Saturday, January 4, 2014

Sleep Txting: Real or an Excuse?



Dan:                       Hello. Welcome to Head Shrink Inc. My name is Dan Bates. I am a therapist. What’s your name?

David:                   My name is David Simonsen. I am a licensed psycho-therapist, and I see families and couples and teenagers. I work with them and help them with their lives.

Dan:                       Great. I’m also a Therapist and I do everything that David said but I’m not arrogant about it, so self-absorbed. I help people, people love what I do with them but it’s not arrogant. I’m not going to make a big deal about it on the podcast or anything. It’s not like I’m going to draw attention to myself about how many people...

David:                   That’s good. That’s what I love about you, you don’t draw attention to yourself. 

Dan:                       It’s not about me, it’s about the thousands of people that I have helped.

David:                   So, you’ve caught another, if you’re listening, so far, still, you’ve caught another episode of Headshrink Inc. So, today, we wanted to talk about the disturbing phenomena of sleepwalking. So, Dan, have you ever sleepwalked?

David:                       I have sleepwalked? That I’m aware of, I have never sleepwalked.

Dan:                   I’m a notorious sleepwalker. One time when I was chilling, several times actually, one time when I was fully asleep and I was getting into the medicine cabinet and opening medications, and my dad had to stop me. He had to put the clamp down. Son, you’re going to kill yourself and then one time, fully clothed, I was getting into the shower, so I started the shower. I was getting ready, fully clothed, asleep and then another time I was trying to get outside the house. I was fiddling with the lock. The best one, the classic one among my family, is when I fully asleep, middle of the night, walked out to the living room and I just started screaming “Superman.”

David:                       Wow, that’s disturbing.

Dan:                   Why do you have to take it from me? Listen to another funny story from comedian Mike Burbiglia

Comedian Mike Birbiglia:

                     About seven years ago, I started walking in my sleep, and I would have these recurring dreams that there was a hovering insect-like jackal in our bedroom. I was living with my girlfriend at the time, and I would jump on the bed, and I would strike a karate pose. I’d never taken karate, but I had the books from Book Fair, and I would say, “Abby”, that was my girlfriend. “There’s a jackal in the room,” and she got so used to it she could talk me down while remaining asleep.

She’d say, “There’s no jackal in the room, go to bed,” and I would say, “Are you sure?” She’d say “Yes, Michael, go to bed. There’s no jackal.” I would say “Okay.” I would go to bed knowing that there was a jackal and that’s trust. It was around that time that I had a dream that I was in the Olympics for some arbitrary event like dust bustering, and they told me I got third place. I stood up on the third place podium and I’m feeling good about myself, I’m new to the sport. They say, “You know, we actually reconsidered it and you got first place.” I said, that’s a marvelous promotion.” I moved over to the first place podium, and it starts wobbling and it’s wobbling and wobbling, and I wake up and was falling off the top of our bookcase in our living room. I land on the floor hard on top of our TiVo, and it broke into pieces. I’m disoriented on the floor.
 It’s like one of those stories where people black out drinking and they wake up in Idaho and they don’t know where they are and they’re like “Oh no!” Hardy’s or whatever’s there but it was in my own living room. I was like “Oh no, TiVo pieces.” I went to bed and Abby woke me up in the morning and she said, “Michael, what happened to the TiVo?” I said, “I got first place and it’s a long story.”

David: Dr. Klein is an internationally recognized expert and an author of articles that target psychological issues, more specifically sleep disorders and impulse control problems. We wanted to talk with Dr. Klein about the phenomena of sleepwalking. Now, we were a little bit confused, Dr. Klein, because when you talk about it in the past tense, is it slept walked? We were talking about Dan here, my co-host, and he had said that he slept walked?

Dr. Klein:             I think the truth is that I had more read on my English papers than I did in my own writing. So, sleepwalking is generally how it is, but that’s not the Queen’s English, slept walked is.

David:                   Slept walked. Okay. So there is the official answer. Well, for the sake of this podcast we’ll go with sleepwalk.

Dr. Klein:             It rolls off your tongue very nicely.

David:                   Okay. Well, thanks for coming on. So, what is this sleepwalking phenomenon? Where does this come from? What’s going on with people when they’re sleepwalking?

Dr. Klein:             It’s really kind of a brain issue. It can be induced by other means such as drugs and alcohol but generally, this is a biochemical reaction in the brain, where the brain is not going into a very deep sleep cycle. So one thing you have to realize is when we go to sleep, there is a part of our brain that paralyzes our bodies a little bit so we don’t get up, and that’s the part that’s not functioning very well.
So, when we’re sleepwalking, we’re actually in a dream state and your body kind of does it. In fact, I remember when I was a kid, to this day, I remember sleepwalking, trying to open the front door of my house in the middle of the night and my mother saying how weird I was, what was I doing?

Dan:                       So, as I’ve heard people tell stories about sleepwalking because I’m a therapist, I think “Oh, it’s the deeper meaning of that,” but I think what you’re saying is there is not necessarily always a deeper meaning. It’s just a brain chemical thing.

Dr. Klein:             Yes. There are associations a little bit more with stress sometimes just like everything else just about, but it’s not exactly coming from stressful trauma events necessarily, to answer your question.

David:                   Oh bummer. That’s disappointing.

Dan:                       So, is it that the people can’t go into the REM cycle or people, when they are in the REM cycle, they don’t have that neurochemical that’s stopping them from moving.

Dr. Klein:             That’s right, that’s exactly right. It’s the safeguard that, animals have this too or you’d see your dog running around the house. Of course, he does REM around the house any. I look at it very simply is, it’s a safety mechanism and kids do this. Now, here’s something very interesting in children. Being in the middle of Missouri, people go to the Rockies and they’ll go up in the Rockies, and then their kids will come back and their kids sleepwalk. They’ll say, “I’ve never done this before. Oh, it’s random,” but I’ve heard it 20 times in the past several years.
So some researchers say it’s a little less oxygen in your brain that tends to trigger it, like in a higher altitude, then some people say sleep apnea’s connected with sleep apnea and we’re trying to figure that out, maybe, maybe not. Generally, we have this issue of the safety mechanism, and the opposite side of this is called narcolepsy, where you’re talking again to your dog and your dog just falls asleep right in front of you and that also occurs too.

Dan:                       That’s interesting because I was thinking when you’re saying the less oxygen, maybe there’s like a survival mechanism in your body. You somehow, unbeknownst to you, when you’re asleep in an environment where there’s not enough oxygen so your brain triggers “Get up and go to a place where there’s more oxygen.”

David:                   It wouldn’t make sense in the reverse with the narcolepsy because there is really no advantage to that.

Dr. Klein:             No, there isn’t. It’s funny for narcolepsy, you generally prescribe stimulants or things that are like stimulants that are also used for ADHD. It energizes the brain and it stops that but in sleepwalking, sometimes you’re prescribed [Inaudible 0:11:24] it’s like a sedative because you can hurt yourself but you generally don’t. Here’s a really interesting one; this has been argued in court. Have you guys ever heard that?

David:                   The court case that I’ve heard of that had to do with sleepwalking was like a sleep sex thing. Is that what you’re referring to?

Dr. Klein:             Actually what I remember is, it was murder.

Dan:                       Yes. When a husband strangled his wife, I don’t know if he killed her, but he attempted it.

Dr. Klein:             It was attempted murder or something, that’s right. So, there is this argument about when you’re sleepwalking, what can you really do and not do. What I’ve learned it’s generally not a very complex thing. It’s like opening a door, it’s walking around the house. I remember one case study years ago, a guy went into the kitchen and he would make eggs, but he would put dog food in his eggs but the wife would come in and try to stop him, and he got rageful. Again, we have night terrors, that’s more or less a child thing, but it happens in adults too.

A night terror is not in REM sleep like you were referring to before, which is the early morning dreaming. It’s a different dream state that’s usually about a couple of hours after you go to bed and guess where sleepwalking is? It’s in that zone. It’s not necessarily in the early morning although it can be. So you’re in this kind of funny state again where your body should be put to sleep and you’re not walking but that mechanism is not working.

Dan:                       I’ve always heard the myth, at least I’ve seen it on TV when someone’s sleepwalking, you shouldn’t wake them because they’ll become  or turn into an animal or psychological damage or they’ll freak out. They’ll go into a rage or something. Is that true or is that a myth?

Dr. Klein:             Well, No. I think you can be hit, pushed, because, again, you’re in this funny dream state, and you’re not processing the external environment. Now, I haven’t heard of anybody getting severely hurt, but back to the dog food and egg scenario, that lady said that her husband would hit her. So, again with little kids, you generally, first of all, they can be screaming, they could be walking around the house or whatever.
You just generally take them back to their room and then they go back to sleep. You don’t engage them, you don’t talk to them. You might hold their hand, so to speak or you might gently kind of bring them back to your room or whatever, and that’s true with adults too.

David:                   I have to confess something. I’m a bad parent because my oldest daughter…

Dan:                       We all knew that.

David:                   Oh, did you? Okay. So, my oldest daughter sleepwalks occasionally, and I don’t lead her back to her bedroom by her hand. I engage her in conversation.

Dan:                       You should record them.

David:                   I should. My wife and I definitely start engaging her in conversations when we realize because it’s more entertaining. I don’t feel bad for her, it just entertains me.

Dr. Klein:             You may have a little scientific study going on but does your daughter remember that event in the morning?

David:                   No, not usually.

Dr. Klein:             That’s the clue and that’s true with sleepwalking too except why did I remember going to the front door? I don’t know, to be honest with you, but it’s a little bit unusual because I was like, I don’t know, seven years old, I do remember that but most people do not remember the sleepwalking or night terrors, but they remember dreams from the REM state, which is again earlier in the morning.

Dan:                       What, in your experience has been the scariest sleepwalking story you have heard?

Dr. Kline:             People going to edges of balconies.

Dan:                       Actually going over?

Dr. Kline:             Not going over but coming close to where you would think about could they have gone over. I’ve had a couple people say “What’s wrong with all these plants, and why are they messed up?” Again, they blame their dog, but they don’t have a dog this time, it’s their husband who went out on the porch and kind of roamed around and kicked over some stuff because again, you’re in a funny situation. Your eyes are open, it’s kind of an in-between state is what it is.

Dan:                       I wonder if the mind would protect a person still, if you did go up to a balcony and you saw that it was three stories down, because your eyes are open, there is some part of your brain that processes that, that you’re not going to hurt yourself or kill yourself.

Dr. Kline:             Well, right and I think, because there is not a lot of strong evidence that there have been people that it has been proven where they’ve jumped off a balcony, kind of the same argument you have in hypnosis is what you’re saying too. You don’t do things that are way, but however, here’s the mystery. There has been speculation where people have fallen down stairs or tripped because they didn’t see something and landed on a hard kitchen floor and died and they’ve had a sleepwalking history, but you can’t prove it because sleepwalking is off and on.

You wonder it so probably there is an argument for accidents to occur in that state but again, most sleepwalking is walking out to the living room and back to your bedroom again. It’s usually not real complicated. You’re not up for hours generally, and this cooking eggs phenomenon was very, very unusual. It’s usually this little stuff or talking out loud. The other one is where you just might be talking in bed or sitting up in bed and talking.

David:                   Dan does that. His wife has told me some funny stories about him screaming in bed.

Dan:                       I have done that but when I was a kid, I would sleepwalk and I would remember waking up, one time I went into the living room and I just started screaming “superman.” My sister kind of guided me back to my bed, and I was very compliant.

David:                   Fly back to bed.

Dan:                       I do remember kind of flashes of memory of waking up as “Why am I standing up out of my bed in the living room, and my sister’s telling me it’s okay.” Of course, it’s okay, why is she telling me it’s okay?

Dr. Kline:             Right. It’s interesting again because you’re in that semi-consciousness where you wouldn’t think you would remember anything, but you are and that’s the difference. Sometimes you do, sometimes you don’t. It probably depends on maybe where you are in your sleep cycle also or if you are coming out of a certain stage and for your audience, you know there are about five sleep cycles that you go through.
One of them is extremely deep where your body goes into this very, I’m not going to use the word appropriately, but comatose state and that’s where kids, by the way, do bedwetting is in that state generally, in that deep, deep cycle. So these things kind of go around, they kind of connect a little bit.

David:                   It makes sense to me with our obsession with technology with texting and things like that but you discuss that there’s a newer phenomenon of sleep texting.

Dr. Kline:             Absolutely. I’m going to say it’s a little strange. I mean, picture your wife or your partner and you look at her cell phone and you see this message to some past boyfriend, “Honey, I miss you.” What do you do with that? You’re a primary therapist, you would go, “We have a problem here,” but some people are arguing that they don’t know what they’re doing, and I think that if you could think of it, take your phone, actually communicate like that, do a complex set of gestures or whatever or texting with your fingers and get that done, that’s what doesn’t make sense because sleep texting should be like sleepwalking.

 It’s a little too complicated, but people are reporting this and honestly, I don’t know if it’s trying to get around something or if it’s actually sleep texting. There are a few case studies where we’re beginning to see that again, it looks like it could be but there are other types of sleep texting. One of them is, medications do that, Ambien, sleep aids, stuff like this. They’ll put you in that in-between state so you get up and you do a message, but you don’t remember it or I’ve had people order stuff through the Internet, and they don’t remember it and they get this box in the mail and they’re going “What?”

David:                   That’s true. I can vouch for the Ambien thing. My wife has taken that before, and she had a friend the next day said “What do you mean with these texts that she’d sent that she didn’t remember sending. So, I’ve seen that piece of sleep texting firsthand but I think it’s a misnomer, though, because are you really sleeping or is it that you were awake but you just don’t remember?

Dr. Kline:             Right. I think a lot of that in my opinion, is because your short-term working memory could be a little fuzzy. It’s like, what did you eat for breakfast two days ago? In that analogy, you do have those memory issues so I agree. I think you wake up, and you might order something. But then you kind of forget because your brain isn’t totally aware and I think that cut in awareness can occur. And also it occurs with Ambien, alcohol, some prescription medicines you did that.

I’m struggling with complex messages, but the people who said “I texted my past girlfriend or boyfriend or whatever it was,” they’re really saying “I’m not having an affair, I’m not really interested in him anymore.” So why would I do this? You see what I mean, that’s a question that they say.

Dan:                       Well, the thing that pops up in my mind is, say, the guy who goes out and makes the eggs with the dog food, he’s acting out something that’s not real. The texting, though, those messages are meaningful, they’re not like the dog is flying into my soup, stop the dog. It’s not related to the weird dream state, it’s a meaningful message.

Dr. Kline:             Right. And that’s the difference because if you would text your past boyfriend a jumbled message, oh, that would make sense like “Get the cat food” or something, that would make sense, but these are meaningful messages, and that’s where I stop my thought and say that seems to be something more than meets the eye on that.

David:                   So potentially that would be, whereas, the sleepwalking stuff would not necessarily subconscious, it’s just a jumble of random dream state stuff but the messages would be more subconscious thoughts coming out.

Dan:                       I’ve heard different theories on why do we dream. I’ve heard some people say it’s just like the residue of your day, the things you didn’t process. I’ve also heard it’s your subconscious so whatever is in your subconscious, that’s the material for your dreams. If you took that view, you could say that this person acted out this subconscious feeling through their sleepwalking or sleep texting.

David:                   So, dreams I’ve heard are something that’s happened, something you want to have happen or something that will happen.

Dan:                       If you hold to the subconscious.

David:                   Now that was from an eighth grade science fair, I’ll always remember that.

Dr. Kline:             That’s still science. One of the thing I do, I do a lot of brain imagery studies for a bunch of things, but some of my colleagues are saying memory stuff or dreams have to do with memory. They’re solidifying memory. So, that’s kind of what you were saying a little bit in that conversation too was it could be with that. The sleep texting is, I think, it’s a way out for some people. I mean, to be honest with you, they’ve kind of done something they shouldn’t have, but I’m still open to the possibility because I don’t really have the hard facts to say no, it’s absolutely crazy talk, that this isn’t happening.

David:                   Yeah, I have a feeling my wife’s not going to buy that if I said “oh, I was sleep texting, honey.”

Dr. Kline:             I agree, but there have been a few case studies that I have seen where I went “Wow, this is just bizarre.” Here is one of the arguments, let’s say you use a phrase over and over, that phrase came out in one person. Let’s say you texted something to your wife all the time, whatever it is, endearment statements, something like that. Well, that came out in the text message. It wasn’t a six-paragraph text message, it was this statement that this person used all the time with a lot of people. It just could be misleading depends on who the person who’s behind the text message is.

Dan:                       I think this raises a really interesting question of responsibility or moral culpability because like with the guy who was strangling his wife. Do you hold him responsible for that? If it’s true, and these people are actually sleep texting, do you hold them responsible for what they did or not? It’s kind of like the insanity defense when someone is hauled into court for doing something criminal. Does the person have the excuse with the sleepwalking? It sounds like the jury’s still out on that.

Dr. Kline:             The jury’s still out, it’s an argument. It’s the same with the murder trial, and what they said in that situation was we don’t believe it. We don’t believe in this sleep texting phenomenon that you can commit murder because you’re sleepwalking or whatever. So, I think it’s this funny thing too in mental health versus criminal insanity, let’s take a child with mental retardation and they push their brother down the stairs and kill him, God forbid. So it’s that funny kind of thing, how much control and how much not control. The legal system is they say we don’t care who did it or why we did it, it happened.

David:                   That’s an interesting topic, sleepwalking and sleep texting.

Dan:                       And sleep murdering, in your sleep, allegedly.

David:                   We appreciate you coming out and kind of giving us some insight into that, Dr. Kline.

Dr. Kline:             It was very enjoyable.

David:                   How can people get in touch with you?

Dan:                       How can people find out more?

Dr. Kline:             The easiest thing is just to go to my Internet site, very simple, Dr. Kline online, drklineonline.com, and then there are areas to contact me if they have any questions or any ideas and things like that.

David:                   And they can just simply email you with questions and you respond back.

Dr. Kline:             On that Site, there is a place for emails. It sometimes takes me a few days to get back to questions.

David:                   Okay.
Dan:                       Awesome.

Dr. Kline:             Very good guys. I really appreciate it.

Dan:                       Thanks for letting us interview you.

Dr. Kline:             Yeah, and turn off your phones when you go to bed.


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