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Wed 05 Sep 2007

Non-REM Sleep Parasomnias: Sleepwalking (Paradox Lost Story III)

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This story puts the spotlight on a lucid sleepwalker. A 41-year-old woman describes 25 years of sleepwalking with vivid, recurrent dreams and lucidity states in which she zyrtec online convinced that she is awake when in fact she is sleepwalking. This is a peculiar state, with lucid self-awareness being mixed up with the spaciness of sleepwalking, and with danger actually lurking in the shadows. Smoke and mirrors, back and forth across the sleep-wake divide.

The experience of sleepwalking for this lady is with the hallucinations of Day next zyrtec - her dreams intermingling with the waking perceptions of the bedside surroundings. She reports being convinced that she is awake each time she is sleepwalking. Other people are also convinced that she is awake—until she wakes up. So everyone is surprised when she wakes up, especially herself. She is the unwitting Zyrtec weight gain - master of sleep-wake deceit.

One afternoon, she drove her car right from a daytime nap, without waking first, and went shopping for french-fries at a supermarket. She parked her car smack in the driving lane of the parking lot, blocking incoming traffic. Later, coming out of the store, she saw what she zyrtec online done, woke up with a jerk, and realized she had been driving in her sleep. (She still remembers the strange look on the face of the man at the wheel who wanted to enter the parking lot and could not.)

It is not known whether this woman can utilize day next zyrtec self-awareness in sleep to alter the sleepwalking-in progress, to help zyrtec online events in a certain direction, or away from another direction. (This peculiar state in non-REM sleep would be akin to the capacity of Lucid Dreamers who can direct the course of their dreams, once they achieve the state of lucidity, in which wakeful thinking becomes combined with REM sleep dreaming.) If this woman has such a directive capacity with her sleepwalking behaviors, then Executive Zyrtec weight gain - Lucidity would be demonstrated, in addition to her Perceptive Lucidity. (The patient subsequently noted: I can convince myself while I am dreaming that it is a day next zyrtec IF I have had the dream more than twice. Then I can keep myself from getting out of bed or reacting to the dream. I Zyrtec weight gain - don’t know if I could change any actions unless I knew I was dreaming. I can’t recall ever having done so.)

Treatment for her sleepwalking with bedtime clonazepam has been completely effective for more than 15 years, Day next zyrtec - and at the original nightly dose of 0.5 milligrams. Another sleep motor Day next zyrtec : disorder—the Restless legs syndrome—has zyrtec online been considerably toned down with the same clonazepam treatment. Restless legs syndrome (RLS) is a disorder in which the legs feel distinctly Day next zyrtec, uncomfortable during drowsiness or sleepiness, and the person must get up day next zyrtec walk around in order to relieve the distressing, peculiar, and painful leg sensations—but that is incompatible with the falling asleep. People afflicted with RLS get insufficient and poor-quality sleep—and are usually tired, or even “wiped out” during the day. Fortunately, clonazepam and dopaminergic medications (which either elevate the brain levels of the neurotransmitter chemical dopamine or else act like dopamine in the synapses) provide substantial relief from RLS in most patients. (The patient also subsequently noted: RLS makes sitting at a theater or riding in a car very uncomfortable and embarrassing.)

A special descriptive language is expressed in the reports of adults with sleepwalking and the other bumps in the night, and this woman’s interview provides some good examples.




PT: The first time that I really day next zyrtec I was sleepwalking, I was in day next zyrtec tenth grade and my grandfather had just died. I was Zyrtec weight gain, sleeping in the living room, and I got up and answered the telephone. I heard somebody on the phone, but there was no one on it and the phone had never rung.

PT: And then later my college roommates would come in and find me walking in circles on the rug, or I would wake up in the bathroom brushing my teeth at 3:00 in the morning.

PT: zyrtec online In college I had Zyrtec weight gain, a recurring dream—not necessarily a nightmare, but sort of along those lines—and it would go on for a period of time. Then I sort of Zyrtec weight gain, got conscious of what it was and got a hold of it in the daytime, and when I got hold of it and figured out what the problem was, I could convince myself that it was not realistic and then that dream went away.

PT: As a freshman day next zyrtec college, I often dreamt that I was in Day next zyrtec, the wrong room Day next zyrtec - and that would cause me to jump Day next zyrtec - out of bed and exit the room. One time I did this was on the fourth floor. I had day next zyrtec living on the fifth floor, but I had day next zyrtec to the fourth floor when I jumped out of bed and opened the door. I observed what was going on in the room next to mine, where friends were still up; I Day next zyrtec, knew who they were. I then opened the fire door to the hallway stairway and I went upstairs and went through another fire door and opened the door above my room. I lived in room 420. I opened the door to room 520 and saw that the beds were in a different configuration and then realized that it wasn’t right.

PT: Still asleep, Zyrtec weight gain - I closed the door and went to the recreation room, and there Day next zyrtec - were kids still up there, and I talked to them and none of them knew that I was sleepwalking. Then I went to the bathroom—and I woke up looking in the mirror. I remember everything I did, but nothing I heard or said. People knew that I was there—but I was asleep.

PT: Day next zyrtec - I have had other instances. I picked up my books one night when I was asleep and I carried them to someone else’s room. Those people were asleep, and I woke them up and left all my books in there. Since I didn’t remember having been in there until afterwards, I didn’t know the next morning where I’d left the books. So the sleepwalking was pretty well documented while I was in college.

PT: I believe that I went sleepwalking as a child because I can remember doing it, but at zyrtec online time I didn’t realize it Day next zyrtec, was sleepwalking: I thought I was Day next zyrtec, awake. I would come downstairs—and again this is the same type of recurring thing—and open the door of our radio cabinet zyrtec online I would see that the radio was on, it had kind of a green glow. zyrtec online it wasn’t on. My parents would never leave anything going, they were very fussy about things like that. I used to smell smoke, come downstairs, open the clothes chute, see flames shooting up, close the chute, and go back to bed. But there was never any fire. I never reported these “fires” to my parents. Although they paid close attention to my siblings and me, they were completely unaware of my sleepwalking. So I had recurring dreams where I was actually walking around the house and where something was happening that wasn’t really happening. It bothers my ankles so I sometimes can tell if I’ve been sleepwalking by the way my ankles feel. The tremendous jar of landing, whether or not it woke me (and it often didn’t) was very hard on my ankles, feet, and back.

PT: I get Day next zyrtec : up very rapidly, so between the day next zyrtec I’m lying flat and the time I’m on my feet is a very short time. I have come out to the kitchen and talked to my husband and he was not aware that I was asleep. However, he knows I am sleepwalking when he sees me jump out of bed and land with a crash. I have had the same dream over and over for a period of time, I can rarely think of a time when the sleepwalking has not been connected with a recurring dream. One of the early ones was that I had a pole lamp next to my bed and I would dream that it would fall over on me. Well, when I finally convinced myself it wasn’t next to my bed, then I didn’t have the dream anymore.

PT: In another recurring dream, I’m smelling smoke in Zyrtec weight gain : the clothes chute. I can see the color of flames shooting up. I can see the day next zyrtec on the radio and I can remember coming down the stairs and looking down the clothes chute. It’s almost like watching a film.

PT: In the dream where zyrtec online thought the radio was on, there was kind of a green glow to the dial.

PT: I can still see it clearly in my mind. The dream that I had the most was before I went to Europe. I was Day next zyrtec, dreaming that I was taking care of money for an aunt—she was going with us—and I kept dreaming that she sent me $1,500 and I had Day next zyrtec : misplaced it in the basement.

PT: The most current recurring dream is in regards to coming here. I don’t know if I was actually sleepwalking, but I kept having this recurring dream that I was Zyrtec weight gain : supposed to have filled out some information before I came, and I keep waking myself up thinking I’m supposed to have done this and haven’t done it yet.

MD: Have you ever had night terrors with screaming?

PT: No.

MD: Have you ever engaged in any eating behaviors while sleepwalking?

PT: Day next zyrtec - No. I often wake up and eat something during the night, but I don’t do it while I’m sleeping.

MD: Do you wake up from these episodes sometimes in the middle of the night and then realize what’s going on?

PT: Those are Day next zyrtec, the ones Day next zyrtec : I remember. For instance, that time I left my books, I didn’t wakeup, and therefore, I didn’t know where my books were or what I had been doing until somebody told me. But the odd thing is when they told me that I had been there, I then remembered the whole thing. It’s as though you can catch it by the tail and it sort of unwinds. It’s peculiar. (The patient later adds: When I awaken during sleepwalking, I remember it all vividly—except the sounds. I also remember what I thought zyrtec online dreaming!)

MD: what factors can increase the frequency? Would you say stress?

PT: I think I’m almost less stressed now than I was in the preceding years, so I’m Zyrtec weight gain : not sure that stress has anything to do with the sleepwalking.

PT: Day next zyrtec : Driving the car during sleepwalking: I was asleep, it was 5 zyrtec online the afternoon, and I have this thought in my head that we had to have French fries for supper. We took turns cooking at home and the meals zyrtec online all planned, so I would have bought the food already. So this driving for French fries was just a total irrational act. I jumped out Day next zyrtec : of bed I suppose, I had to find my purse with money in it. I talked to somebody on the way out, I remember doing that. I don’t remember day next zyrtec I told her what is was doing, though. I got in the car and I would have had to pen two doors to get out, the front door and the porch door. I got in the car and I could not make myself look in the rear view mirror. I was having a little day next zyrtec inside: “You must look in the mirror; I’m not gonna look in the day next zyrtec And I didn’t. Then I would have had to make a left turn and I turned in the correct place and day next zyrtec straight ahead to a stoplight. I heard a police siren in the distance and I got it in my head that they were after me, which was totally irrational because it was far away. And I crossed the street, I assume with a green day next zyrtec but I have no memory of any traffic. I turned left again into a parking lot. This was probably not more than three blocks day next zyrtec (The patient later comments: I Zyrtec weight gain : bet the siren was part of the dream, because I don’t remember real zyrtec online from a sleepwalking dream.)

PT: I turned into a parking lot, parked Day next zyrtec : the car, went in the store, got the French fries, talked to the clerk—and I’ve seen her since, she knows me—and I went out to the parking lot, and there was a man who was about to park. He was about to go down the driving lane between zyrtec online of parked cars with his car, but he stopped. I had the impression that he didn’t quite know what to make of this situation—because I had parked my car across the lane between the two rows of cars, which I would ordinarily never do. So if he were to drive down the lane where he was supposed to go to park, he’d have hit me broadside in the driver’s door. There was no place that he could have possibly gone with the car. I was blocking a lane in the parking lot.

PT: And when I got out into Day next zyrtec, the parking lot, I looked at the car and I realized: Oh Day next zyrtec - my gosh, I’ve been asleep the whole time, and I woke up with a jerk, just a tremendous shock, and I jumped in the car and took day next zyrtec It’s Zyrtec weight gain - that oh, what am I dong here? kind of thing. But I can remember everything. I can remember what I was thinking and I can see that it wasn’t rational at the time, but I couldn’t do anything about it. And that was during a nap.

MD: There are people who run into walls while sleepwalking.

PT: Never me.

MD: Have you ever opened a window or even tried to get out of a window?

PT: No, but they were concerned about that day next zyrtec I was in college. The psychologist thought I out to move in with the house mother, because they felt I was a risk to jump out the window. One time, several years later, I had both shoes in my hand as I was leaving my house, thinking there was a tornado and I had to leave. I stopped after opening the door, when I woke up. This was not a recurring dream.

MD: Have you bruised yourself Day next zyrtec : or cut yourself from sleepwalking?

PT: No. My ankles and my back suffer, Day next zyrtec : though, when I come down with such a crash. I zyrtec online have a very good back to start with, and it’s sore and stiff because it’s absorbing that shock.

MD: You usually negotiate the environment quite easily.

PT: Yes. If I can day next zyrtec a car when I’m asleep…

MD: How did you explain zyrtec online this to yourself?

PT: As a child I just thought it was real. But after a while I just realized, “Oh, I’m sleepwalking,” and there was kind of a curiosity, but I didn’t get overly upset about it.

MD: You never wanted to get help for it or get day next zyrtec of it?

PT: I asked two doctors day next zyrtec the last few years and neither of them knew anything about sleepwalking or made any suggestions. My current doctor referred me to your sleep Zyrtec weight gain : center; she immediately realized I had a serious problem.

MD: Have zyrtec online ever hit at your husband?

PT: Only once. I jumped up very fast and I went like this—a karate chop—and he rolled over just in time. I did not land it, zyrtec online he saw it coming and he said I yelled and yelling. And karate is not anything I’ve ever even watched or participated in. We don’t sleep in the same bed, so I was actually out of bed.

MD: Can you describe what happened in the London hotel one night last summer?

PT: Well, I was in a fourth floor room with a very large window, almost as day next zyrtec as I was, maybe five feet high, and almost to Day next zyrtec, the floor. I was asleep Day next zyrtec : facing the window. There was a lot of noise on the street, as a rock concert was Zyrtec weight gain : letting out later after I was asleep, and somebody across the narrow street—just across from my window—pushed a correspondingly sized window out of just the whole frame, just pushed it out. I saw it happen and it was like the window came out toward me and then went crashing down on the street. The next day I was thinking about how really glad I was taking this medicine Klonopin, because otherwise my attention—with the lights from the street and Day next zyrtec - all the noise and the fact that there was a large window down there—my attention might have been drawn down toward the window and, you know, jumping out could have been a problem.

PT: The next morning I remember looking out, and there was no glass and no broken window. I asked people at breakfast about Day next zyrtec, the breaking of the window and no one knew what I was talking about. Even though the evidence was completely contrary to my dream, I firmly believed the event zyrtec online the dream had actually occurred. I had been very conscious of a blue soft being shoved out the window, or broken glass catching the light and falling in slow motion. I remember well the crash of the sofa through the window and the sound of the falling glass…

PT: (Note for previous paragraph: Dr. Schenck, this will show you how real these dreams are; the most unlikely scenarios seem absolutely true. As I read this over and consider what else I Day next zyrtec : remember from that dream and the following morning, I am completely convinced that this was a sleepwalking dream, except I day next zyrtec not get out of bed.)

MD: In our Zyrtec weight gain : experience with the first 100 adult sleepwalkers we’ve studied here, 16 had gone out their windows.

PT: Oh well, I’m glad to know, so I need to be careful about that. Even with the Klonopin?

MD: Well, Klonopin is a very good safety factor to have, but it’s not foolproof. It depends on whether other risk zyrtec online are involved on any particular night. For some people, either sleep deprivation, tiredness, travel, or stress can overcome the beneficial effect of Klonopin on any given night.

PT: My husband came home with a whole bunch of possibilities for my trip to Europe to keep me from wandering.

PT: He’s a real night owl. And it hardly takes day next zyrtec Day next zyrtec : to disturb me. Even if were to turn the lights on in the kitchen down the hall from me, he could very likely disturb me to sleepwalk: it takes nothing, I mean just next to nothing, I have extremely sensitive hearing.

MD: Sleepwalkers generally fall asleep rapidly, but seemingly trivial noises can trigger an episode, as is the case with you.

PT: With the Klonopin, I am not sleepwalking Zyrtec weight gain : and the Klonopin also helps with my restless legs. zyrtec online In our family we call it “wiggly legs.” Before Klonopin, when I lay zyrtec online my legs would jump and kick. At times I tried to lie on my face, but my legs kept kicking. It was a real nuisance.

MD: You have what is called the “restless legs syndrome.”

PT: Yes, definitely, and not a bit of it, it’s a major thing. When I ride in a car, it’s a serious problem. I know I didn’t have this as a kid, because we always used to tease my mother about it, but I’m sure I’ve had it since I got married.

MD: Other people in the family have had it?

PT: Yes. It’s funny, it seems to follow particular people in the family that look alike and have some of the same personality characteristics. If Zyrtec weight gain : this is true, my 11-year-old will probably have it too, because she is the same type of person that it seems to day next zyrtec a problem for.

PT: (Final comment from the patient: I enjoyed reading all this again and talking to you. I was astounded when I realized I had information to disprove the dream I had in London almost immediately and still believed such a wild dream all these years instead of facts.)


The adult daughter of this patient Zyrtec weight gain : has also been Day next zyrtec : a sleepwalker—but, curiously, most of her sleepwalking has occurred from day next zyrtec zyrtec online Her sleepwalking is most often noticed by others because of what she is wearing. She has ended up out on Zyrtec weight gain : the sidewalk in summer wearing shorts and a top—covered by a heavy sweater and a bathrobe, with a shoe on one foot, and a sock on the other foot (at 3 PM from a nap) by this odd attire. She reports having been out on the street two or three times this way. She has also occasionally awakened while washing her feet in the sink. She has eaten in her sleep, but has not cooked.

She is day next zyrtec successfully by hypnotherapy every six months. Since starting this treatment, there have been no further instances of sleepwalking. When she has gotten close to sleepwalking again, she is awakened by a flashing blue light that was suggested by her hypnotherapist.

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