Sleep Talking: Is It a Sign of Parkinson's Disease? - Neurology

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Sleep talking


My roommate says that I often scream in my sleep, about once or twice a month, but I am not aware of it.
I curse and seem to be arguing with someone.
I looked it up online and it said this could be a precursor to Parkinson's disease...
what should I do?

Cai Cai, 10~19 year old female. Ask Date: 2020/12/04

Dr. Hong Weibin reply Neurology


Hello: Talking loudly in your sleep is not a precursor to Parkinson's disease.
This phenomenon is known as sleep talking (somniloquy).
It is a common occurrence among many people, with up to 66% experiencing it.
There may be a slight genetic predisposition.
To improve sleep talking, it is recommended to maintain good sleep hygiene practices.

Reply Date: 2020/12/04

More Info


Sleep talking, also known as somniloquy, is a common phenomenon that occurs during sleep. It can manifest as talking, shouting, or even arguing, and it often happens without the individual being aware of it. Many people experience sleep talking at some point in their lives, and it is generally considered harmless. In fact, studies suggest that around 66% of individuals may engage in sleep talking at least once in their lifetime.
Your concern about sleep talking being a sign of Parkinson's disease is understandable, especially given the prevalence of misinformation regarding sleep disorders and their implications. However, it is important to clarify that sleep talking itself is not an indicator of Parkinson's disease. Parkinson's disease is a neurodegenerative disorder that primarily affects movement and can lead to tremors, rigidity, and bradykinesia (slowness of movement). While some sleep disturbances can occur in individuals with Parkinson's, such as REM sleep behavior disorder (where individuals act out their dreams), sleep talking is not a recognized symptom of the disease.

The episodes of shouting or cursing during sleep that you described could be attributed to various factors, including stress, anxiety, or even the sleep stage you are in when these episodes occur. Sleep talking can happen during both non-REM and REM sleep, but it is more common during lighter stages of sleep. If you are experiencing increased stress or anxiety in your daily life, this could contribute to more frequent occurrences of sleep talking.

To address your situation, here are some recommendations:
1. Sleep Hygiene: Establish a consistent sleep schedule by going to bed and waking up at the same time every day. Create a relaxing bedtime routine that helps signal to your body that it is time to wind down. This could include activities such as reading, taking a warm bath, or practicing relaxation techniques.

2. Stress Management: Since stress can exacerbate sleep disturbances, consider incorporating stress-reducing practices into your daily routine. This could involve mindfulness meditation, yoga, or deep-breathing exercises. Engaging in regular physical activity can also help alleviate stress and improve sleep quality.

3. Limit Stimulants: Avoid caffeine and nicotine, especially in the hours leading up to bedtime, as these substances can interfere with your ability to fall asleep and stay asleep.

4. Consult a Healthcare Professional: If your sleep talking episodes continue or worsen, or if you have concerns about other symptoms, it may be beneficial to consult a healthcare professional. They can help assess your overall sleep patterns and determine if further evaluation is necessary.

5. Keep a Sleep Diary: Documenting your sleep patterns, including when you go to bed, when you wake up, and any episodes of sleep talking, can provide valuable information for your healthcare provider.

In summary, while sleep talking can be alarming, it is typically not a cause for concern and is not indicative of Parkinson's disease. By focusing on improving your sleep hygiene and managing stress, you may find that the frequency of sleep talking decreases over time. If you have ongoing concerns, do not hesitate to reach out to a healthcare professional for further guidance.

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