
Sleepwalking, or somnambulism, is a fascinating phenomenon where a person walks or performs complex activities while in a state of partial arousal from deep sleep. It has been a popular subject in various forms of art, including Shakespeare's Macbeth and Vincenzo Bellini's 1831 opera La Sonnambula. Sleepwalking usually occurs during the slow-wave stage of sleep, when the brain is less active but the body remains capable of movement. While the exact cause of sleepwalking is unknown, it often runs in families, and factors like genetics, sleep deprivation, stress, and certain medications may trigger episodes. Although it typically starts in childhood, with an estimated 5% to 15% of children experiencing it, most people outgrow it by adulthood.
| Characteristics | Values |
|---|---|
| Formal name | Somnambulism |
| Prevalence | 7% of people sleepwalk at least once in their lifetime |
| Age | Sleepwalking usually starts in childhood, and most people grow out of it by the time they become adults |
| Frequency | 5% to 15% of children and 1% to 1.5% of adults experience sleepwalking within a year |
| Timing | Usually happens within the first two or three hours of falling asleep |
| Mental state | Sleepwalkers are in a state of low consciousness or partial arousal from deep, non-REM sleep |
| Brain activity | The brain is less active during sleepwalking |
| Physical activity | The body can still move during sleepwalking |
| Eye state | The sleepwalker's eyes are open but may appear as a glassy-eyed stare or blank expression |
| Memory | Sleepwalkers often have little or no memory of the incident |
| Behaviour | Sleepwalking can involve simple or complex actions, from talking and sitting up in bed to driving a car and making violent gestures |
| Treatment | There are no FDA-approved drugs specifically for sleepwalking; cognitive behavioural therapy (CBT) or hypnotherapy may be helpful |
| Prevention | Preventative measures can be taken to reduce the risk of injury, such as locking doors and windows |
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What You'll Learn

Sleepwalking is a sleep disorder
Sleepwalking is more common during childhood, with episodes often becoming less frequent with age. It can be triggered by various factors, including genetics, sleep deprivation, medications, and stress. While it usually does not require active treatment, sleepwalking can be dangerous, with some sleepwalkers injuring themselves or even being violent towards others. In rare cases, sleepwalking can be a sign of another underlying condition, such as obstructive sleep apnoea or restless leg syndrome.
If sleepwalking occurs frequently, or if there is a risk of harm to oneself or others, it is important to seek medical advice. Treatment options may include medications such as benzodiazepines or antidepressants, as well as therapies like cognitive behavioural therapy (CBT) or hypnotherapy. Creating a safe environment is crucial, by removing potential hazards and ensuring doors and windows are locked.
Additionally, establishing a regular and relaxing bedtime routine, limiting caffeine intake, and finding ways to relax before bed can help reduce the occurrence of sleepwalking episodes. In some cases, gently waking a child for a short time before their usual sleepwalking hour may alter their sleep cycle and prevent the behaviour. While sleepwalking may be a source of curiosity or amusement, it is a serious disorder that requires understanding, patience, and, in some cases, professional intervention to ensure the safety of the affected individual and those around them.
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It occurs during slow-wave sleep
Sleepwalking, or somnambulism, is a fascinating phenomenon. It occurs during slow-wave sleep, a stage of deep, non-REM sleep. During this state, the brain is less active, but the body remains capable of movement. This disconnect between brain functions allows for the performance of activities that typically occur during full consciousness.
Slow-wave sleep is characterised by slow, high-amplitude brain waves, indicating a period of deep sleep. It is during this stage that sleepwalking is most likely to occur. Sleepwalking episodes can last anywhere from a few seconds to half an hour, and the individual may either wake up confused or return to bed on their own. It is worth noting that sleepwalking usually happens within the first few hours of falling asleep, peaking during the early part of the night.
During a sleepwalking episode, individuals may engage in various activities, ranging from simple behaviours to complex actions. These can include sitting up in bed, walking to the bathroom, eating, cleaning, or even more hazardous activities like cooking or driving. While sleepwalking, individuals may appear to have their eyes open but with a glassy-eyed stare or blank expression. They may talk, but their speech often doesn't make sense to the observer.
The exact cause of sleepwalking is not fully understood, but it is believed to be associated with certain factors. Genetics plays a role, as sleepwalking tends to run in families. Additionally, sleep deprivation, stress, and certain medications can trigger or contribute to sleepwalking episodes. It is important to note that sleepwalking itself is rarely a sign of anything serious, and preventive measures can be taken to ensure the safety of the individual and those around them.
To minimise the risk of injury during sleepwalking episodes, it is recommended to keep the environment safe and secure. This includes removing potential hazards, locking windows and doors, and ensuring easy access to the bedroom and bathroom to reduce the risk of falls. It is also beneficial to establish a consistent and relaxing bedtime routine, maintain good sleep hygiene, and address any underlying sleep disorders or conditions that may be triggering the sleepwalking behaviour.
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Sleepwalking can be dangerous
Sleepwalking, or somnambulism, is a sleep disorder that causes people to walk or perform other complex behaviours while not fully awake. It is more common in children, but it can affect adults too, with up to four per cent of the adult population sleepwalking. Sleepwalking can be dangerous for several reasons. Firstly, accidents during sleepwalking episodes can lead to injuries. These injuries can range from bruises and nose bleeds to fractures and even serious head trauma. In a study of 100 adult sleepwalkers, 58 per cent had a history of violent sleep-related behaviours, and 17 per cent had sustained injuries—either to themselves or their bed partner—that required medical attention.
Secondly, sleepwalking is associated with a higher frequency of daytime sleepiness, fatigue, insomnia, and depressive and anxiety symptoms. This can negatively impact a person's quality of life and lead to mood disturbances. Sleepwalking can also be dangerous if the sleepwalker engages in potentially harmful activities while asleep, such as cooking, driving, or handling sharp objects. Additionally, sleepwalkers may be at risk of harm from their environment, such as tripping over objects, falling down stairs, or wandering outside into unsafe areas.
Sleepwalking episodes can be triggered by various factors, including genetics, sleep deprivation, medications, stress, and intense evening physical activity. Due to the potential dangers associated with sleepwalking, it is essential to take precautions to ensure the safety of the sleepwalker and those around them. This may include locking doors and windows, removing hazards from the sleepwalker's path, and gently guiding a sleepwalker back to bed if they wander.
If sleepwalking episodes are frequent, severe, or causing concern, it is recommended to consult a doctor. They can help determine the underlying causes and create a tailored treatment plan to manage the condition effectively.
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It can be treated with medication
Sleepwalking, or somnambulism, is a sleep disorder that involves walking or performing other complex behaviours while asleep. It occurs during non-rapid eye movement (NREM) sleep, typically in the first third of the sleep pattern, and the sleepwalker usually has no recollection of the episode. While sleepwalking is often depicted in the arts, it can be dangerous, leading to injuries and accidents.
If you are concerned about sleepwalking, it is recommended to consult a doctor, who can help determine the underlying cause and create a treatment plan. Treatment for sleepwalking depends on the patient's age, frequency of episodes, and the level of risk and disruption they cause. In some cases, sleepwalking may resolve on its own without specific therapy, as episodes tend to lessen with age.
Medication may be prescribed to control sleepwalking when it is caused by an underlying medical problem, or if the sleepwalker is at risk of injury, causing family disruption, or experiencing excessive daytime sleepiness. While there are no FDA-approved medications specifically for sleepwalking, certain drugs can be useful. These include Gabapentin, an epilepsy medication that alters neurotransmitters, and Benzodiazepines and antidepressants, which have been found to stop sleepwalking episodes. It is important to note that medication is typically discontinued after several successful weeks of treatment without a recurrence of sleepwalking.
In addition to medication, there are several steps that can be taken to minimise the impact of sleepwalking and create a safer environment. This includes getting adequate sleep, limiting stress, practising relaxation techniques, and ensuring a safe sleeping environment by removing potential hazards and securing doors and windows.
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Sleepwalking in pop culture
Sleepwalking, or somnambulism, is a sleep disorder that has been portrayed and referenced in various ways in popular culture.
In music, the London DJ and producer William Phillips, also known as Tourist, released a single titled "Sleepwalking". The song is described as a vivid meditation on Phillips' mental state, somewhere between "asleep and awake", lost and found. The accompanying music video was directed by Sophie Littman and Saman Aminzadeh, who gave it a whimsical treatment.
Sleepwalking has also been featured in films and television shows. For example, the film Ode to Joy portrays a man with narcolepsy and cataplexy, which are different from sleepwalking but still involve a combination of sleep and wakefulness.
In addition to these direct references, sleepwalking has been studied and surveyed by organisations like the American Academy of Sleep Medicine (AASM) and the Sleep Foundation. These organisations often provide information and resources for people experiencing sleep disorders, including sleepwalking.
While it can be a source of entertainment or intrigue in popular culture, sleepwalking is a serious disorder that can affect people's lives. It is characterised by a combination of sleep and wakefulness, with individuals performing activities that are usually done while fully conscious. These activities can range from simple behaviours like talking or sitting up in bed to more complex and potentially dangerous actions like cooking or driving.
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Frequently asked questions
Sleepwalking, or somnambulism, is a sleep disorder that involves walking or performing other complex behaviours while in a state of partial arousal from deep, non-REM sleep. Sleepwalking usually occurs during a period of deep sleep, within the first few hours of falling asleep. Sleepwalking can affect both children and adults, but it is more common during childhood.
Sleepwalking episodes can involve various simple or complex actions and can last anywhere between a few seconds to half an hour. Sleepwalking can be as benign as talking, sitting up in bed, walking to the bathroom, or cleaning. However, it can also involve more hazardous activities such as cooking, driving, making violent gestures, or mishandling sharp objects. Sleepwalkers often have little to no memory of the incident and may wake up confused.
Sleepwalking is usually not a serious condition and often gets better with time, especially in children. There is no specific treatment for sleepwalking, but it can help to maintain good sleep hygiene by getting enough sleep and establishing a regular and relaxing bedtime routine. Keeping the home environment safe for sleepwalkers is also important, such as removing breakable or potentially harmful objects and ensuring windows and doors are locked. In cases where sleepwalking persists or poses a risk of injury, medication or therapies such as cognitive behavioural therapy (CBT) may be recommended.











































