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Sleepwalking
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==Treatment== There have been no clinical trials to show that any psychological or pharmacological intervention is effective in preventing sleepwalking episodes.<ref name=Stall2017/> Despite this, a wide range of treatments have been used with sleepwalkers. Psychological interventions have included psychoanalysis, hypnosis, scheduled or anticipatory waking, assertion training, relaxation training, managing aggressive feelings, sleep hygiene, classical conditioning (including electric shock), and play therapy. Pharmacological treatments have included tricyclic antidepressants (imipramine), an anticholinergic (biperiden), antiepileptics (carbamazepine, valproate), an antipsychotic (quetiapine), benzodiazepines (clonazepam, diazepam, flurazepam and triazolam), melatonin, a selective serotonin reuptake inhibitor (paroxetine), a barbiturate (sodium amytal) and herbs.<ref name=Stall2017/> There is no evidence to show that waking sleepwalkers is harmful or not, though the sleepwalker is likely to be disoriented if awakened.<ref>{{cite web |last1=Suni |first1=Eric |last2=Vyas |first2=Nilong |title=Sleepwalking: What Is Somnambulism? |url=https://www.sleepfoundation.org/parasomnias/sleepwalking |website=Sleep Foundation |date=18 November 2020 |access-date=15 June 2024}}</ref>{{Medical citation needed|date=July 2024}} Unlike other sleep disorders, sleepwalking is not associated with daytime behavioral or emotional problems. This may be because the sleepwalker's sleep is not disturbed—unless they are woken, they are still in a sleep state while sleepwalking.{{Citation needed|date=September 2018}} Maintaining the safety of the sleepwalker and others and seeking treatment for other sleep problems is recommended.<ref name=Stall2017/> Reassurance is recommended if sleepwalking is not causing any problems.<ref name=Stall2017/> However, if it causes distress or there is risk of harm, hypnosis and scheduled waking are recommended as treatments.<ref name="Stall2017">{{cite journal|last1=Stallman|first1=Helen M.|date=2017|title=Assessment and treatment of sleepwalking in clinical practice.|url=https://pubmed.ncbi.nlm.nih.gov/28787563/|url-status=live|journal=Australian Family Physician|volume=46|issue=8|pages=590–593|pmid=28787563|archive-url=https://web.archive.org/web/20220216052227/https://pubmed.ncbi.nlm.nih.gov/28787563/|archive-date=16 February 2022}}</ref> === Safety planning === For those whose sleepwalking episodes are hazardous, a door alarm may offer a measure of protection. There are various kinds of door alarms that can attach to a bedroom door and when the door is opened, the alarm sounds.<ref>{{Cite web|title=Wandering & Movement Alarms & Monitors / Page 1 - Independent Living Centres Australia|url=https://ilcaustralia.org.au/search_category_paths/636|url-status=live|archive-url=https://web.archive.org/web/20220218092728/https://ilcaustralia.org.au/search_category_paths/636|archive-date=18 February 2022|website=ilcaustralia.org.au|access-date=2018-09-09}}</ref> The intention is that the sound will fully awaken the person and interrupt the sleepwalking episode, or if the sleepwalker lives with others, the sound will prompt them to check on the person. Sleepwalkers should aim to have their bedrooms on the ground floor of a home, apartment, dorm, hotel, etc. Sleepwalkers should not have easily accessible weapons (loaded guns, knives) in the bedroom or any room of the house for that matter. If there are weapons, they should be locked away with keys secluded from the sleepwalker.<ref name="Schenck, Carlos H 2007"/> For partners of sleepwalkers who are violent or disturb their sleep, sleeping in another room may lead to better sleep quality and quantity.
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