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.
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