Substance Use and Sleepwalking

Certain substances can deeply affect your sleep patterns — and in some cases, lead to episodes of sleepwalking. Learn how alcohol, prescription medications, and recreational drugs can disrupt the brain’s sleep-wake cycle and increase the risk of sleepwalking. Awareness is key to understanding and managing these triggers.

Link Between Substance Use and Sleepwalking

Substances that alter brain activity — including alcohol, sedatives, and stimulants — can interfere with deep sleep, where sleepwalking typically occurs. These substances may reduce sleep quality, delay REM sleep, or increase sleep fragmentation, making it more likely for someone to engage in complex behaviors while still partially asleep.

Why Substance Use Can Trigger Sleepwalking Episodes

Substance use affects the central nervous system, which plays a crucial role in regulating the sleep cycle. For some individuals, these substances disturb slow-wave sleep, making the brain more prone to partial arousals. These arousals may lead to sleepwalking, especially in people with a genetic predisposition or underlying sleep disorders. Even occasional use of certain substances can provoke an episode.

Substance-Related Triggers for Sleepwalking

Here are six common substance-related factors that may increase the risk of sleepwalking. If you’re concerned about your sleep behaviors, identifying and reducing these triggers can help.

Alcohol Consumption

Can suppress REM sleep and increase nighttime awakenings, leading to episodes.

Sleeping Pills

May cause abnormal sleep behaviors by altering deep sleep architecture.

Antidepressants

Some affect serotonin levels, potentially disrupting sleep stages.

Caffeine or Energy Drinks

Late-night use can delay sleep onset and cause fragmented sleep.

Recreational Drugs

Stimulants or hallucinogens may disrupt natural sleep cycles.

Withdrawal from Substances

Abrupt cessation can lead to poor sleep quality and increased arousals.

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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 Substance Use and Sleepwalking

Get answers to common questions about how different substances impact sleepwalking, and what you can do to reduce risk.

Yes, alcohol disrupts the sleep cycle and increases the chance of partial arousals that lead to sleepwalking.

Certain medications, including sedatives and antidepressants, can affect sleep architecture and contribute to sleepwalking.

While not a direct cause, caffeine can delay sleep and create fragmented sleep, which may increase the risk.

Yes, especially with stimulants or hallucinogens, which interfere with the brain’s sleep-wake regulation.

Withdrawal can disrupt sleep and lead to unusual sleep behaviors, including sleepwalking in some people.

Never stop medication without consulting a healthcare professional. They can suggest safer alternatives if needed.

Avoid substances close to bedtime, follow good sleep hygiene, and consult a sleep specialist if episodes persist.