No Treatment Necessary
Formal sleep center evaluation are usually confined to those cases in
which the activities are potentially injurious or violent, extremely
bothersome to other household members, or have unusual clinical
characteristics. Treatment for some parasomnias are not necessary.
Patients are merely reassured their behaviors are benign, lack
psychological significance, and usually diminishes over time.
Pharmacological Treatments
If
treatment is necessary, tricyclic antidepressants and benzodiazepines
may be effective, and should be administered if the actions are
dangerous to person or property or extremely disruptive to family
members. Paroxetine and trazodone have been reported to be effective in
isolated cases of disorders of arousal. Administration of dopaminergic
agents, opiates, or topiramide has been reported to be effective in the
treatment of sleep-related eating disorders.
Nonpharmacologic Treatments
Management & Treatment