Do I have narcolepsy?
I fell asleep around 11 AM this morning and woke up at about 5 PM, but my father said I got up at 1 PM, walked out of my room, and talked to him, which I have no recollection of.
Additionally, every time I fall asleep in a chair or while leaning on the table, I wake up in bed.
Could I have parasomnia?
Wa, 10~19 year old female. Ask Date: 2023/06/26
Dr. Ye Qianyu reply Family Medicine
Hello! Narcolepsy typically does not require medication treatment.
It is important to avoid triggers that can activate symptoms and to strengthen environmental preventive measures.
If you experience sleep disturbances or have questions, it is recommended to consult a sleep specialist.
If necessary, further arrangements for multiple sleep physiology assessments for diagnosis can be made.
Reply Date: 2023/06/26
More Info
Based on your description, it seems that you may be experiencing symptoms consistent with sleepwalking disorder, also known as somnambulism. Sleepwalking is a type of parasomnia, which refers to abnormal behaviors that occur during sleep. It typically occurs during the non-REM (NREM) stages of sleep, particularly in the first third of the night. Individuals who sleepwalk may perform complex behaviors while in a state of partial arousal, and they often have no memory of these events upon waking.
Your experience of waking up in bed after having been asleep in a chair or at a desk, along with your father's observation of you getting up and talking to him without any recollection of the event, strongly suggests that you may be sleepwalking. This behavior can range from simple actions, such as sitting up in bed, to more complex behaviors like walking around the house or even engaging in conversations, as you've described.
It's important to note that sleepwalking can be triggered by various factors, including sleep deprivation, stress, anxiety, certain medications, and even underlying sleep disorders such as obstructive sleep apnea. Given that you mentioned waking up multiple times during the night and having difficulty falling asleep, it may be beneficial to explore these issues further.
In addition to sleepwalking, your symptoms could also indicate other sleep disorders, such as insomnia or REM sleep behavior disorder (RBD), where individuals act out their dreams. RBD is characterized by a lack of muscle paralysis during REM sleep, leading to physical movements that correspond to the dream content. However, your description seems more aligned with sleepwalking, especially since you have no recollection of the events.
To address your concerns, it is advisable to consult a healthcare professional, particularly a sleep specialist. They may recommend a sleep study (polysomnography) to monitor your sleep patterns and behaviors. This study can help determine the specific nature of your sleep disturbances and rule out other potential sleep disorders.
In the meantime, consider implementing good sleep hygiene practices to improve your overall sleep quality. This includes maintaining a consistent sleep schedule, creating a relaxing bedtime routine, and ensuring your sleep environment is conducive to rest. Reducing stress through relaxation techniques, such as mindfulness or meditation, may also help alleviate some of the anxiety that could be contributing to your sleep issues.
In summary, while your symptoms suggest the possibility of sleepwalking disorder, a thorough evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate treatment. Sleepwalking can often be managed effectively with lifestyle changes and, in some cases, medication. Taking these steps can help you achieve better sleep quality and overall well-being.
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