Understanding RBD

REM Sleep Behavior Disorder (RBD)

REM Sleep Behavior Disorder (RBD) causes people to physically act out vivid dreams, sometimes violently. Learn what it is, how it differs from sleepwalking, and what signs to watch for — all in one place.

What Is REM Sleep Behavior Disorder?

Unlike sleepwalking, RBD occurs during REM (dream) sleep and often involves shouting, punching, or jumping from bed. It can affect anyone but is more common in older adults and may be linked to neurological conditions. Understanding the signs and triggers is key to safety and diagnosis.

How Is RBD Different from Sleepwalking?

Sleepwalking usually happens in deep non-REM sleep and the person remains unaware. In contrast, people with RBD often vividly recall their dreams, which they act out during REM sleep. The causes, risks, and treatments also differ, making proper awareness essential.

Possible Causes

What Might Trigger REM Sleep Behavior Disorder (RBD)

Several lifestyle factors and medical conditions can contribute to REM Sleep Behavior Disorder. While RBD can appear on its own, it is often linked to underlying neurological changes or medication side effects.

Certain Medications

Antidepressants and beta-blockers may disrupt REM sleep cycles.

Neurodegenerative Diseases

RBD is often an early sign of Parkinson’s or Lewy body dementia.

Sleep Deprivation

Lack of sleep can destabilize normal REM sleep behavior.

Alcohol Withdrawal

Sudden withdrawal may increase abnormal dream-enactment behaviors.

Stress & Anxiety

Heightened emotional states can impact REM sleep quality and stability.

Brainstem Damage

Injury or degeneration in the brainstem can interfere with REM muscle paralysis.

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of Experience

DID YOU KNOW

Sleepwalking in numbers

Sleepwalking affects both children and adults, often running in families. Linked to mental health and long-term persistence, it’s more common than many realize and deserves better awareness and support.

Eyes Open, Mind Asleep

Sleepwalkers often navigate familiar spaces without being aware.

Deep Sleep Trigger

Most episodes begin during the deepest stage of sleep.

Episodes Vary in Length

Sleepwalking can last a few seconds—or up to 30 minutes.

Waking Is Safe

It’s okay to wake a sleepwalker—they may just be a bit disoriented.

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Sleepwalking more common in kids

Children vs Adults 

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Kids sleepwalk when both parents do

Family Connection

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Higher odds in people with depression

Experienced Doctor

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Adults report 5+ years of episodes

Chronic Cases 

EXPERTS’ POINT OF VIEW

What Experts Say About Sleepwalking

Experts from various fields share their insights on sleepwalking, its causes, risks, and effective treatments, helping to raise awareness and improve understanding of this complex condition.

"Generally sleepwalking is pretty harmless, but it can occasionally result in injury to the sleepwalker or possibly those close to them, and for some people, it can be a big problem.”

Clinical Psychologist & Sleep Researcher

"20% of children and 2-3% of adults have some form of abnormal night-time behaviour although many people do not go to their GP about this. Often simple advice and time is all that is needed."

Consultant Neurologist & Sleep Specialist

“Sleepwalking and sleep talking are often regarded as punch lines pulled straight from a sitcom... But these behaviors are no joke.”

Sleep Medicine Specialist, Mass Eye and Ear

“Sleep doesn’t come naturally to everyone and that’s okay. What matters most is seeing the signs and doing something about it ASAP.”

Clinical Psychologist & Sleep Specialist

FAQS

Frequently Asked Questions About RBD

Here are some of the most common questions about REM Sleep Behavior Disorder and how it compares to other sleep conditions.

No. RBD occurs during REM sleep with dream enactment, while sleepwalking happens in deep non-REM sleep.

Yes. People with RBD may injure themselves or their bed partners while acting out dreams.

It’s more common in men over 50 but can occur in younger people too.

It can be. RBD is sometimes an early indicator of Parkinson’s or other neurodegenerative diseases.

A sleep study (polysomnography) is typically used to confirm RBD and rule out other disorders.

Yes. Medications like clonazepam or melatonin, along with sleep safety measures, are often effective.

If episodes are frequent, intense, or cause injury, medical evaluation is strongly recommended.