Parasomnias
I am so enjoying having this community t be a part of!
I have a new client who desires to get relief from a type of parasomnia that is far beyond restless leg syndrome, though that along with twitching is how it begins while going into the early sleep states or hypnagogic state.
It progresses to punching and kicking and there is a partner there with the patient when this occurs.
I am beginning with going beneath the condition or point of origin at a cellular level and then perhaps clearing if presented with trauma or blocks as client has requested.
Are there any particular ways of working or playing trance wise with this that you might have in your experience?
I have worked quite a bit with insomnia and nightmares in my practice office but not these types, like sleepwalkers or paralysis.
Thanks so very much!
Carol
8 comments
Thanks Carol.
I'd be interested to explore what's missing for this person so they'd be OK and then go looking hypnotically for that experience in their like, their past or their future. Hope this helps.
Let's know what happens.
Rob
Dear Rob,
This is clearly a case of parasomnia which has no psychological basis whatsoever. A differential diagnosis has to be made between hypnagogic myoclonus (which is the most probable) and frontal seizures which are often mistaken as hypnagogic myoclonus. The frontal seizures are often pharmacological resistant but should be treated. My prescription would be to get an overnight video-EEG recording done in a Sleep department and upon the results to ask for a sleep disorder neurologist's opinion or the other way around. The options for pharmacological treatment will have to be made afterwards. Several medications may be successively tried depending upon the final diagnosis and, the clinical responses to first rank drugs. If not completely cured, these patho-physiological conditions should be greatly improved. In my opinion, the psychological approach has to be postponed after the medical investigations and treatment trials has been thoroughly conducted. The most important is without any contest to make the differential diagnosis. The hypnagogic myoclonus is certainly disturbing for the patient and annoying the person lying close to him, but is not a real disease. This is not so in case of frontal seizures. In that later situation, MRI and complementary investigations will be needed. Step after step.
Thank you for asking for opinion.
Sincerely yours
Marcel Chatel
Hi Chatel, The sleep lab studies have already been conducted however I previously to posting the original comment had advised a video recording to see all the behaviors with the person alone.
Thank you Rob, a lovey idea, though they seemed to have explored all else and do like their life, except for the night problems creating the obvious issues with partner. I am just beginning though and there are always lots of options. I appreciate the feedback here and will keep you posted.
Hi Rob and others, My client is doing much better with the night disturbances! His partner is much less affected and the client's body is calmed in the irradic movements.
He gathered up the confidence to quit a job where he felt he was not being heard(much of this underneath the parasomnias, as we explored and he feels strongly about) and felt he wanted a more collaborative environment.
He did get hired in a more suitable company as he was able to work through his fear that he would be judged and not fully accepted
We are currently working on his inner expansion to sooth the feeling of isolation general plus in the new job, as it is all online due to the pandemic.
With some trance-play we did, he connected deeply to what he experiences as a type of inner compositions of music though he is not a musician on the outside. This was highly expansive for him and he found himself feeling one with the Universe, with an inner sense of heartful connection.
Thanks for your support and curiosity!
What an informative post! Thank you, it cranked open a corner of light for me as a therapist.
Thank you for sharing this is wonderful
Thank to you both for reading it and your kind comments!
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