Sleep Disorders: When Sleepwalking and Amnesia Occur - Psychiatry

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Sleep issues


Hello, I would like to inquire if my sleep patterns are normal.
Recently, I accompanied my boyfriend to the hospital for surgery.
We were originally sleeping together on the hospital bed, but when I woke up, I found myself on the family member's bed.
My boyfriend said I got up and went to sleep there on my own.
I thought we would be next for our examination, so I went to sleep there, and I even took my glasses from the family bed and put them away.
I have no memory of this at all, and similar incidents have happened before.
When I first started dating my boyfriend, I called him in the middle of the night using an appliance, and I even memorized his phone number (we had been together for less than a week at that time).
I had no recollection of dialing the number, but I have a faint memory of being interrupted by my family after the call connected (my dad stopped me, and he seemed unsurprised by my behavior at that hour).
There was another time when a friend called my boyfriend while we were both asleep.
I automatically answered the phone and chatted for a bit, and it was my boyfriend who woke up and took over the call.
However, I had no memory of this the next morning! These are things I learned about after waking up, and I have no idea what else might have happened while I was asleep.
My boyfriend says I often talk in my sleep but cannot engage in conversation because I ignore him.
I have also sat up in bed while sleeping without speaking and then lay back down.
I know that once I fall asleep, I am hard to wake up; I don’t wake up even with loud noises around me (except for alarms, but if I’ve only slept for an hour, I might ignore the alarm as well).
I can sleep soundly on the train from Pingtung all the way to Xinzuoying without waking up or noticing if the passengers next to me change.
I can sleep anywhere...
haha.
Is this state of mine normal? Should I see a doctor for an evaluation?

Dudu, 20~29 year old female. Ask Date: 2017/05/09

Dr. Zhong Mingxun reply Psychiatry


This situation is uncommon, and many cases occur when individuals take sleeping pills but have not yet fallen asleep.
If you are very concerned, you can seek evaluation at a hospital with a sleep laboratory.

Reply Date: 2017/05/09

More Info


Your experiences with sleepwalking, amnesia, and other unusual sleep behaviors raise important questions about your sleep health. Based on the information you've provided, it seems you may be experiencing a form of parasomnia, which is a disorder characterized by abnormal or unusual behavior during sleep. This can include sleepwalking, talking in your sleep, and even engaging in activities without being aware of them, as you've described.


Understanding Your Symptoms
1. Sleepwalking (Somnambulism): This is a common parasomnia where individuals walk or perform other complex behaviors while in a state of sleep. Sleepwalkers typically have no memory of their actions upon waking. Your experience of getting out of bed and moving to another location without recalling the event fits this description.

2. Sleep Talking (Somniloquy): This involves talking during sleep without being aware of it. It can range from simple sounds to full conversations. Your boyfriend's observations about you talking in your sleep and not being able to engage in meaningful dialogue with him are consistent with this condition.

3. Amnesia for Sleep Events: The lack of memory for actions taken during sleep, such as moving to another bed or making phone calls, is a hallmark of parasomnias. This amnesia can be distressing, especially if it leads to confusion or concern about your safety.

4. Deep Sleep and Insensitivity to External Stimuli: Your ability to sleep deeply, even in noisy environments, suggests that you may be experiencing a high level of sleep inertia, which is the grogginess and disorientation that can occur upon waking from deep sleep. This can make it difficult for you to respond to alarms or other stimuli.


When to Seek Medical Attention
Given the frequency and nature of your symptoms, it would be advisable to consult a healthcare professional, particularly a sleep specialist. Here are some reasons to seek medical advice:
- Frequency of Episodes: If sleepwalking or other parasomnias occur regularly, it may indicate an underlying sleep disorder that could benefit from evaluation and treatment.


- Safety Concerns: Engaging in activities while unaware can pose risks, especially if you are in unfamiliar environments or if there are potential hazards around you.

- Impact on Daily Life: If these episodes are affecting your quality of life, relationships, or daily functioning, it is important to address them.


Potential Evaluations
During your consultation, the healthcare provider may recommend:
- Sleep Study (Polysomnography): This overnight test records brain waves, oxygen levels, heart rate, and breathing, as well as eye and leg movements during sleep. It can help diagnose sleep disorders.

- Sleep Diary: Keeping a record of your sleep patterns, behaviors, and any episodes of sleepwalking or talking can provide valuable information for your doctor.

- Medical History Review: Discussing your medical history, lifestyle factors (like stress, caffeine intake, and sleep hygiene), and any medications you are taking can help identify potential triggers.


Conclusion
Your experiences with sleepwalking, amnesia, and other unusual sleep behaviors are significant and warrant further investigation. While these behaviors can sometimes be benign, they can also indicate underlying sleep disorders that may require treatment. Consulting with a sleep specialist will provide you with a clearer understanding of your condition and the best course of action to improve your sleep quality and overall well-being. Remember, prioritizing your sleep health is essential for your physical and mental well-being.

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