Parasomnias of Sleep

Parasomnias of  Sleep

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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 


Some nonpharmacologic treatments have proved to effectively manage nocturnal events. Psychotherapy, progressive relaxation, or hypnosis are recommended for long-term management. Anticipatory awakening has been reported to be effective in treating sleepwalking in children. Avoidance of precipitants is very important. Precipitant factors can include alcohol or sleep deprivation.

   Management & Treatment