Unusual Sleep Behaviors / Parasomnias
Parasomnias Sleep Disorder Specialist in Colorado
What are parasomnias?
Parasomnias are a group of sleep disorders that involve unwanted physical, verbal or emotional behaviors during sleep. These can occur when going to sleep, during sleep or while waking up. They often disrupt sleep quality and may cause distress or even harm to the affected person or bed partners.
Types of Parasomnias:
Sleepwalking (Sonambulism)
Sleep Talking
Sleep Terrors (Night terrors)
Confusional arousals
Sleep-Related Eating Disorder
REM-Related Parasomnias
(Occur in Dream Sleep, more frequently in the last third of sleep):
REM Sleep Behavior Disorder (RBD)
Nightmares
Sleep Paralysis

Causes and Risk Factors
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Stress, anxiety or sleep deprivation
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Sleep disorders like sleep apnea
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Medications or substance abuse
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Genetic predisposition (family history)
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Neurological conditions (Parkinson’s disease, Lewy Body Dementia, or Multiple System Atrophy for REM Sleep Behavior Disorder)
Diagnosis
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Medical history and sleep diary to track symptoms.
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Sleep Study to monitor brain and body activity during sleep.
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Video recording to observe unusual movements or behaviors
Treatments Offered:
Many parasomnias are unable to be fully treated but can improve with the below recommendations.
Improve Sleep Hygiene:
Maintain a regular sleep schedule, avoid caffeine/alcohol before bed, and create a relaxing bedtime routine.
Safety Measures:
Remove dangerous objects, use bed barriers and secure doors/windows.
Cognitive Behavioral Therapy:
Can help with stress-related parasomnias.
Medications:
May occasionally use medication including melatonin, clonazepam, or antidepressants for specific cases.
Treat Underlying Conditions:
Managing sleep apnea, stress, or neurological disorders may reduce symptoms.
Frequently Asked Questions
When should I seek medical care for parasomnias?
- If parasomnias cause injury or significant sleep disruption.
- If episodes are frequent, severe, or progressively worsening.
- If they start suddenly in adulthood without a prior history.
- If you wake up confused.
- If you are toilet trained but started to wet the bed often.