your bedroom is dark and quiet
- Stick to a specific bedtime
If you’re worried about a child, pay attention to when they sleepwalk and wake them up around 15 minutes before it normally happens. As you alter their normal sleep cycle, this may prevent the problem from occurring.
What about medication? Well, this isn’t normally offered unless there’s a risk to health and safety. In these cases, the doctors will offer antidepressants or benzodiazepines since they will encourage sleep and reduce the likelihood of experiencing sleepwalking. Often, a more effective treatment is found with hypnotherapy or CBT (cognitive behavioral therapy).