Sleepwalking in adults can be associated with a number of causes, including other parasomnias, which are disorders that manifest during sleep.
People in treatment for sleepwalking may be asked to spend a night in a sleep clinic so they can be observed. If none of these measures can reveal an underlying cause, other risk factors for sleepwalking in adults may be considered.
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Often, multiple factors, such as stress, certain medications, and head injuries, interact to create a sleepwalking problem. As people shift into adulthood, sleep patterns change and the probability of sleepwalking declines. Data will be collected about brain function in sleep and used to see what is happening in the patient's mind before and during sleepwalking episodes.

Sometimes the cause can be addressed and the patient will experience normal sleep patterns after treatment. Because sleepwalking is most common in children, who tend to grow out of it, doctors often do not treat it. People who sleepwalk can consult a doctor for evaluation to check for any potentially dangerous causes and treat them.
Some children grow out of sleepwalking in adulthood, but the condition can also occur in adults.
Though usually not causes of sleepwalking in adults, when untreated, they can contribute to stress levels and may result in coping behaviors like drinking, causing the patient to develop disordered sleeping.
Fatigue, stress, alcohol use, sedatives, and some prescription drugs can increase a person’s risk of sleepwalking.
When sleepwalking occurs as a result of prescription sleep medications, most doctors recommend that people stop taking the prescription.

Hyperthyroid conditions have been linked with sleepwalking in adults, as have head injuries and migraine headaches. Once sleepwalking in adults develops, it can be very persistent and some time may be required to eradicate it. Sleepwalking sometimes co-occurs with other conditions, including sleep apnea, bedwetting, and night terrors, though it is unclear if there is a correlation between these conditions and sleepwalking. Because people who sleepwalk often attempt to engage in normal daily activities while sleeping, sleepwalking can pose safety hazards.

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