Sleepwalking: Is It Just a Dream or a Split Personality? - Psychiatry

Share to:

It is unclear whether it is sleepwalking or dissociative identity disorder?


Recently, I have been experiencing frequent sleepwalking episodes where I engage in many actions that I cannot accept.
During these episodes, I feel quite clever and tend to leave behind clues (like making marks to see if I have sleepwalked).
Later, the sleepwalking version of me even leaves messages for my waking self, expressing things I want to do, things I don't want to do, and even some threatening remarks, saying "I am you." Is this typical for sleepwalking? (This only occurs while I am asleep, and I do not experience memory lapses during waking hours.)

Jingji Niao, 20~29 year old female. Ask Date: 2021/05/30

Dr. Peng Liyun reply Psychiatry


Hello! Based on your description alone, it is not possible to determine your condition, such as the need to rule out physiological diseases or substance use, the timing of the episodes, and other detailed information.
I recommend that you visit a mental health specialist for a comprehensive evaluation.
Thank you for your inquiry.
Dr.
Peng Liyun, Department of Child and Adolescent Psychiatry, Chianan Psychiatric Hospital.

Reply Date: 2021/05/30

More Info


Sleepwalking, also known as somnambulism, is a fascinating phenomenon that occurs during the non-REM (NREM) stages of sleep, particularly in the deeper stages. It is characterized by a person walking or performing other complex behaviors while still in a sleep state, often without any recollection of the events upon waking. Your description of experiencing intelligent actions and even leaving messages for your waking self is quite intriguing and raises several important points about the nature of sleepwalking and its psychological implications.

Firstly, it’s essential to understand that sleepwalking is not a manifestation of a split personality or dissociative identity disorder. Instead, it is a disorder of arousal that occurs when a person transitions from deep sleep to a state of partial wakefulness. During this state, the brain may be active enough to perform complex behaviors, but the individual remains largely unaware of their actions. This can lead to situations where the sleepwalker engages in activities that seem purposeful or intelligent, yet they have no conscious awareness of these actions.

The phenomenon of leaving messages or expressing thoughts through the sleepwalking self can be attributed to the brain's unique state during these episodes. While the individual may appear to be functioning normally, their cognitive processes are not fully engaged, leading to a disconnect between their actions and conscious awareness. This could explain why you feel that the sleepwalking version of yourself is capable of intelligent behavior, as the brain can still perform tasks that seem coherent, even if the individual is not fully conscious.

Your experience of receiving messages from your sleepwalking self, including expressions of desire or threats, is particularly noteworthy. This could reflect underlying anxieties or conflicts that your subconscious mind is attempting to process during sleep. Dreams and sleepwalking can often serve as a window into our emotional states, revealing fears, desires, or unresolved issues that may not be fully acknowledged in waking life. It’s possible that the messages you receive during these episodes are manifestations of your inner thoughts or feelings that need to be addressed.

To address your concerns, it is crucial to consider a few factors that may contribute to your sleepwalking episodes. Stress, anxiety, and sleep deprivation are common triggers for sleepwalking. If you are experiencing heightened levels of stress or anxiety in your waking life, it may be beneficial to explore relaxation techniques, such as mindfulness meditation, deep breathing exercises, or cognitive-behavioral strategies to manage these feelings. Additionally, ensuring that you maintain a consistent sleep schedule and create a calming bedtime routine can help improve overall sleep quality and potentially reduce the frequency of sleepwalking episodes.

If your sleepwalking continues to escalate or if you find that it is causing significant distress or safety concerns, it would be wise to consult a healthcare professional, particularly a sleep specialist or a psychologist. They can conduct a thorough evaluation, which may include a sleep study, to better understand your sleep patterns and any underlying issues. Treatment options may include lifestyle modifications, therapy, or, in some cases, medication to help manage anxiety or improve sleep quality.

In summary, while sleepwalking can lead to perplexing and sometimes alarming experiences, it is essential to approach it with an understanding of its nature as a sleep disorder rather than a psychological split. By addressing potential stressors and seeking professional guidance if needed, you can work towards managing your sleepwalking episodes and improving your overall sleep quality.

Similar Q&A

Understanding Sleepwalking vs. Dissociation in Mental Health

Hello, doctor. I am a patient diagnosed with Depression, PTSD, and BPD, and I have been under the care of a primary physician (though recently the hospital assigned me a new doctor whom I dislike). I have also been inconsistent with my medication (I dislike taking more than ten p...


Dr. Wu Enliang reply Psychiatry
Hello, online friend: It could be sleepwalking. First, it's important to consider that it may be caused by sleep medications, as many people experience sleepwalking after taking Zolpidem. If this is the case, it is advisable to avoid using it. I recommend finding a trusted p...

[Read More] Understanding Sleepwalking vs. Dissociation in Mental Health


Understanding Sleepwalking: Causes and Treatment Options

Hello Doctor: I have recently been experiencing sleepwalking and talking in my sleep, which is very distressing for me. Please tell me what causes sleepwalking and how to treat somnambulism. Thank you.


Dr. Kong Fanzhong reply Psychiatry
If your condition is simply talking in your sleep, there is no need to worry; most people talk in their sleep at certain times. If it indeed fits the description of somnambulism, also known as sleepwalking, it is generally not a major concern. Sleepwalking typically occurs two to...

[Read More] Understanding Sleepwalking: Causes and Treatment Options


Is It Sleepwalking? Understanding Memory and NREM Sleep Disorders

In the past month, I have experienced two similar incidents where I woke up in the morning to find that my clothes were different from what I was wearing when I fell asleep. It seems that I walked to the wardrobe to change. (I wonder if this is related to the increased stress I&#...


Dr. Peng Liyun reply Psychiatry
Dear Sir/Madam, From your description, it is evident that the issue has caused you considerable concern. The areas of the brain involved in memory formation are quite extensive and complex; it is not solely the hippocampus that is responsible, and this situation has not yet invo...

[Read More] Is It Sleepwalking? Understanding Memory and NREM Sleep Disorders


Understanding Sleepwalking: Is Partial Awareness a Concern?

Thank you, doctor, for your response. My situation is that when I am in a drowsy state, I sometimes get up while half-awake and half-asleep, feeling like I have a slight awareness, and then I suddenly wake up, wondering why I got up. Does this count as sleepwalking? Since I have ...


Dr. Lin Yanhong reply Psychiatry
Hello: Based on your situation, this is not typical somnambulism; it appears to be a sudden transition from the rapid eye movement (REM) stage of sleep, where dreaming occurs, to the first stage of light sleep. Experiencing this twice a week is not considered pathological. Howeve...

[Read More] Understanding Sleepwalking: Is Partial Awareness a Concern?


Related FAQ

Sleepwalking

(Psychiatry)

Sleep

(Psychiatry)

Nightmares

(Psychiatry)

Sleep Disorder

(Neurology)

Delusion

(Psychiatry)

Work Fatigue

(Psychiatry)

Dementia

(Psychiatry)

Introverted Personality

(Psychiatry)

Auditory Hallucinations

(Psychiatry)

Obsessive-Compulsive Disorder

(Psychiatry)