Posted at 11.16.2018
Broughton (2000) once pointed out that "The term parasomnia refers to a group of serious, episodic, physical phenomena that either take place exclusively during sleep or seem to be to be exaggerated by sleeping" (as cited in Pegram, McBurney, Harding & Makris, 2004, p. 200). The generally more typical encountered NREM rest parasomnias contain "sleepwalking", "sleep terrors, confusional arousal, rest conversing, and bruxism" (Pegram et al. , 2004, p. 200). Sleepwalking, also known as somnambulism in its medical term, is considered the least harmful sleep disorders when compared with insomnia and sleep apnea which might cause problems to one's health. However, when the sleepwalker wanders too much away or perform some dangerous activities, damages could possibly take place at any one time. For instance, there was an extremely interesting case of sleepwalking where a 33 year-old female named Donna Sheppard-Saunders attempted to murder her mother during sleep. She placed a cushion over her mother's face for about 30 moments and stopped after that as the mom struggled and called for help (Crompton, 2009, para. 1).
Sleepwalking episodes more often than not result from an arousal during the deepest levels of sleeping. These phases are in any other case known as slow-wave sleep. Later on, activities such as sitting up may be activated because of the incompletion of such arousal while asleep. As a result, sleepwalking tv show occurs. Nonetheless, immediately after the sleepwalker is awakened and extends to full wakefulness, she or he might not remember anything at all that has occurred while she or he sleepwalks (Chambers, 2000, p. 311). Sleepwalking shows usually impacts children more than men and women. Dr. Irshaad Ebrahim (2008) claims that "[t]he condition influences 15 per cent of children but only between 2 and 4 per cent of men and women" (para. 5). In this case, Chambers (2000) believes that could be because slow-wave sleeps hold the tendency to decrease as a person ages (p. 311).
However, the incident of the disorder is not fixed. With regards to the seriousness of sleepwalking, an individual can sleepwalk occasionally, or even, almost every night. Not only that, sleepwalking is hereditary and it operates in some family, too. Nevertheless, there are several factors that cause sleepwalking to occur for many people during their rest. Thus, self care and attention method can be used to treat sleepwalking patients while not interrupting their daily life-style.
One of the reason why would be stress. Negative stress, also known as distress, is bad as it could impair a person's health. It often pertains to problems such as panic, loss of appetite, unable to concentrate well, loss of libido, irrational patterns, easily feel irritated or annoyed. Other than that, it also causes physical effects including discomfort of belly, tense muscles creating neck, back or shoulder ache, and even missing periods in a few women, with focus on melancholy. Therefore, sleepwalking is often reported to be triggered whenever a person is excessively distressed.
Nevertheless, stress is not the only reason behind this sleeping disorder. Other causes such as not getting an satisfactory amount of sleeping can indirectly lead to sleepwalking as well. Besides that, panic - usually initiated by stress - and sleeping with a complete bladder are very much interconnected with evening terrors and nightmares which contribute on the rest disorder. In Knowledge, Roger J. Broughton (1968) points out that "bladder contraction, producing enuresis; sensorium impairment" can bring about the occurrences of somnambulism (p. 1077). Sleepwalking, acknowledged by Dr. Ebrahim (2008), is more likely to occur if some particular factors can be found and these factors include stress, sleeping deprivation and alcohol consumption. He also added that "[t]rigger factors may be internal, such as snoring or abnormal limb moves, or external, such as noise or being touched" (para. 6)
In addition, those who find themselves born in a family with sleepwalking background will sleepwalk compared to others when they feel stress. There is a case study where Carl Edmonds (1967) provided evidences regarding the genealogy of somnambulism. An individual with sleepwalking history was accepted for treatment after consecutive situations of parasomnias since he was very young. It was then which both the therapist and the patient knew, as informed by the parents that his daddy used to sleepwalk whenever a young man. To make the point even stronger, the paternal grandmother was also a sleepwalker in adult life. Furthermore, his three sisters were as well affected in several ways (p. 237). In this case, it is logically proven that individuals with a family group background of sleepwalking have increased chances of sleepwalking or encountering other parasomnias in comparison to that of others. Although milder cases of sleepwalking are not harmful, however, there are several things that require to be studied care of to decrease the chances of potential harms when sleepwalking occurs anticipated to undertaking certain activities unconsciously during sleep.
Contrary to numerous beliefs, sleepwalking will not necessarily always indicate walking while sleeping. Sleepwalking activities may include sitting up and showing awake, when in reality, the sleepwalker is asleep. Besides that, common conducts of sleepwalking also consist of dressing and undressing or even more complex activities. For instance, moving furniture and preparing a meal. To some extent, sleepwalking is frequently considered not dangerous unless the occurrence of sleepwalking continues in to the adulthood and content a risk of potential harm to the sleepwalker or the people around. Until then, it is vital to seek for help from doctors or counselors (Ebrahim, 2008, para. 8). Hence, in extreme cases, sleepwalking can cause harm to personal or the people around. Dr. Ebrahim (2008) also mentions that this disorder should be studied care and attention of immediately if it disrupts the sleepwalker's daily lifestyle. There should be recognizable daytime symptoms of which include sleepiness or irritability anticipated to lack of sleep the night time before (para. 8).
Take for example; a sleepwalker can in fact commit crimes like murder while sleeping. It often becomes a challenge to the juries in order how think can accomplish that much including driving a car normally but not distinguish the person they're attacking while sleepwalking. To further be aware it, the sleepwalkers do not seem to be to have the ability to perceive sound made by their victims when they weep out for help throughout a sleepwalking violence scenario. Sleepwalkers can also scarcely sign-up the pain when they unintentionally injure themselves. This may only mean that the hormone changes or brain pathways might be in a sleeping talk about whilst the sophisticated motor behaviours such as attacking people happen (Cartwright, 2004, p. 1152). Another similar circumstance would be "How sleepwalking can result in killing". In this media article, Laura Smith-Spark (2005) reported that Jules Lowe, 32 year old man who had determined a murder by eliminating his 82 yr old daddy while he was sleeping. He previously experienced retrograde amnesia where he didn't remember anything about the brutal occurrence (para. 1). Dr. Ebrahim (2005) believes that the sleepwalking shows occurred partly because of the fact that Mr. Lowe has had a brief history of sleepwalking. Other than that, it was also because Mr. Lowe recently had consumption of liquor and plus other factors such as fatality of step-mother (as cited in Smith-Spark, 2005, para. 6-7).
To further illustrate, Jack port Malvern (2008) reported that "[a] teenage rugby player dropped to his fatality from a fourth-storey windowpane because he was sleepwalking" (para. 1) in the headline "Teenage tourist sleepwalked to his death". This tragic case of Ross Kimpton was believed to have been scheduled to over-consumption of alcohol, therefore triggered the factor of which led to sleepwalking. To include on, Kimpton could also have been bothered by the noises coming from beyond the area through the opened windows (Malvern, 2008, para. 6-7).
Though sleepwalking may seem to be horrifying, just like any other disorders, there's always at least a method to regard this disorder. One obvious treatment will be medication. Medication may be used where episodes are much severe, aggressive, consistent, or disruptive. With the help of medication, event of sleepwalking can be visibly reduced. Take for example, drugs such as ProSom and Klonopin can be terminated a couple weeks without recurrence of sleepwalking. Also, remedy usually includes either a benzodiazepine or a tricyclic antidepressant. With regards to the patient, they may or might not bring about fewer shows of sleepwalking. Even if the episodes of sleepwalking reduce, however, sleepwalking will still increase briefly after discontinuing the medication. Therefore, the personal care method is a lot safer and much easier to utilize.
Besides that, hypnosis is also called ways to cure this sleep disorder. This technique is nice for the individual obtaining it. When going to a hypnosis procedure, the hypnotist are certain to get to know the patient such that it is possible to generate the most pleasure during the session. Whenever a person sleeps, there is a mechanism that helps to keep him or her from walking in their dreams. Often dreams seem to be so real that a one who sleepwalk movements and talks in his / her sleeping. Thus, hypnosis helps by signifying to the individual as he awakens immediately when his legs are in contact with the ground. Using this method, the individual will have a far more restful sleep at night. Nonetheless, similarly to using medication to treat sleepwalking, hypnosis consultations can be very costly. Alternatively, self treatment method will not cost a penny because it can be easily carried out by sleepwalkers themselves.
Another possible treatment that can be taken into consideration into the management of sleepwalking is consulting a doctor & most preferably, participating a few guidance sessions. Perhaps, through the span of guidance, sleepwalkers can identify their causation reason behind sleepwalking. In the treatment of sleepwalking in children, primary causal of sleepwalking can highly be related to the strain at home and school. Hence, these areas can be explored completely before taking a step further in controlling children's cases of sleepwalking. To help expand illustrate, children of which go through the divorcing parents or possibly have the pressure to achieve top in school greatly increases the chances of sleepwalking. These cases or even more severe ones sometimes fail to respond to counseling (The English Medical Journal, 1980, p. 1660). In other words, seeking a counselor might not exactly be the best answer. That is why the self good care method continues to be preferred as the better solution in taking care of children's protection.
Though sleepwalking seems just like a complicated disorder, milder instances of sleepwalking can be reduced or cured easily at home by firmly taking certain safety measures, known as the self applied good care method. This solution is defined to instruct the sleepwalkers the proper way to look after themselves when they are asleep. To begin with, sleepwalkers have to look at a good sleeping pattern so as to ensure they are getting enough sleep. This is done by organizing a agenda whereby the time to time to go to bed needs to be around the same every day. By listening to soft music prior to going to sleep can help to calm and relax the mind so as to make sure sleepwalkers won't have active brains while they are simply asleep. Exercises can assist in lowering stress as it regulates the body's internal activity and for that reason help to achieve homeostasis. For this reason, people who have sleepwalking record are strongly prompted to exercise regularly, so that they can decrease the occurrences of sleepwalking. In addition, having a good way of coping with stress can as well greatly cut down the possibilities of sleepwalking. For instance, by finding and understanding the foundation of stress permit visitors to seek the proper way to get over stress easily. To include on, relaxing is believed to be one of the techniques to manage stress.
To add on, taking safety measures and safeguards is vital in keeping sleepwalkers safe when sleepwalking. For instance, obstacles should be taken off hallways so that sleepwalkers won't trip and show up on them. If possible or when needed, sleepwalkers can sleep in a bedroom on the ground floor and also try to avoid bunk beds. Not just that, it's important to cover all sharp things that are easily reached in cupboards and make sure they are firmly locked. Usually, the main door must be locked for safety just in case sleepwalkers may wander outside - roaming around outdoors at night can be quite dangerous. So, the self care method is still regarded as the better way to help sleepwalkers, alternatively than starting a medication treatment.
Not only that, meditation can also help in relaxing one's head. Just like performing exercises, meditation can be used easily - so long as he or she is in the right environment. Regarding to Kathleen McDonald (2005), a person should be in a very noiseless room and ensure that there are no interruptions at all. In addition to that, the seat should be setup properly so that it is comfortable to sit on (p. 15). Then all there is certainly left to do is relax your brain - turn off from all thoughts. However, it will always be easier in theory. So, it's important to concentrate on the respiration rate, that is, follow each breath that is inhaled and exhaled. In this manner, all other unneeded thoughts can be put aside for the time being. When meditating, it helps the mind to reach a certain degree of tranquility thus creating a very relaxed surrounding. As a result, stress level which usually contributes to the event of sleepwalking can be reduced. On the state of obtaining the tranquility, the blood pressure is reduced and then it will decrease the muscle tension. Additionally, it balances someone's physical, psychological and state of mind. Great things about meditation are useful in curing many stress related sicknesses, with sleepwalking being one of these. Thus, meditation is shown to be very helpful towards the treating sleepwalking.
In a nutshell, to guarantee a protected climate, self service method should be performed well. It is highly probable that sleepwalking is due to sleep deprivation and distress. Although this sleeping disorder is incurable in most cases, however, the regularity of the episode can be effectively reduced in a long span of energy. Thus, self good care is an extremely useful method that will help decrease the chances of the event or at least lessen the number of hazard towards the sleepwalker.