A NOVEL TREATMENT APPROACH TO SEXSOMNIA: COGNITIVE BEHAVIORAL THERAPY

TOPIC: Sleep Disorders TYPE: Medical Student/Resident Case Reports INTRODUCTION: Sexosmnia is a type of parasomnia, disorder abnormal sleeping behavior. During non-rapid eye movement (NREM) sleep patients with sexsomnia are involved in sexual acts. Patients suffering from have also been implicated legal ramifications their illness due to unwanted and unsolicited approaches towards partners. Numerous treatment modalities reported the literature for sexsomnia, here we present case patient that was treated cognitive behavioral therapy. CASE PRESENTATION: A 28 years old newlywed gentleman who referred his primary care physician pulmonologist management asthma. At visit he complained behavior while sleeping, including sexually fondling wife, inappropriately climbing on wife at night sleeping. On further evaluation diagnosed obstructive central apnea prescribed CPAP, which initially helped symptoms however almost three weeks into consistently using CPAP started masturbating asleep. He trialed clonazepam escitalopram no improvements symptoms. After months struggling psychologist therapy alleviate DISCUSSION: Parasomnia category disorders occur falling asleep, transitioning through stages, or even waking up (1). NREM parasomnias arousal typically during state 3, known as slow-wave (SWS). Literature suggests psychological activation allows brain exist SWS only be caught between prominent culprit (2). Specifically, it includes autonomic nervous system, motor processes transitions Sexsomnia can overlap sleepwalking (3). Sleep-related behaviors carry 7.1% 2.7% lifetime annual prevalence, respectively (4). sex condition itself individually other sleep-related conditions, disruption secondary apnea, epilepsy, side effect medications used treat insomnia. Treatment prescription medication, continuous positive airway pressure (CPAP), lifestyle changes, but not limited reducing stress anxiety Our control symptoms; however, could provide additional detail. CONCLUSIONS: targets underlying such apnea. Here, presented responded traditionally sexsomnia. REFERENCE #1: Dubessy, Anne-Laure et al. "Sexsomnia: Specialized Non-REM Parasomnia?." vol. 40,2 (2017): 10.1093/sleep/zsw043. doi:10.1093/sleep/zsw043 #2: Bassetti, C "SPECT sleepwalking." Lancet (London, England) 356,9228 (2000): 484-5. doi:10.1016/S0140-6736(00)02561-7Ingravallo, Francesca "Sleep-related violence sleep: systematic review medical-legal reports." Journal clinical medicine : JCSM official publication American Academy Medicine 10,8 927-35. 15 Aug. 2014, doi:10.5664/jcsm.3976 #3: Bjorvatn, Bjørn "Prevalence different general population." 11,10 (2010): 1031-4. doi:10.1016/j.sleep.2010.07.011 DISCLOSURES: No relevant relationships by Moiuz Chaudhri, source=Web Response disclosure file Jeffrey Miskoff; Syed Rahmatullah,