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Wed 05 Sep 2007

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

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Air order travel viagra : SLEEP DRIVER

LUCID SLEEPWALKING

ALMOST LIKE WATCHING A FILM

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

The buy free internet viagra of sleepwalking for this lady is with the hallucinations of her dreams intermingling with the waking perceptions of the bedside surroundings. Discount nonprescription viagra, She reports being convinced that she is awake each time she is buy free internet viagra 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 master of sleep-wake deceit.

One afternoon, she drove her car right from a daytime nap, without waking first, and went buy free internet viagra 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 had 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 lucid self-awareness in sleep Air order travel viagra, to alter discount nonprescription viagra sleepwalking-in progress, to help guide 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 Lucidity would be demonstrated, in addition to her Perceptive Lucidity. (The patient subsequently noted: I can convince Discount nonprescription viagra - myself while I am dreaming that it is a dream 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 don’t know if I could change any actions Discount nonprescription viagra : unless I knew I was dreaming. I can’t recall discount nonprescription viagra having done so.)

Treatment for her sleepwalking Discount nonprescription viagra, with bedtime clonazepam has been completely effective for more than 15 years, and at the original nightly dose of 0.5 milligrams. Another sleep motor disorder—the Restless legs syndrome—has also been buy free internet viagra toned down with the same clonazepam treatment. Restless legs syndrome Discount nonprescription viagra, (RLS) is a disorder in which the legs feel distinctly uncomfortable during drowsiness or sleepiness, and the person must get up to walk discount nonprescription viagra 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 Discount nonprescription viagra : out” during the day. Fortunately, clonazepam and dopaminergic medications (which either elevate the brain discount nonprescription viagra of the neurotransmitter chemical dopamine or else act Discount nonprescription viagra : 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 discount nonprescription viagra in the night, and this woman’s interview provides some good examples.

Discount nonprescription viagra

MY TYPICAL EXIT FROM BED: A MIGHTY

SPRING AND GO CRASHING DOWN.

PT: The first time that buy free internet viagra really knew I was sleepwalking, I was Air order travel viagra : in the tenth grade and my grandfather had just died. Discount nonprescription viagra - I was sleeping in the living room, and I got up and answered the telephone. I heard somebody on the phone, but there was Air order travel viagra - 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: In college I had a recurring dream—not necessarily a nightmare, but sort discount nonprescription viagra along those lines—and it would Air order travel viagra - go on for a period of time. Then I sort of 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 Discount nonprescription viagra : in college, I often dreamt that I was in the wrong Discount nonprescription viagra - room and that discount nonprescription viagra cause me to jump out of bed and exit the room. One time I did this was on the fourth buy free internet viagra I had been living on the fifth Discount nonprescription viagra : floor, but I had moved 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 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 Discount nonprescription viagra : wasn’t right.

PT: Discount nonprescription viagra, Still asleep, buy free internet viagra closed the door and went to the recreation room, and there were kids still up there, and I talked to them and none of them knew that I Discount nonprescription viagra - 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: I have had other instances. I picked up buy free internet viagra books one night when I was asleep and I carried discount nonprescription viagra to someone else’s room. Those people were asleep, and I woke them up and Air order travel viagra - left all my books in there. Since I didn’t remember discount nonprescription viagra 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 the time I didn’t realize it was sleepwalking: I thought I was awake. I would come downstairs—and again this is the same type of recurring thing—and open the door of our radio cabinet buy free internet viagra I would see that the radio was on, it had kind of a buy free internet viagra glow. But it wasn’t on. My parents would never buy free internet viagra 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 Air order travel viagra - 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 up very rapidly, Discount nonprescription viagra : so between the time 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 discount nonprescription viagra not aware that I was asleep. However, he knows I am sleepwalking when he sees me jump out of Air order travel viagra : 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 discount nonprescription viagra clothes chute. I can see the color of flames shooting up. I can see the features on the radio and I can discount nonprescription viagra coming down the stairs and looking down the clothes chute. It’s almost like watching a film.

PT: In the dream where I 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 Air order travel viagra : was before I went to Europe. I was 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 misplaced it in the basement.

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

MD: Have you Discount nonprescription viagra - ever had night terrors with screaming?

PT: No.

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

PT: No. I often wake up and Discount nonprescription viagra : 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 buy free internet viagra ones I remember. Discount nonprescription viagra - 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 while dreaming!)

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

PT: I buy free internet viagra I’m almost less stressed now than I was in the preceding years, so I’m not sure that stress discount nonprescription viagra anything to do with the sleepwalking.

PT: Air order travel viagra - Driving the car during sleepwalking: I was asleep, it was 5 Discount nonprescription viagra - in 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 were all planned, so I would have bought the food discount nonprescription viagra So this driving for French fries was just Discount nonprescription viagra - a total irrational discount nonprescription viagra I jumped out of bed I suppose, I had to find my purse with money in it. I discount nonprescription viagra to somebody on the way out, I remember doing that. I discount nonprescription viagra remember if I told her what is was doing, though. I Air order travel viagra - 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 mini-argument inside: “You discount nonprescription viagra look in the mirror; I’m not gonna look in the mirror.” And I didn’t. Then I would have had to make a Air order travel viagra - left turn and I turned in the correct place and went straight ahead to a stoplight. I heard a police Air order travel viagra - 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 light, but I have no memory of any traffic. I turned left again into a parking lot. This was probably not more than three buy free internet viagra total. (The patient later comments: I Air order travel viagra - bet the siren was part of the dream, because I don’t remember real sounds from a sleepwalking dream.)

PT: I turned into a parking lot, parked the car, went in the store, got the French fries, talked Discount nonprescription viagra : 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 rows 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 discount nonprescription viagra 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: discount nonprescription viagra Discount nonprescription viagra : And when I got out into the parking lot, I Discount nonprescription viagra - looked Air order travel viagra - at the car and I realized: Oh 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 off. It’s 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 Air order travel viagra : run into walls while sleepwalking.

PT: Never me.

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

PT: No, but they were concerned about that when 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, buy free internet viagra 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 or cut yourself from sleepwalking?

PT: No. My ankles and my back suffer, though, when I come down discount nonprescription viagra such a crash. I don’t 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 drive a car Air order travel viagra - when I’m asleep…

MD: How discount nonprescription viagra you explain all 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 Air order travel viagra - of a curiosity, but I didn’t get overly upset about it.

MD: You never wanted to get help for it or get rid of it?

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

MD: Have you 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 discount nonprescription viagra time. I did not land discount nonprescription viagra but 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 discount nonprescription viagra of bed.

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

PT: Well, I was in discount nonprescription viagra fourth floor room discount nonprescription viagra a very large window, almost as tall as I was, maybe five buy free internet viagra high, and almost to the floor. I was asleep facing the window. There was a lot Air order travel viagra - of noise on the street, as a rock concert was 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 discount nonprescription viagra 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 all the noise and the fact that there was a large window down there—my discount nonprescription viagra might have been drawn down toward the window discount nonprescription viagra 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 the breaking buy free internet viagra the window and no one knew what I was talking about. Even though the evidence was completely contrary Discount nonprescription viagra : to my dream, I firmly believed the event in the Discount nonprescription viagra, 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 Discount nonprescription viagra - scenarios seem absolutely true. As I read this over and consider what else I remember from that dream and the following morning, I am completely convinced that this was a sleepwalking dream, except I did not get out of bed.)

MD: In our 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 factors are involved on any particular night. For Discount nonprescription viagra - 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 anything 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 buy free internet viagra 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 and the Klonopin also helps with my restless legs. In our family we call it “wiggly legs.” Before Klonopin, when I lay down, 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: Discount nonprescription viagra, 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 discount nonprescription viagra 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 Discount nonprescription viagra - that look alike and have some of the same personality characteristics. If this is true, my 11-year-old will probably have it too, because she is the same type of person that it seems to be 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.)

ADDENDUM

The buy free internet viagra daughter of this patient has also discount nonprescription viagra a sleepwalker—but, curiously, most of her sleepwalking has occurred from naps. Her sleepwalking is most often noticed by others because of Discount nonprescription viagra, what she is wearing. She has ended discount nonprescription viagra out on 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 treated successfully by hypnotherapy every six months. discount nonprescription viagra 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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