Sleepwalking in Adults: What Can You Do About It

Published: Mar 31, 2024
Updated: Sep 13, 2024
Sleepwalking in Adults: What Can You Do About It
In this article
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    8 min

    Do you ever wake up in strange places or do things without remembering? Sleepwalking in adults, sometimes referred to as somnambulism, can be perplexing and risky.

    This article explores what causes it, its symptoms, and the dangers involved. Factors like genetics, stress, and medications can trigger episodes. Delve into the complexities of adult sleepwalking to navigate it effectively.

    Key Takeaways
    Adult sleepwalking can significantly impact health-related quality of life, leading to symptoms like daytime sleepiness, fatigue, insomnia, depression, and anxiety.
    Sleepwalking is not uncommon, affecting up to four percent of adults, with a significant portion experiencing nightly or weekly episodes, some resulting in injuries requiring medical care.
    Triggers for adult sleepwalking include stressful events, strong emotions, sleep deprivation, drug/alcohol intake, and physical activity, leading to complex behaviors during arousals from non-REM sleep.
    Sleepwalking in adults can have serious consequences, including injuries, accidents, violent behaviors, disrupted sleep, daytime consequences, and mood disturbances, emphasizing the need for proper diagnosis and management.

    Sleepwalking in Adults

    Experiencing complex behaviors during arousals from non-rapid eye movement (NREM) sleep, adult sleepwalking poses significant health risks and can impact daily functioning. Sleepwalking, also known as somnambulism, is a sleep disorder where individuals engage in activities while still asleep.

    The causes of sleepwalking are varied, including genetic factors, stress, sleep deprivation, medical conditions like fever or sleep apnea, and medications such as sedatives. Sleepwalkers may exhibit symptoms like walking around unconsciously, performing tasks without awareness, and engaging in dangerous behaviors.

    It’s crucial to understand the triggers and risks associated with sleepwalking, as it can lead to injuries, accidents, and disruptions in daily life. Seeking medical help and implementing personalized treatment plans are essential for managing this sleep disorder effectively.

    women sleep walking

    Causes of Somnambulism

    Genetics, stress, and medical conditions like fever or sleep apnea are common factors contributing to somnambulism. While genetics play a role with specific mutations increasing the risk, stress, anxiety, and sleep deprivation are significant triggers.

    Medical conditions such as epilepsy, hormonal changes like pregnancy, and medications like sedatives can also induce or exacerbate sleepwalking. Substance abuse, restless leg syndrome, and brain-affecting conditions like Alzheimer’s disease further elevate the risk.

    Understanding these causes is crucial in managing sleepwalking episodes and reducing potential dangers. If you experience symptoms like performing tasks unconsciously or engaging in dangerous behaviors, seeking medical help for a proper diagnosis and tailored treatment plan is essential to mitigate the risks associated with sleepwalking.

    Symptoms of Sleepwalking

    If you notice yourself or someone else walking around while still asleep, performing complex tasks unconsciously, or having a blank or confused facial expression during sleep, these could be signs of sleepwalking. Sleepwalking in adults can manifest in various ways, from simple actions like sitting up in bed to more complex behaviors such as leaving the house.

    During a sleepwalking episode, individuals may be difficult to wake, engage in inappropriate or dangerous activities, and exhibit a lack of awareness of their surroundings. These symptoms can lead to potential risks such as injuries, accidents, and embarrassment. Understanding the signs of sleepwalking is crucial in identifying and addressing this sleep disorder to ensure safety and well-being.

    Risks Associated With Sleepwalking

    Walking around while still asleep, performing complex tasks unconsciously, and having a blank or confused facial expression during sleep are signs that you or someone you know may be experiencing sleepwalking, which poses various risks and dangers.

    When it comes to the dangers of sleepwalking, consider the following:

    • Injuries: Sleepwalkers can suffer bruises, nosebleeds, fractures, and even serious head trauma during episodes.
    • Accidents: Sleepwalking can lead to falls, collisions, or other accidents due to impaired awareness.
    • Sleep Deprivation: Episodes of sleepwalking can disrupt sleep patterns, leading to sleep deprivation and its associated health risks.

    Being aware of the risks associated with sleepwalking is crucial in understanding the importance of seeking appropriate medical guidance to manage this condition effectively.

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    Triggers for Sleepwalking

    Triggering factors for sleepwalking can vary, from stress and anxiety to medications and medical conditions, influencing the occurrence and severity of episodes.

    Stressful events, strong positive emotions, sleep deprivation, drug or alcohol intake, and intense physical activity are common triggers for sleepwalking. These factors promote increased slow-wave sleep (SWS) and non-rapid eye movement (NREM) sleep instability, leading to episodes of sleepwalking.

    When the brain is partially awake during these triggers, complex behaviors can occur without conscious awareness, resulting in an episode of sleepwalking. Understanding these triggers is crucial in managing this sleep disorder and reducing the frequency and severity of sleepwalking episodes.

    Addressing these triggers can help improve sleep quality and overall well-being.

    Impact on Quality of Life

    The impact of adult sleepwalking on your quality of life can be profound, affecting various aspects of your daily functioning and well-being. Here’s how it can influence you:

    Daytime Consequences:

    • Sleepwalking may lead to daytime sleepiness, fatigue, and decreased performance.
    • Such consequences can affect your productivity at work or in daily activities.

    Mood Disturbances:

    • Adults with sleepwalking may experience mood disturbances like increased irritability or anxiety.
    • Mood fluctuations can impact your relationships and overall emotional well-being.

    Injury Risks:

    • Sleepwalking episodes can pose risks of injuries to yourself or others.
    • Injuries sustained during sleepwalking can range from mild bruises to serious fractures or head trauma.

    Understanding these impacts is essential in addressing adult sleepwalking and improving your quality of life.

    Managing Adult Sleepwalking

    To effectively manage adult sleepwalking, address the impact on quality of life through implementing personalized treatment plans and seeking neurological evaluations for optimal care.

    Adults experience disruptive behaviors during sleep, such as walking around or engaging in complex tasks unconsciously. With a history of the disorder, it’s crucial to identify triggers like stress, anxiety, and sleep disturbances related to sleepwalking.

    Managing adult sleepwalking involves creating a safe sleep environment, avoiding alcohol and certain medications, and maintaining a consistent sleep schedule. Seeking medical help can reduce the risks of injuries, accidents, and daytime consequences.

    Can sleepwalking in adults be treated?
    Sleepwalking in adults can be treated through various methods including improving sleep hygiene, addressing underlying sleep disorders, and, in some cases, medication. Seeking guidance from a healthcare professional is essential for proper diagnosis and treatment.
    Dr. June Seliber-Klein
    MD DABPN, Sleep Board Certified, Chief Medical Officer Ognomy Sleep

    Conclusion

    In conclusion, adult sleepwalking, or somnambulism, can be a complex and potentially dangerous sleep disorder with various causes and triggers.

    It can have a significant impact on your daily life, relationships, and overall well-being. Understanding the risks and symptoms of sleepwalking is essential in seeking proper medical intervention and management.

    By taking steps to manage and address this condition, you can navigate its challenges effectively and improve your quality of life.

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    FAQ

    Sleepwalking, also known as somnambulism, is a sleep disorder where a person may engage in activities like walking, sitting up, or performing complex behaviors while still asleep. Causes of sleepwalking can include genetics, sleep deprivation, stress, and underlying medical conditions.

    Symptoms of sleepwalking in adults can vary but may include walking around the house during sleep, mumbling or talking incoherently, having a blank expression, and not remembering the episode upon waking up.

    Yes, there are risks associated with sleepwalking, including the potential for injury to oneself or others during episodes. Sleepwalkers may unintentionally harm themselves by falling, walking into objects, or engaging in dangerous activities.

    Diagnosis of sleepwalking usually involves a thorough evaluation by a healthcare provider. This may include discussing symptoms, medical history, and potentially undergoing a sleep study to monitor sleep patterns and behaviors.

    Treatment options for sleepwalking may involve improving sleep hygiene, addressing underlying sleep disorders like obstructive sleep apnea, managing stress, and in some cases, medication may be prescribed to help control episodes.

    Yes, sleepwalking is more common in children than adults, with many cases resolving as children grow older. However, some adults also experience sleepwalking episodes, often triggered by factors like stress or sleep deprivation.

    If you encounter someone who is sleepwalking, gently guide them back to bed without fully waking them. It is important to ensure their safety and prevent any potential harm during the episode.
    About authors
    Dr. June Seliber-Klein, MD DABPN is a board-certified sleep specialist with more than 25 years of experience in sleep medicine.

    Sehgal, A., & Mignot, E. (2011). Genetics of sleep and sleep disorders. Cell, 146(2), 194–207. https://doi.org/10.1016/j.cell.2011.07.004

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