Sleepwalking Disorder
Sleepwalking disorder, somnambulism or noctambulism, is a disorder of arousal
and occurs most commonly during childhood , 3 -10 years or early adolescence. It involves a complex set of
behaviors beginning during non REM sleep, mosty occurs during stage 3 and 4 , the deepest levels of sleep. This
state is very similar to an hypnotic state, the person is suggestible, and may respond to a direction from an
onlooker, without being aware of what is happening, and remaining amnesic for any events which may take place
during this state.
The person engages in activities normally associated with the waking state, walking may be the most
comon , but may also include such activities as cooking, dressing, cleaning, and driving. This last activity
has occurred in a number of adults who were taking the prescription sleeping drug Ambien, late night eating
often occurred in this group.
Sleepwalkers engage in their activities with their eyes open so they can navigate their
surroundings, not with their eyes closed and their arms outstretched as popular media would have one believe. The
victims' eyes may have a glazed or empty appearance and if questioned, the subject will be slow to answer or will
be unable to respond in an intelligible manner.
Accidents may happen as the person is performing actions without the control of
their conscious mind, cooking and driving being highly dangerous activities to perform durinbg
sleep. Some people may even commit criminal offenses while asleep, since the usual inhibitions are not in
place, however, since sleepwalking is not a mental disease, it may be difficult to avoid prosecution for
any criminal offences committed during sleepwalking.
Waking a sleepwalker, despite claims to the contrary, is not dangerous to them. It may leave them
disoriented or embarrassed, but not directly harm them. There is some danger that some sleepwalkers will become
aggressive if they are disturbed while in this state, without realizing what was going on.
Sleepwalking typically lasts no longer than thiry minutes. The causes of sleepwalking may be
genetic, stress, not enough sleep, medications, and dementia.
Read more: Diagnosing sleep
apnea
|