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RBD is a sleep disorder characterized by the loss of normal skeletal muscle atonia during REM sleep and is associated with prominent motor activity and vivid dreaming. [6] [2] These dreams often involve screaming, shouting, laughing, crying, arm flailing, kicking, punching, choking, and jumping out of bed.
The clinical practice of behavioral sleep medicine applies behavioral and psychological treatment strategies to sleep disorders. [3] [12] BSM specialists provide clinical services including assessment and treatment of sleep disorders and co-occurring psychological symptoms and disorders, often in conjunction with pharmacotherapy and medical devices that may be prescribed by medical professionals.
Rapid eye movement sleep behavior disorder (RBD), acting out violent or dramatic dreams while in REM sleep, sometimes injuring bed partner or self (REM sleep disorder or RSD). [88] Restless legs syndrome (RLS), an irresistible urge to move legs. Shift work sleep disorder (SWSD), a situational circadian rhythm sleep disorder.
Each sleep cycle lasts about 90 to 110 minutes and includes stages that fall into two main phases: non-REM (or NREM) sleep and REM sleep. Non-REM sleep has three sub-stages: light sleep, deep ...
In potentially harmful or disturbing cases a specialist in sleep disorders should be approached. [22] Video polysomnographic documentation is necessary only in REM sleep behavior disorder (RBD), since it is an essential diagnostic criteria in the ICSD to demonstrate the absence of muscle atonia and to exclude comorbid sleep disorders.
“What sets Lewy body disease apart from other causes of dementia is the prevalence of hallucinations and delusions, as well as a sleep disorder called REM sleep behavior disorder,” Porter says.
Sleep disorder centers, or clinics, are accredited by the same body, whether hospital-based, university-based or "freestanding"; they are required to provide testing and treatment for all sleep disorders and to have on staff a sleep specialist who has been certified by the American Board of Sleep Medicine and otherwise meet similar standards.
Medical treatment starts with education about sleep stages and the inability to move muscles during REM sleep. People should be evaluated for narcolepsy if symptoms persist. [ 22 ] The safest treatment for sleep paralysis is for people to adopt healthier sleeping habits.