
Sexsomnia, also known as sleep sex, is a rare sleep disorder that causes individuals to engage in sexual activity while they are asleep. It is classified as a parasomnia, which is a sleep disorder related to abnormal movements. Sexsomnia can cause self-touching or sexual motions, and some individuals may unknowingly seek sexual intimacy with others. It can be difficult to diagnose and treat sexsomnia, as symptoms occur randomly during the night and are difficult to track long-term. However, certain medications and lifestyle adjustments can help manage the disorder.
| Characteristics | Values |
|---|---|
| Name of Disorder | Sexsomnia (also known as sleep sex) |
| Type of Disorder | Parasomnia |
| Prevalence | Rare |
| Sex | More common in men |
| Age | Affects individuals of all age groups |
| Symptoms | Sexual behaviours while asleep, including masturbation, fondling, sexual intercourse, pelvic thrusting, spontaneous orgasm |
| Awareness | Individuals with sexsomnia are often unaware of their actions |
| Memory | Individuals with sexsomnia often have no recollection of their actions |
| Emotional Impact | Individuals with sexsomnia may experience a range of negative emotions |
| Treatment | Medication, lifestyle adjustments, treating underlying sleep disorders, improving sleep hygiene, reducing stress, anxiety and depression |
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What You'll Learn

Sexsomnia is a rare sleep disorder
Sexsomnia, or sleep sex, is a rare sleep disorder in which a person engages in sexual behaviour while still asleep. The sexual behaviour can include self-touching, masturbation, fondling, pelvic thrusting, sexual arousal, orgasm, and sexual intercourse. Sexsomnia occurs during non-REM sleep and isn't related to dreaming. It can appear to others that the person experiencing sexsomnia is awake, with an open-eyed, vacant look, but they are in fact in between deep, dreamless sleep and wakefulness.
Sexsomnia is considered a parasomnia, a sleep disorder related to abnormal movements. It is often triggered by sleep deprivation, stress, shift work, and substance abuse. It can also be caused by other underlying sleep disorders, such as sleep apnea, restless leg syndrome, heartburn, insomnia, sleep-related seizures, and sleepwalking. Certain medications, such as sedatives, can also increase the risk of sexsomnia.
Sexsomnia can have a profound impact on both the person with the condition and their partners. Individuals with sexsomnia often have no recollection of their sexual behaviours, which can be scary and confusing. Bed partners may experience a range of feelings, from fear to enjoyment, and may worry about not satisfying their partners or fear betrayal. Sexsomnia can also make the question of consent difficult and has been used as a defence in criminal cases involving sexual assault and rape.
Treatment for sexsomnia often involves addressing the underlying causes, such as treating other sleep disorders or reducing stress, anxiety, and substance abuse. Medication may also be prescribed, including mild sedatives, antidepressants, and selective serotonin reuptake inhibitors (SSRIs). Lifestyle adjustments, such as improving sleep hygiene, are also recommended.
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It can cause self-touching or sexual intercourse
Sexsomnia, or sleep sex, is a rare sleep disorder in which a person initiates sexual behaviour while asleep. It is classified as a parasomnia, a sleep disorder related to abnormal movements. Sexsomnia occurs during non-REM sleep and isn't related to dreaming. It can cause self-touching or sexual intercourse.
People with sexsomnia may engage in self-touching or sexual intercourse while asleep, and often have no recollection of their actions. This can be confusing and distressing for the person affected and their partner. In some cases, sexsomnia has been linked to criminal behaviour, with several court cases involving charges of sexual misconduct.
During an episode of sexsomnia, a person may appear awake, with an open-eyed, vacant look. They may engage in self-touching, masturbation, or sexual intercourse. These behaviours can be outside of a person's normal behaviour or within their usual patterns of sexual behaviour. However, they are always unintentional and occur without the person's awareness.
Sexsomnia can have a significant impact on both the affected individual and their partner. The person with sexsomnia may feel embarrassed or ashamed to learn they have done things they don't remember. Their partner may experience a range of emotions, from fear to enjoyment, and may worry about not satisfying their partner sexually.
Treatment for sexsomnia often involves addressing underlying sleep disorders or health issues that may be triggering the condition. Medication and lifestyle adjustments can also help manage the disorder.
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It can be treated with medication
Sexsomnia is a sleep disorder characterised by engaging in sexual activities during sleep. It is a type of parasomnia, which refers to unusual sensations and behaviours, such as sleepwalking, that people may experience or exhibit while asleep, falling asleep, or waking up. People with sexsomnia tend to have no recollection of their sexual behaviours, which can be alarming and confusing. The causes of sexsomnia are not entirely clear, but it may be related to other sleep disorders, stress, alcohol consumption, substance abuse, and other external factors.
Sexsomnia can cause considerable distress and shame for those who experience it and their partners. However, it is important to remember that it is often treatable. Treatment for sexsomnia typically depends on the underlying cause and may include medication, improving sleep quality and hygiene, and lifestyle changes. If sexsomnia is caused by another sleep disorder, such as sleep apnea or restless leg syndrome, treating the underlying disorder may also alleviate the unintended sexual behaviours. For example, sleep apnea is often treated with a continuous positive airway pressure (CPAP) machine.
Medication is often used to treat sexsomnia, and various prescription drugs have been found to be successful. Benzodiazepines, such as clonazepam, are commonly prescribed to treat sexsomnia. Other drugs that have been used with some success include trimipramine, lamotrigine, olanzapine, carbamazepine, clomipramine, fluoxetine, escitalopram, duloxetine, and paroxetine. Anticonvulsant therapy has also been found to be effective in treating sexsomnia caused by seizures.
In addition to medication, cognitive behavioural therapy (CBT) has been shown to help alleviate symptoms of sexsomnia. CBT can help individuals control their symptoms and process any negative emotions associated with the diagnosis. Hypnosis has also been mentioned in reports as a successful treatment for sexsomnia.
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It can be triggered by sleep deprivation, stress, and shift work
Sexsomnia, or sleep sex, is a rare sleep disorder that affects people of all ages and backgrounds. People with sexsomnia may engage in sexual behaviours ranging from self-touching and masturbation to sexual intercourse with others. They may appear awake during these episodes, with an open-eyed, vacant look, but they are actually unaware and have no memory of the sexual behaviours they exhibit.
Sexsomnia is triggered by sleep deprivation, stress, and shift work. Sleep deprivation has been shown to negatively impact the brain and behaviour, with extended periods resulting in malfunctioning neurons, which can directly affect an individual's behaviour. Stress is also a contributing factor, and improving sleep hygiene can help to reduce symptoms of sexsomnia. This includes addressing substance abuse issues, reducing alcohol intake, and improving overall sleep quality.
In addition to sleep deprivation and stress, shift work can also trigger sexsomnia. Shift work can disrupt the natural sleep-wake cycle and contribute to sleep deprivation and stress, which are known risk factors for sexsomnia. It is important for individuals with irregular work schedules to prioritise healthy sleep habits and stress management techniques to reduce the risk of developing sexsomnia.
Sexsomnia often occurs in conjunction with other sleep disorders such as sleepwalking, sleep paralysis, sleep apnea, and restless leg syndrome. It can also be triggered by certain medications, such as sedative-hypnotics, and underlying health conditions like epilepsy, head injuries, migraines, Crohn's disease, and colitis. Treating these underlying conditions and adjusting medications can help resolve sexsomnia symptoms.
If you suspect you may have sexsomnia, it is important to consult a healthcare professional. They can recommend lifestyle adjustments, prescribe medications, or refer you to a sleep specialist for further evaluation and treatment.
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It can have harmful emotional, psychosocial, and criminal consequences
Sexsomnia, or sleep sex, can have a range of harmful emotional, psychosocial, and criminal consequences. It can cause emotional distress and negatively impact the emotional health and well-being of both the person experiencing it and their bed partner. Feelings of fear, guilt, shame, embarrassment, confusion, disappointment, frustration, and self-incrimination are common. Sexsomnia can also lead to psychosocial problems, including a lack of emotional intimacy, repulsion, sexual abandonment, annoyance, suspicion, and relationship issues. These issues can result in marital strain and, in some cases, even marital estrangement.
The disorder can also have criminal implications due to the potential for non-consensual sexual behaviour. During an episode of sexsomnia, a person may engage in sexual activity with someone they would not typically choose to be sexual with or behave in sexually aggressive ways. This can lead to accusations of sexual assault or rape, resulting in legal charges and criminal prosecution. In some cases, sexsomnia has been used as a defence in criminal cases involving sex crimes.
The bed partner of a person with sexsomnia may experience fear of not satisfying their partner sexually or feel betrayed, ashamed, and insecure about their relationship. They may also suffer physical injuries due to aggressive sexual behaviour during sexsomnia episodes. Additionally, sleep sex can disrupt the sleep of the bed partner and cause psychological distress due to offensive sleep sex talking, inappropriate timing and types of sex, and non-consensual behaviours.
The emotional and psychosocial impacts of sexsomnia can be mitigated through counselling or therapy, which can help individuals cope with difficult emotions and situations arising from the disorder. Treatment for sexsomnia often involves addressing underlying triggers, improving sleep hygiene, and, in some cases, the use of medications like clonazepam.
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Frequently asked questions
Sexsomnia, also known as sleep sex, is a rare sleep disorder in which a person initiates sexual behaviour while asleep.
People with sexsomnia may exhibit behaviours such as fondling, masturbation, sexual intercourse, pelvic thrusting, and spontaneous orgasm while asleep. They often have no recollection of these sexual behaviours.
Sexsomnia is often triggered by sleep deprivation, stress, shift work, and substance abuse. It can also be caused by certain medications, such as sedative-hypnotics, and underlying health conditions, including sleep apnea, restless leg syndrome, heartburn, and insomnia.
Sexsomnia is typically diagnosed through a combination of methods, including sleep studies, video-polysomnography (vPSG), and interviews with friends, family, and significant others. A psychiatrist or sleep specialist may also review an individual's medical history and ask questions about their symptoms.
Treatment for sexsomnia involves addressing the underlying causes and improving sleep hygiene. Medications, such as mild sedatives, antidepressants, and selective serotonin reuptake inhibitors (SSRIs), may also be prescribed. Lifestyle adjustments, such as reducing stress and improving overall sleep quality, can help reduce symptoms.










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