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For a dozen years, a 31-year-old man masturbates while asleep, at times injuring his groin. Embarrassed due to his unconscious behavior, he avoids relationships for eight years.

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“These are disorders of arousal,” said Schenck, who has studied parasomnias for decades. “They most often occur during the slowest, deepest stage of sleep, called delta sleep. It’s like an alarm or trigger goes off in the central nervous system, and you go from your basement to your roof in no time flat.

“Your cognition is deeply asleep, and you’re not with the program, but your body is activated,” Schenck said. “That’s dangerous because then you start walking and running and doing all sorts of things without your mind being awake.”

It’s difficult to study sexsomnia, because unless people injure themselves many have no idea of their unconscious sexual activity until a bed partner tells them about it.

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“There are some people who will engage in sexual activity with their partner, and it’s not bothersome to either one of them. So it is possible that this could be consensual for some,” said Jennifer Mundt, assistant professor of sleep medicine, psychiatry and behavioral sciences at Northwestern University’s Feinberg School of Medicine in Chicago.

“There are definitely instances where it’s alarming to the partner and to the person who’s doing it once they realize what they’ve done.”

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“The sleeping brain is wired very differently from the waking brain,” he said. “You’re not conscious when you’re asleep, so you can’t reach any valid conclusion about so-called lying or truth-telling in your sleep.”

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“That was terrible, terrible,” Schenck said. “And what is really disconcerting to these patients is they have total amnesia. It’s the bed partner or family member telling them, ‘You did this, why did you do that?’ and then the patient says, ‘I don’t remember anything.’ So they are really embarrassed, full of shame, very apologetic and totally miserable.”

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“There’s a whole area of sleep forensics to deal with these issues,” he said. “They do very comprehensive evaluations, case histories, and interviews with relatives and others to sort out about whether it’s an excuse or the real thing.”

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“We don’t know the ultimate cause, but there is a genetic component,” he said. “If you have at least one first-degree family relative with a parasomnia, you are more likely to develop one. Then the more first- or second-degree relatives that have a parasomnia, the more likely the condition may persist into adulthood or reoccur.”

Having obstructive sleep apnea may also be a trigger. Also called OSA,obstructive sleep apneais aserious sleep maladyin which breathing stops for 10 seconds to two minutes many times per hour each night. The condition mostly occurs in men, although more women are now developing it.

“It’s the breath holding or apnea from the obstructive sleep apnea that triggers the arousal, typically in men, which then triggers the sexual behaviors in sleep,” Schenck said. “After you diagnose sleep apnea and you treat the patient, treatment not only controls the sleep apnea, it also controls the secondary sexsomnia.”

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“It’s so interesting, because a lot of people with stress become hyposexual, not interested in sex,” Schenck said. “And for others, it’s the other way. So there’s no 100% absolute rule.”

Gujarat Mineral Development Corporation Limited (532181) ✌️【Long-Term Investment】✌️ Free expert predictions on stock trends and real-time data to help you make informed decisions and grow your wealth steadily. Medication for sexsomnia has side effects and can become habit-forming. People who don’t wish to use drugs can try various behavioral approaches to control the condition, said Northwestern’s Mundt, whopublished a reviewof such treatments in September 2023.

“From the literature and from my own experience, it’s definitely true we can reduce the symptoms dramatically or possibly eliminate the symptoms for some people,” she said. “Others may only have a partial improvement or no improvement, and that’s where medication might be necessary.”

Education comes first, Mundt said, because many people don’t understand sleep stages and how sexsomnia is different from nightmares or the acting out of vivid dreams.

During the first and second stages of sleep, your body starts to decrease its rhythms. Then comes the third stage — a deep, slow-wave sleep in which the body is literally restoring itself on a cellular level. Rapid eye movement sleep, called REM, is when dreaming occurs — in this final stage the body becomes paralyzed so that you cannot act out your dreams and hurt yourself.

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“Education in itself is a treatment strategy because often that really helps to reduce the person’s anxiety, and if we can reduce stress and anxiety that helps,” Mundt said.

“Then I will target sleep hygiene such as reducing caffeine or alcohol, keeping a more consistent sleep schedule, keeping the bedroom cool and eliminating noise in their environment,” she said. “Relaxation techniques come next, and if we need further strategies, I might move to hypnosis.”

Clinical hypnosis is nothing like the magician working his act on audience members, Mundt said. Instead, it’s encouraging a person to move into a daydreaming or trancelike state voluntarily.

“It’s like you’re riding on a bus and you’re looking out the window, and you’re not even seeing what’s in front of you because you’re so lost in thought,” she said.

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“In some ways, it’s similar to having a parasomnia episode,” Mundt said. “People vary in how easy it is for them to get into that trance state, but it can be very, very effective.”

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