Sleepwalking – What You Need to Know

Sleepwalking - Somnambulism

Are you someone who’s ever woken up in the middle of the night to find yourself in a completely different room? Or maybe you’ve found a loved one wandering around the house in a dazed state? If so, you might be familiar with sleepwalking, a peculiar and fascinating sleep disorder. Read on as we cover everything you need to know about sleepwalking, from its causes and symptoms to treatment options and safety tips.

What is Sleepwalking?

Sleepwalking, also known as somnambulism, is a sleep disorder where a person engages in activities while they are asleep. These activities can range from sitting up in bed and mumbling to walking around the house or even venturing outside. Sleepwalking is typically associated with the non-rapid eye movement (NREM) stage of sleep, which occurs during the first few hours of the night.

Causes of Sleepwalking

There are several factors that can contribute to the development of sleepwalking:-


Sleepwalking has been observed to run in families, suggesting a genetic predisposition. If one or both of your parents sleepwalked, you have a higher likelihood of experiencing sleepwalking episodes yourself.

Environmental Factors

Sleep deprivation, stress, and irregular sleep schedules can trigger sleepwalking. Additionally, alcohol and certain medications can also increase the risk of sleepwalking episodes.

Medical Conditions

Some medical conditions, such as sleep apnea, restless legs syndrome, and gastro-oesophageal reflux disease (GERD), have been linked to sleepwalking.

Symptoms of Sleepwalking

Common symptoms of sleepwalking include:-

  • Walking or performing activities while asleep
  • Talking or mumbling during sleep
  • Little or no memory of the episode
  • Difficulty waking up during the episode
  • Sleep-related injuries, such as bruises or cuts
  • Confusion or disorientation upon waking up

Diagnosing Sleepwalking

If you suspect that you or a loved one is experiencing sleepwalking, it is crucial to consult a healthcare professional. A doctor will review your medical history, perform a physical examination, and may recommend a sleep study to rule out other sleep disorders.

Treatment Options

Treatment for sleepwalking is often not necessary, as many cases resolve on their own over time. However, if sleepwalking is causing distress or poses a risk to the individual or others, treatment options may include:


In some cases, prescription medications, such as benzodiazepines or antidepressants, may be prescribed to help manage sleepwalking episodes.


Cognitive behavioural therapy (CBT) can help identify triggers and develop strategies for coping with stress, anxiety, and other factors contributing to sleepwalking.

Lifestyle Changes

Adopting healthy sleep habits, such as establishing a regular sleep schedule, creating a comfortable sleep environment, and avoiding stimulants before bedtime, can help reduce the likelihood of sleepwalking episodes.

Sleepwalking in Children

Sleepwalking is more common in children, with most cases occurring between the ages of 4 and 12. Children typically outgrow sleepwalking as they reach adolescence. However, it is essential to monitor their sleep and ensure their safety during episodes. Encourage a regular sleep schedule and address any underlying stressors or anxiety that may contribute to sleepwalking.

Sleep walking in children: Symptoms, Diagnosis & Treatment: Dr Ankit Parakh, Sleep Specialist

Sleepwalking in Adults

While sleepwalking is more prevalent in children, it can persist or develop in adulthood. The causes of adult sleepwalking may be similar to those in children, with additional factors such as alcohol consumption, certain medications, and untreated sleep disorders playing a role. Treatment options and preventative measures for adults are similar to those for children.

How to Prevent Sleepwalking

To reduce the likelihood of sleepwalking, consider the following preventative measures:-

  • Establish a consistent sleep schedule
  • Create a comfortable and relaxing sleep environment
  • Limit exposure to screens and other stimulants before bedtime
  • Address stress and anxiety through relaxation techniques or therapy
  • Avoid alcohol and caffeine consumption close to bedtime
  • Discuss any medications with your doctor that may contribute to sleepwalking

Sleepwalking and Safety

Safety is a primary concern for individuals who sleepwalk. To prevent injuries during sleepwalking episodes, consider the following precautions:

  • Remove any tripping hazards from the floor
  • Lock doors and windows to prevent wandering outside
  • Place protective barriers on staircases or other dangerous areas
  • Keep sharp or dangerous objects out of reach

Sleepwalking Myths and Facts

There are many misconceptions surrounding sleepwalking, including the following:

Myth. You should never wake a sleep walker.

Fact. While it’s true that waking a sleepwalker can cause disorientation and agitation, it’s not necessarily dangerous. If a sleepwalker is at risk of injury, gently guide them back to bed or wake them by calling their name from a distance.

Myth. Sleepwalking only involves walking.

Fact. Sleepwalking can encompass various behaviours, including talking, eating, and even driving a car.

Myth. Sleepwalking is a sign of psychological issues.

Fact. While stress and anxiety can contribute to sleepwalking, it is not solely indicative of deeper psychological problems. Sleepwalking can be a result of various factors, including genetics and environmental influences.

When to Seek Professional Help

Seek professional help if sleepwalking:-

  • Causes significant distress or disrupts the sleepwalker’s or their family’s daily life
  • Leads to dangerous situations or injuries
  • Persists or worsens over time
  • Occurs in tandem with other sleep disorders

FAQs – Frequently Asked Questions

Q. Is sleepwalking hereditary?

A. Yes, sleepwalking has a genetic component and is more likely to occur if one or both parents have a history of sleepwalking.

Q. Can sleepwalking be dangerous?

A. Sleepwalking can be dangerous if the individual is at risk of injury during an episode, such as falling down stairs or wandering outside. It is important to take safety precautions to minimise these risks.

Q. How can I help a sleepwalker during an episode?

A. Gently guide the sleepwalker back to bed without waking them if possible. If you need to wake them, call their name from a distance to avoid startling them.

Q. Do all sleepwalkers remember their episodes?

A. Most sleepwalkers have little or no memory of their episodes, but some may recall vague details or sensations.

Q. Can adults develop sleepwalking?

A. Although sleepwalking is more common in children, adults can develop sleepwalking due to factors such as stress, sleep deprivation, alcohol consumption, and certain medications.

In Summary

Sleepwalking is a common sleep disorder that affects both children and adults. Understanding the causes, symptoms, and treatment options can help manage sleepwalking episodes and ensure safety. By adopting healthy sleep habits, addressing underlying issues, and seeking professional help when necessary, individuals can minimise the impact of sleepwalking on their lives.