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Wed 05 Sep 2007

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

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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 with vivid, recurrent dreams and lucidity states free viagra which she is convinced that she is free viagra 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 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 Cheap viagra uk - 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, free viagra 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 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 cheap viagra uk this woman can utilize lucid self-awareness in sleep to alter the sleepwalking-in progress, to help guide events in a certain direction, free viagra 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 Cheap viagra uk : 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 Cheap viagra uk - myself while I am dreaming that it is a dream free viagra 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 unless I knew I was dreaming. I can’t recall ever having done so.)

Treatment for her sleepwalking with bedtime Viagra alternative uk, clonazepam has Cheap viagra uk, been completely effective for more than Viagra alternative uk - 15 years, and at the original nightly dose of 0.5 milligrams. Another sleep motor disorder—the Restless legs syndrome—has also been considerably toned down with the same clonazepam treatment. Restless legs syndrome (RLS) is a disorder in which the legs feel distinctly uncomfortable during drowsiness or sleepiness, and the person must Viagra alternative uk, get up to walk around in order to relieve the distressing, Viagra alternative uk, 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.

NON-REM SLEEP STORIES

MY TYPICAL EXIT FROM BED: A MIGHTY

SPRING AND GO CRASHING DOWN.

PT: The first time that I really knew I was sleepwalking, I was in the tenth grade and my grandfather had just died. I was sleeping in the free viagra room, and I got up and answered the telephone. I free viagra 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: In college I had 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 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 free viagra it was not realistic and then that dream went away.

PT: As a freshman in college, I often dreamt free viagra I was in cheap viagra uk wrong room and that would cause me to jump out of bed and exit the room. One time I did this was on the fourth floor. I had been living on the fifth floor, but I had moved to the fourth floor when I jumped out of bed and Viagra alternative uk : 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 Viagra alternative uk : 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, I 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 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 Cheap viagra uk - said. People knew that I was there—but I was asleep.

PT: Viagra alternative uk - I have had other instances. I picked up my books free viagra 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 Cheap viagra uk : the time I didn’t realize it was sleepwalking: I thought I was awake. I would come downstairs—and cheap viagra uk this is the same type of recurring thing—and open the door of our radio cabinet and I would see that the radio was on, it had kind of a green glow. But it wasn’t on. My parents would never leave anything going, they were very fussy about cheap viagra uk 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 Cheap viagra uk : 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 up very rapidly, 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 was not aware that I was asleep. However, he knows I am sleepwalking when he sees me jump out of cheap viagra uk 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. free viagra when I finally convinced myself it wasn’t next to my bed, then I didn’t have the dream anymore.

PT: In Cheap viagra uk : another recurring dream, I’m smelling smoke in the clothes chute. I cheap viagra uk see the color of flames shooting up. I can see the features on the radio and I can remember coming down the stairs and looking down the clothes chute. It’s almost Cheap viagra uk : 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 free viagra I had the most 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 to coming here. I don’t know if I was actually sleepwalking, but I kept having this recurring dream that I was Viagra alternative uk : 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: cheap viagra uk you ever had night terrors with screaming?

PT: No.

MD: Have you cheap viagra uk engaged in any eating behaviors while sleepwalking?

PT: 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 Viagra alternative uk, sometimes in the middle of the night and then realize what’s going on?

PT: cheap viagra uk are cheap viagra uk ones I remember. For instance, that time I left my books, I didn’t wakeup, and therefore, I didn’t free viagra where my books were or what I cheap viagra uk 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 think I’m almost less stressed now than I was in the preceding years, so I’m not sure that stress has anything to do with the sleepwalking.

PT: Cheap viagra uk : Driving the car during sleepwalking: I was asleep, it was 5 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 already. So this driving for French fries was just a total irrational act. I jumped out of bed I suppose, I had to find my purse with money in it. I Cheap viagra uk : talked to somebody on the way out, I remember doing that. I don’t remember if 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 mini-argument inside: “You must look in the mirror; I’m not gonna look in the mirror.” And I Cheap viagra uk - didn’t. Then I would have had to make a left turn and I turned in the correct place and went free viagra ahead to a stoplight. I heard a police siren in the free viagra 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 blocks total. (The patient later comments: I 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, cheap viagra uk in the store, got the French fries, talked to the clerk—and I’ve seen her since, she knows cheap viagra uk I went out to the parking lot, and cheap viagra uk was a man who was about to park. He was about to go down the driving lane between rows of parked cars Cheap viagra uk, 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 Cheap viagra uk : I Cheap viagra uk : got out into free viagra parking lot, I looked 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 run into walls while sleepwalking.

PT: Never me.

MD: Have you ever opened a window free viagra 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 free viagra 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 or cut yourself cheap viagra uk sleepwalking?

PT: No. Viagra alternative uk : My ankles and my back suffer, though, when I come down with 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 when I’m asleep…

MD: How did you explain all this to yourself?

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

MD: You Cheap viagra uk, 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: Viagra alternative uk - Only once. I jumped up very Cheap viagra uk - fast and I went like this—a karate chop—and he rolled over just in time. I did not land it, 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 out of bed.

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

PT: cheap viagra uk Well, I was in a fourth floor room with a very large window, almost as tall as I was, maybe five feet high, and almost to the free viagra I was asleep facing the window. There was a lot of noise on the street, as a rock concert was letting free viagra later after I was asleep, and somebody across the Cheap viagra uk, 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 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: Cheap viagra uk : The next morning cheap viagra uk remember looking out, and there was no glass and no broken window. Cheap viagra uk - I asked people at cheap viagra uk about 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 in 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 free viagra 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 Cheap viagra uk : I read this over and consider what else I remember from that dream and the following morning, I Cheap viagra uk : 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: cheap viagra uk Oh well, I’m glad to know, so I need to be careful about Viagra alternative uk : 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 some people, either sleep deprivation, tiredness, travel, or stress can Cheap viagra uk : overcome the beneficial effect of Klonopin on any given night.

PT: Cheap viagra uk, 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 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 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: 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 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 Cheap viagra uk - a problem for.

PT: (Final comment from Viagra alternative uk : the patient: I enjoyed reading all Cheap viagra uk : 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 adult daughter of this patient cheap viagra uk also been Cheap viagra uk - a sleepwalker—but, curiously, most of her sleepwalking has occurred from naps. Her sleepwalking is most often noticed by others because of what she is wearing. She has ended up 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 Cheap viagra uk, (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. 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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