4 Observations to Bring to an Adult Sleepwalking Visit

If someone sees an episode, ask them to describe what happened in ordinary words and write it down afterward.

Four observations for the conversation

1. Timing and actions. Record the time and actions seen. Sleepwalking can involve sitting up, walking or complex behavior, with open eyes but unusual responses to others.¹

2. Any risk of injury. Note stairs, trips or leaving the house. Clear floors, secure sharp items and close doors and windows. Consider a door alarm if needed.¹

3. Sleep, medicines and alcohol. Record sleep loss, illness, stress, alcohol and medicine changes. These can be associated with episodes. Have prescriptions reviewed before making any change.¹

4. Other sleep symptoms. Report severe daytime tiredness or breathing that stops and starts during sleep. These can warrant assessment for another sleep condition and a sleep-clinic referral.¹

Agree what to do during an episode

Gently guide the person back to bed. If waking them is necessary, do it gently; sudden waking can cause confusion or distress. Discuss these steps with those sharing the home.¹

Bring the notes to the appointment and ask what the clinician wants recorded next. Write down the follow-up date and the changes that should prompt an earlier call.

Did I Do That in My Sleep? offers broader coverage of snoring, night waking, night sweats and drooling. Episodes that threaten safety or disrupt sleep need a clinical assessment. See the book.