man jumping in a dream

Do you or your partner sometimes act out your dreams in your sleep? Do you sometimes accidentally hurt yourself or others by punching, kicking or lashing out?

Perhaps you show more complex behavior such as jumping out of bed or running across the room. And to add to the spectacle you might even shout, scream or sleep talk.

If so, it could be a sleep disorder known as REM sleep behavior disorder, also abbreviated to RBD. In this article I’ll be looking at what it is, what it might mean for you as well as strategies to treat it and limit the risk.

Hopefully you’ll gain a clearer understanding and be able to help either yourself or someone you know deal with it.

 

What is REM sleep behavior disorder?

RBD belongs to the category of sleep disorders known as parasomnias. To understand what it is exactly, it’s useful to first take a look at the stages of sleep.

During the night you cycle through different sleep stages, one of which is called the rapid eye movement stage, or REM stage for short.

It’s a stage which usually occurs during the second half of the night. You spend around 20% of the night in the REM stage, transitioning through the different stages during the night.

You usually dream during this stage, and your body becomes paralyzed to prevent you from injury by moving whilst asleep.

But sometimes the paralysis doesn’t quite work as it should, which is the case with REM sleep behavior disorder.

So when you enter the REM stage during the night, there’s the risk that you’ll do things which reflect your dream. This is particularly the case if it’s very dramatic, full of action or violent.

 

Cause and symptoms

Each time you enter the REM stage of sleep, nerve pathways in your brain prevent your muscles from moving. This then creates paralysis for the duration of the stage. But these pathways don’t function properly in people with RBD, so they don’t become paralyzed.

The main symptoms are:

  • Repeated episodes of dream enactment behavior. This could be movements like jerking, punching, kicking, flailing, jumping out of bed or other potentially dangerous actions. Often the person begins with jerking or twitching, followed by more aggressive or dramatic movement.
  • Making noises, usually reflecting a frightening dream such as loud shouting, screaming or swearing.
  • If woken during the episode you should be able to remember the dream content and not be confused. The dream often involves frightening scenarios such as being chased or attacked. You may remember the dream in detail for a long time afterwards.

 

Diagnosis

It’s often tempting to diagnose yourself with sleep disorders. Sometimes it feels clear that what you experience is exactly the same as a medical definition.

RBD can easily be confused with other sleep disorders though, and some symptoms can also be caused by other conditions. So a doctor or sleep specialist needs to rule out other possible causes for the behavior, such as:

A doctor would take a careful history to both rule those out and check if you exhibit the symptoms of RBD.

And because the diagnosis needs to be based on evidence of muscle atonia and for the behavior to occur during REM sleep, it’s recommended that you’re assessed at a sleep center.

A sleep study is also very important if the dream enacting behavior is causing injury, or could cause it.

For more technical information about the way a polysomnogram sleep study is important in diagnosing RBD, have a look at this research article by Boeve in 2010. The article also provides detailed theories about the brain activity responsible for the lack of paralysis.

Understandably, not everybody has access to a sleep center which can make diagnosis difficult to achieve. But if you do have access to healthcare, then it’s important if your doctor suspects you may have RBD.

Finally, remember that most people sometimes do some strange things in their sleep from time to time. Before rushing to any conclusions that you have RBD, it’s important to remember that it needs to happen on a regular basis.

 

Treatment

Fortunately there is treatment for RBD which is known to be effective. The most commonly prescribed medication is Clonazepam. Melatonin has also been found to help reduce symptoms. Your doctor may try other medication if they aren’t effective.

As well as taking medication there are practical steps you can take to reduce the risk of injury:

  • Make sure there are no sharp objects near the bed.
  • Make sure there are no sharp surfaces or breakable objects near the bed.
  • Making sure any windows or mirrors are either protected or far from the bed.
  • Put a padded surface or mattress on the floor next to the bed.
  • Use raised sides on the bed.
  • Some people decide to sleep in a sleeping bag or wear padding around their hands.
  • If necessary you and your partner can sleep in separate beds. Only sharing a bed when you want to be intimate.

In addition to this, you may find it useful to do the following to help reduce the episodes:

  • Try to keep a stable sleep pattern.
  • Don’t allow yourself to become overly tired.
  • Avoid alcohol or recreational drugs.
  • Treat any other sleep disorders you may have.

Coping with other people

You may feel embarrassed with a new partner or if sharing a room or house with friends or family. You can talk to your doctor about this who may arrange for counseling. They can help you find strategies to deal with both the symptoms and how they affect you.

In many ways one of the best courses of action is to be honest about the sleep disorder. Explain it to people who may inevitably see or hear you acting in a way they find unusual. And if necessary work with them to find ways to reduce the risk of injury or annoyance.

 

Association with neurodegenerative disorders

Research has shown (Shecnck et al in 1998 and the mayoclinic in 2012) that there’s a possible association between RBD and certain neurodegenerative disorders. For example, mild cognitive impairment (MCI), parkinson’s and Lewy body disease.

Understandably, this information can cause concern. It’s important to note though that not everyone who has RBD will develop a disorder later in life. So please don’t panic if you’re reading this because you have or suspect you may have RBD.

The research shows that if RBD is associated with one of these disorders, it often occurs years or decades before they develop. So the key is that you discuss your concerns and symptoms early with your doctor.

If you are diagnosed with RBD, your doctor may decide to monitor you for signs of the disorders. If one does develop in later years, you can deal with it as early as possible.

 

Your views

Do you or someone in your household have REM sleep behavior disorder, or do you suspect that you might have? If so, what type of behavior do you exhibit? Have you undergone any treatment, or do you take any protective measures?

It’s always useful for other readers to share experiences. Sometimes a reader can provide excellent advice which benefits many others. And often just knowing that you’re not alone can be a reassurance. So please feel free to share your story in the comments below.

 

316 thoughts on “REM Sleep Behavior Disorder: Do You Act Out Your Dreams?”

  1. Last night I dreamed that I was being chased. Mid ways in the dream I started to attack myself. I dreamed I was trying to pull my eyeball out it’s socket. I woke up hearing my self screaming because I was literally gripping my eyeball. I’m so confused never have i experienced anything like this. I have red marks on my eyeball and im totally freaked out.

    1. Hi Terica
      Thanks for your comment. I can completely understand why this would upset you. If it’s a real worry for you, then talk to your doctor about it. And if it starts to happen regularly, I’d definitely get it checked out.
      Regards
      Ethan

  2. Christopher morris

    I’ve been told over the past 15 years or so i kick yell scream, cuss, punch in my sleep. 2 years ago my wife even found me in a corner stabbing the floor with my pocket knife and i do not ever have any recollection of this. I’ve blacked my wife’s eye, punched walls, brusing my knuckles. It scares me sometime when people tell me what im doing and i dont want to hurt myself or others

    1. Hi Christopher
      Thanks for sharing your experience. Have you spoken to your physician/doctor about this? Considering the severity of your episodes, I think it’s a good idea to discuss it.
      Regards
      Ethan

  3. Two nights ago my boyfriend claims I was sitting up in bed on my knees hitting his chest saying “wake up! Wake up!” In the middle of my sleep. Now, last night is what scares me. I bit my boyfriend’s face last night while asleep. I feel so guilty for this, but I have no clue why I did it. I’ve never done anything this extreme before.
    As a child I would sleep walk down a whole staircase. I would kick, and sleeptalk, and throw myself around my bed every night. It stopped when i was about 15. Now I’m 24, and it’s all coming back, I talk in my sleep almost every night. I am scared that I actually bit my boyfriend in the face not knowing what I was even doing.

    1. Hi Jessica
      Thanks for your comment, and sorry to hear you’ve had this experience, and that it’s worrying you. Have you been under more stress recently, or is there anything going on that might be affecting your sleep? Any changes in life? These could be things to look into. But I’d also mention it to your doctor if it is worrying you.
      Regards
      Ethan

    2. I usually watch chasing dream every night or every other night for a long time. But from last few months I started sleep talking and it is increasing day by day. I am really worried cz that affects my personal life very badly.

  4. My husband, 62-years old, beginning last year, on a continuous basis (most every night) will: twitch, jerk, whisper/talk in sleep, curse, gonna kick their ass, lash out, punch window by bed or headboard, shout out and has even screamed, kicked out. I wake him before it progresses too far. Most times he doesn’t remember. He sometimes drinks a Bloody Mary in the evenings, but still does these things when he doesn’t. I have him put essential oils on that help to calm his mind so he can sleep and help have positive dreams; when he doesn’t use his oils, his sleep is worse. He thinks he’s sleeping ok, but trust me he’s not, because I wake him at least 2-5 times a night, every night.

    1. Hi Katherine
      Thanks for your comment. This sounds like something to discuss with a medical professional. But if he sleeps ok, I assume convincing him to get a medical opinion might be tricky. Perhaps you could record one of the episodes so he can listen/watch?
      Regards
      Ethan

  5. last night I took a video of my friend sleeping for 7 hours every min or 2 exactly she would sit part way up and kick with her right leg first and then her left like she was kicking someone away but the same movements timed perfectly apart for 7 hours of sleep. I didn’t know if she was having a seizure or dreaming or what, but I’ve never seen anything like it and she has no recollection of any of it. very exhausted and out of sorts when she woke.

  6. Hello, I just came across your page looking for answers – my boyfriend just recently dove over me in bed and punch out my apartment window in a dead sleep. Glass everywhere. He is a wrestler and therefore has sustained many head injuries. This was his first episode like this but I am terrified for what the future may hold – help

    1. Hi Caitlin
      Sorry to hear you had what sounds like a very upsetting experience. This is something that definitely needs a medical opinion. If he doesn’t do it himself, I suggest encouraging him to speak to his doctor.
      Regards
      Ethan

  7. Hi, for the past week I have been waking up very early in the morning while experiencing vivid dreams. As the week went on I’ve realized I was waking up because I was tossing and turning my head while having these dreams. Usually I can fall back asleep again but then the tossing and turning starts again which almost immediately wakes me up. I’m not sure what this is because the dreams themselves aren’t that unusual, just vivid, and I’m not acting on the dreams in specific ways, but the tossing in bed wakes me up and is really now disturbing my sleep. I should say I’ve also had problems with hypnic jerking for years during sleep onset which thankfully hasn’t been as bad this week but this early morning disturbance is new. Any thoughts?

    1. Hi Ben
      Thanks for your comment. I’m not sure if what you described would be considered REM sleep behavior disorder. Only a proper sleep assessment would be able to ascertain that in situations where the description isn’t as obvious as someone acting out visibly their dreams. There is something going on, from what you describe. Have you been under more stress recently, or have there been any other changes in life which could be triggering more vivid dreams and disturbed sleep?
      Regards
      Ethan

  8. Hi, my fiancé talks in full sentences and curses in his sleep very often. He also twitches, smiles, and I’ve noticed opens his eyes like a fluttering but I can see the whites of his eyes like they are rolling back. He also makes noises like giggles and moaning. This is an almost nightly occurrence. I know he has insomnia like issues falling asleep and staying asleep, I think he sometimes wakes himself up unknowingly. I am wondering if these are symptoms of REM disorder.

    1. Hi Brittney
      Thanks for your comment. It sounds more like sleep talking to me from your brief description. But if you’re both concerned, talk it through with his doctor to get a medical professional’s opinion.
      Regards
      Ethan

  9. I don’t know if this applies to me or not. I had a dream last night that I was pushing a door shut. I woke up because my arm was outstretched and physically trying to push an imaginary door shut. So, this was happening in real time with my dream. Is this RBD? I’m concerned. I’ve had half a dozen other events as this.

    1. Hi Sherry
      Thanks for sharing. It’s not for me to diagnose you I’m afraid. If it keeps happening, I’d mention it to your personal doctor though.
      Regards
      Ethan

  10. I’ve had this problem since childhood. we always assumed it was cuz I have ADHD but as I got older it developed to this. then when I was diagnosed with depression and anxiety we just passed it as probably that but I’m off my tablets a year and it’s starting to get bad again. I’m shouting and swearing in my sleep telling whoever the man is I hate him n gonna kill him. I woke up to find I’d been punching the sofa when I was on as I was on a sleep over. I don’t have cuts but my knuckles looked a bit red. but I’m worried about going doctors and being called insane as it runs in the family. I really don’t want to be put in a unit I’m afraid that I won’t come out as my background taught me to fear being put in a unit.

    1. Hi Sami
      Thanks for your comment. Is there a doctor you feel you can trust to talk about your symptoms? I don’t know of cases where people are put in a unit, as you say, because of a sleep disorder like this. I would hope that they would try to tackle it properly, as they would do with anyone who has the same symptoms.
      Regards
      Ethan

  11. November 20, 2018 – approx 0200

    My routine is to go to sleep with a calming tv movie from internet. I usually have a pee call every two hours. This night I probably went to sleep about 9:30pm and woke for pee call about 11:45pm.
    I dreamed that a large person was potentially harmful to me and I rebuffed his presence.
    He further threatened me and I raised up in sitting position on my bed side with intentions to strike out.
    He then began to shrink away and I intended to strike out at him but I started to sway from side to side while still seated when all of a sudden I flung myself out to attack him.

    I awoke on the floor having first hit the lamp table by my bedside.
    I was winded and painful and concerned that I may have ruptured the skin around my pacemaker. I remained on the floor for about 5 or more minutes before raising myself to the bed. The pain in my left chest (pectoral muscles near my left arm pit) continued to hurt as I tried to go back to sleep while laying on my back (too painful laying on either side).
    I awoke at 6:15 a.m., took a long hot shower and noted a brush burn on my left knee where I evidently hit the floor after hitting my chest.
    It is now 6pm the same day. The pain is about 1 out of 10.

    1. Hi Dan
      Sorry to hear you had this unpleasant experience, and sorry for the delay in replying too. I would mention this to your personal doctor, and if you still have an injury to the area around your pace maker, get a medical profesional to check it.
      Regards
      Ethan

  12. I have had 5episodes of bad actions in my sleep. Last night I dreamt that someone hurt my husband and they drove off with me. I literally woke up on the phone to the police. I proceeded to tell them I was being abducted. I woke up and realized I was talking to the police. They came to my house and checked on me. I am afraid to go to sleep because I don’t know what I will do.

  13. I’ve been having more and more ‘episodes’ of sitting up and doing something regarding my dreams lately.
    Sat up and took out one of my six ear piercings and placed it on a table, can’t remember the dream though.
    Shaking out my pillow because I dreamed I spilled dirt on it.
    Picking up a cuddly toy from the end of my bed searching for another one in my dream.
    Often move random stuff about.
    Stood up once.
    And I’ve crawled to a corner of my bed a few times due to dream spiders.
    It’s getting quite annoying now due to frequency and I’ve lost one of my favourite earrings.

  14. I talk in my sleep and will wake myself up doing it. I also will try to move objects in my dreams and will be doing that when I wake up. I have restless leg syndrome.

  15. There are times where I’ll be having a dream and then next thing I know I just elbowed my girlfriend in her head! … it’s not regular but occasionally it does happen .

    1. Hi Dave
      Thanks for your comment. If it becomes regular or causes either of you problems sleeping, I’d get it checked out. But many people accidentally bump their partner in their sleep without it being a major issue. Just keep an eye on it!
      Regards
      Ethan

  16. my boyfriend acts out his dreams on a regular basis. He will get up screaming, run in the corner of a room, or use a pillow to hit the bed or other objects around the room thinking they are part of his dream. I am a little concerned since these symptoms began when he was 19 years old and most research says this happens in your 50s. It also scares me hearing about the potential risk of Parkinson’s later in life. I am hoping this is something other than RBD but have not been able to find any other disorders that sound similar to what he exhibits?

    1. Hi Maya
      Thanks for your comment. I can understand why you’d be concerned. I think it’s something he needs to speak to his doctor about, considering what you describe and the frequency.
      Regards
      Ethan

  17. I have one of these episodes about once every four months, which include kicking, shouting and trying to run away from danger. I take paroxetine and propranolol each day, but don’t drink alcohol, well a small glass of wine rarely.
    I do have a small tremor in my hands sometimes, which is worse if I miss a dose of my meds. Is this something I need to see a doctor about? Could these be a precursor to Parkinson’s?

    1. Hi Neville
      I can’t say if they are a precursor or not, but I would suggest speaking to your doctor about it. They can assess whether the occasional episodes of acting out dreams and/or tremors are related to your meds or a sleep disorder.
      Regards
      Ethan

  18. Hi Ethan,

    Sorry if this is a double-post, but didn’t see my original after I clicked “Post Comment.” And this one is more detailed as I’ve read through all the prior comments now.

    Basically, I’m terrified I have the beginnings of REM sleep disorder. Short story is that for the last month or so, I’ve been waking with what I think it is a body jerk, and have been doing so from dreams and at times when not dreaming. However, the jerking movement upon waking from dreams “seems” more pronounced than movements I may make when jolting awake from non-dreams.

    For example, last night, i jerked awake twice. Once around 2am, and I kind of jerked awake (SleepScore, a sleeping app, said I was in light sleep). Kinda felt like maybe arm jerked but not sure. Then at 4am-ish, jerked awake from dream (sleepscore said I was in REM) & it felt like my right shoulder jerked while I was waking (granted, this happened in like a millisecond, so hard to really tell, but felt like waking and jerk occurred simultaneously). Dream was a boring work dream & I was listening to co-worker talk to client when I jerked awake, so wasn’t “acting” anything out with right shoulder.

    The only times that I remember when it may be said I was “acting” something out was (1) I jerked awake during a dream, and felt my right shoulder jerk like above, but this time a cat was jumping off my shoulder; and (2) when I dreamed I was in a car that went over a large bump and I jerked awake upon the front of the car hitting the ground hard. I don’t recall any other times over the past month where a jerking movement I’d make while being jolted awake was tied to my dream. So I don’t think either really is “acting” out…and I don’t appear to make any repetitive movements; I just jerk awake, sometimes during dreams, and it feels like my body gives a jerk at times when I do so.

    My long-term lady friend has said that I don’t appear to be acting anything out ever (she’s a very poor sleeper and frequently spends much of the night awake, so I feel she’d notice if I was generally moving/jerking in sleep or acting a dream out). I’m also never vocal (grunted once when turning over while on lots of benadryl) beyond snoring.

    In reading through all the comments (and frankly the internet as a whole), I don’t see anyone really asking about symptoms similar to mine (one mentioned jolting awake after bike crash, and one lady said that she’d jerked awake for years in addition to talking in her dreams prior to acting them out). I realize you’re not a doctor, and that you can’t give medical advice, but I’m asking you is if what I describe above appears to indicate REM sleep disorder (basically, would you be very worried or barely concerned you had REM sleep disorder based on the above symptoms if they happened to you) or if it appears to be better explained by some other sleep condition.

    1. Hi AG
      Thanks for your comment. You’re right in that I’m not a doctor, so need to be careful what I advise people. My normal response is that it’s best to talk to your personal physician/doctor if you’re concerned about your sleep problems.
      Having said that, you definitely don’t seem to be describing what most people do when they talk about acting out their dreams. Have you done any research into hypnic jerks / sleep starts? You might find that helps explain your symptoms.
      Regards
      Ethan

  19. ive been told by my husband that i shout and talk and laugh in my sleep so i decided to use a app to record me sleeping (only sound) ive done it since monday and its shocking what i hear, laughing and shouting and yesterday i was swearing in my sleep loudly . im on medication for migraines called amityptline which is classes as a anti depressant so im wondering if this is triggering it . only been on it since may this year but it seems to be getting more everyday

    1. Hi Hayley
      Thanks for your comment. I think this is something to mention to your personal doctor and see what they think about the meds and your symptoms.
      Regards
      Ethan

  20. Good morning,
    This morning I was awakened from a dream of my deceased mom, we were at Church, along with my elder sister. Well, I observed that my mom’s face was dry, and my sister went into her purse to get lotion for her to put on. In the midst of that my sister dropped and broke a glass bottle of perfume, someone brought brooms to get it up, but they were brooms that were to be returned to the store. So we were brought different brooms, I was told to take the first set of brooms outside. Well, this is where this got strange, the door I had to use was upstairs, so here I was struggling to get out of this door, and when I woke up from the dream, I had kicked my way from underneath my covers sideways, and was standing at the side of my bed. However, before this I had been telling my Doctor that something was wrong because either my bed was moving, or I was moving, because my covers would somehow end up on the floor many mornings. Should I be concerned?

    1. Hi Sheron
      Thanks for your comment. I’m a little confused by your comment, but it sounds like you do something many people do – kick the covers off in the night! But if you wake up standing or out of your bed, that’s perhaps something to explore. What did your doctor say?
      Regards
      Ethan

  21. based on this info I see a need to check it out. June of this year I had a mild stroke at the end of my brain stem also had silent old stroke per mri and mri. for about 6 months or so my family has heard me talking and yelling out loud when I wake up from this because someone is asking me to wake up and whats wrong. I wake up dazed and heart pounding. I have suffered a visual issue double vision it was getting better but 2 weeks ago I woke up like this and my double vision was so bad I went to the hospital that morning at 5 am. the same thing has happened 2 or more since I looked this up because last night I had a terrible dream about snakes I was screaming loud and woke up not feeling good when I laid back down I had more dreams of the same and told my husband in details. is there any connection between all these episodes thanks for this info

    1. Hi Patricia
      Thanks for your comment, and sorry to hear about the difficulty you’ve been having. To be honest, it’s beyond my expertise to advise you on anything connected to your stroke. I’d recommend talking to your doctor about the dreams though and see what they think.
      Regards
      Ethan

  22. I am a 55 year old female and over the last 6-8 months I have hit my husband in my sleep on 3 occasions. Each time I was dreaming that I was being attacked by someone and was in real danger and hit them with all my strength. My husband would wake up shouting what are you doing and I wake remembering the dream and that I’d hit someone in the dream but not realising that I had hit him. Do I need to be worried?

    1. Hi Elaine
      Thanks for your comment. I wouldn’t panic, but I would mention it to your doctor because it’s disturbing both your sleep and clearly worrying you.
      Regards
      Ethan

    2. Hi I was wondering. I mean literally know that there are thousands of people who act out dreams . how come I don’t see thousands of people with Parkinson’s walking in the streets . The only person with Parkinson’s I knew in my life was a far cousin of my Dad who lived close to 100 years with a very lucid mind .

  23. I have had an episode a time or two here recently that I know of. Once I woke up and all my pictures and stuff on my walls was on my floor and the other time my girlfriend said I grabbed her foot and pulled her off the bed and dragged her around the room. She also told me that she has full conversations with me while I sleep. I don’t remember any of it happening and I’m concerned that I’ll hurt my self or her.

    1. Hi Hunter
      Thanks for your comment. I think considering the episodes you’ve described already involved actions that could harm both of you, it’s a good idea to talk to your personal doctor about this.
      Regards
      Ethan

      1. Good morning my name is jurrena. I’ve felt myself a couple of times doing things like eating, and this morning felt like I was putting on my makeup. I am scared what should I do?

        1. Hi Jurrena
          Thanks for your comment. It’s not really clear from your comment what you’ve experienced. Did you actually do these things while asleep? Or are they dreams you remember? Or do you have a memory of being asleep, but acting out your dreams?
          Regards
          Ethan

  24. Hi,
    Thanks so much for the article!
    About three times a month I experience vivid dreams that I seem to act out. Every night and even while napping I will have clear dreams but will not always act them out.
    Certain times it feels as though I am trying to wake myself up while getting away from something/someone. I have fallen to the floor on my knees while doing this but will also wake myself up before falling occasionally.
    Once (while in another time zone) I kicked the wall and slightly hurt my foot.
    On another occasion I woke up on the other side of the room.
    I am a 55 year old male and single so don’t have any witnesses.
    I have had dreams etc. all my life but this acting out just started maybe a year and a half ago. I want to say it almost correlates with me taking Levothoroxine for my Thyroid.
    I just saw a neurologist today and I’m trying to schedule a sleep test. He was unfamiliar with all of the recent articles about this and it’s relation ship to other neurological diseases.
    Any thoughts?

    1. Hi Matthew
      Thanks for your comment. It’s unfortunate that he wasn’t familiar with the disorder. Hopefully the sleep test will prove useful, and if not, I would consider getting a second opinion if you’re not happy.
      Regards
      Ethan

  25. Hi, I am 36 and have now had 2 episodes (the only episodes I can ever recall) of waking and running away from the bed. I remember the dreams from both occurrences, in fact, they both involved a spider. The first time it happened was about 2-3 months ago and a dark figure was dropping a spider on my face. The second time it happened, which was last night, a spider was crawling up my pillow towards my face. Each time I got up and ran away from the bed and caught myself in the doorway.

    I’m not sure what is going on…

  26. My sleep disorders have been more frequent in the last year. I do notice when I try to get away from snakes, bugs, people in my dreams I always feel like I am drugged. I can barely move in my dreams because I am trying to get out of bed for real to get away. I always land on the floor because in my dream it is too hard for me to stand up so therefore I fall in my dream and I fall for real on the bedside floor. Once I was dreaming about kicking this bully and I kicked my husband in the back. It’s like I do not want to go to sleep anymore because I will act out my dreams and it is exhausting. I do use a cpap machine and have done a sleep study, while there I did have a severe episode and the nurses thought I was very entertaining. ??? I am thinking about going in and having a scan on my brain.

    1. Hi Peggy
      Thanks for your comment. Were you diagnoses with REM sleep behavior disorder on the back of that sleep study though, or was the CPAP the treatment that came from it based on a discovery of a breathing disorder?
      Regards
      Ethan

      1. mild sleep apnea. nothing about my sleep disorder. the Dr did suggest I go a neurologist because acting out your dreams could be a precursor to Parkinsons, Alzheimers or dementia.

        1. Hi Peggy
          Thanks for your comment. There is thought to be an association for some people. If your Dr recommended it, I’d say to take that advice.
          Regards
          Ethan

  27. Last night my 16 year old daughter woke up screaming and crying. Our electricity was out due to a power outage caused by a storm. When I entered her room, she was extremely scared of me and screamed frantically. I couldn’t see her and was a little fearful. She continued to scream in fear as I had my husband run across the house with his phone so we could have some light. When we entered her room she was still in bed. Her entire body was twitching excessively and she did not have control over it. My husband laid next to her to try to hold her and calm her down. She was still frantic. I put a cold rag on her neck and it started to help a bit. 10 minutes into it, she acted like she was conscious to what was going on. Her body continued to twitch. Like her arms and legs would jerk in big motions. I took her in the living room and it was another 15 minutes before her body stopped jerking and twitching. She had night terrors as a baby and I would have to wrap her in a blanket to keep her from hurting herself. Is this what is happening again? She does remember her nightmare and said she was having the palpitations to an extreme and that she felt like she couldn’t ever wake up. She could hear us but couldn’t wake up. She was terrified to go back to sleep.

    1. Hi Jessi
      Thanks for your comment. That sounds very scary for all of you. There are various things that can cause twitching of body limbs, some more serious than others. Considering how severe it sounds, I think you should talk to her doctor about this to rule out anything more serious that might require treatment.
      Regards
      Ethan

  28. My husband was taken by ambulance to the hospital after injuring himself severely in one of these episodes 4 days ago. He ended up being transferred to a trauma hospital & a trauma plastic surgeon for repair. He is 80 years old & has had these episodes for about 7 years. We just moved to Florida a month ago. Had just started a sleep study in PA & our house sold. Can you recommend a Sleep Disorder Dr. near Tampa, FL.

    1. Hi Iris
      Thanks for your comment. I’m sorry to hear your husband had such a bad case. I am not based in the US, so I can’t help you with your search for a sleep doctor. You might have to do some research online, and ask anyone you know – or even the old clinic for a recommendation.
      Regards
      Ethan

  29. I am curious about your thoughts. As long as I can remember, I have talked in my sleep and could have full conversations with my husband while I was asleep, and he would have no idea. I have had insomnia issues on and off for about 13 years. Also about 13 years ago I started acting out dreams sometimes. At that point it was occasional, but the last few years it it more frequent. Usually tied to times of stress or eating a snack too late in the evening. My acting out usually involves sitting up in bed really fast, jumping onto the top of the bed and perching, jumping off the bed and trying to catch myself during the fall (last time injured my shoulder) and also jumping out of bed and running straight into the wall. When my husband has asked me to recall what was happening, once I am conscious, I usually tell him there was a giant spider or something I was trying to get away from. Sometimes I do not wake at all with these episodes. It had happened twice this week. I am appreciative of this article because it helps explain what is likely happening to me, but am curious what your thoughts are about my experience.

    1. Hi Heather
      Thanks for your comment. I’m glad the article was helpful. To be honest, there’s not much I can comment on your experience. It sounds like quite a typical type of behavior in line with the potential symptoms of the disorder, and similar to what many other readers have described. But really, the only way to know for sure what’s happening and to get a diagnosis is through a proper assessment from a doctor.
      Regards
      Ethan

  30. Glynis Berkeley

    My hubby has bad night dreams he says it’s like a real nightmare and he has lashed out with his fists kicks and has grabbed me by my neck and it’s most nights

    1. Hi Glynis
      If it’s happening this regularly, with dangerous behavior, I think it’s important to talk to his doctor about it.
      Regards
      Ethan

  31. I occasionally have dreams about being in bed and needing to get up. I struggle, but can’t move, and realize it must be sleep paralysis. I then wake myself up and try again. The problem is, I’m only dreaming that I’m awake and still am struggling. Eventually through sheer force I either lurch up into a wobbly sitting position, or more often I end up on the floor. Once I woke up with my head wedged between my bed and the bed table. It doesn’t sound like very much, but I hate the experience, and the falling out of bed part concerns me. Is this sleep paralysis, or something else?

  32. My husband is very vocal in his dreams. Loud enough to wake me which is just as well as he lashes out at me. Hitting my face. Kicking my legs. Punched me one night when he thought he was fighting ghosts! These are regular occurrences, every 3rd or 4th day at least. He is on a lot of medication. He’s getting concerned that he may seriously hurt me as he always seems to be in ‘fighting mode’.

  33. Hi, I’m a 37 yr old female. I had night terrors as an infant, sleepwalking as a child and teenager, then the acting out began in my early twenties. It started off as me seeing things and taking pictures off the walls and progressed where I’d see people/animals/objects moving around in my bedroom and so I would flip out and react only to discover I was only dreaming. Most of the episodes involve me running across the room or standing over and attacking my husband. He’s gotten very good at defending himself. The episodes got to where it was happening several times a week and sometimes every night for days. I’ve finally gone to the doctor and I didn’t realize what I even had or that so many people have this disorder. I have several people in my family with forms of dementia and I am afraid of what will happen to me in the decades to come. I watched my grandmother forget her children and I could not face forgetting my own. I’m hoping to find a study or some information on the beginning signs of dementia associated with RBD.

  34. Hi
    My husband acts out his dreams. We’ve been together 10 years and I’d say it happens roughly once every 1-2 months with something minor like messing with things on the bedside table and talking nonsense. There have however in our 10 years been maybe 7-10 more significant episodes. The most recent was most significant- he attacked me in his sleep. He has had 2 other similar but much more minor episodes- one in 2012 where he was dreaming of wrestling and wrestled me out of the bed and another about 2 years later where he grabbed me and hurt me. He is hard to wake from these episodes and is often briefly confused on waking up. He has a sleep study booked but naturally we’re both very worried about the being diagnosed with RBD and subsequent neuro degenerative disease. We’re both under 40. This article states episodes have to be frequent to be concerning. I’d say the significant episodes where there is large or potentially harmful movements are appropriately annually. What constitutes as frequent and does severity matter in this? Thanks

    1. Hi Lou
      Thanks for your comment. I can understand your concern, and it’s great he’s going for a sleep study. Hopefully they will be able to identify something happening with his sleep, though there are no guarantees they will of course.
      I think you’re right to identify the issue of perhaps not being so frequent, but being more severe in terms of what he does during those rare episodes. That’s something to describe in full to the sleep specialist, as I’m sure they will take severity into account as much as frequency.
      Regards
      Ethan

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