Parasomnias (Sleepwalking, Nightmares) Counseling and Therapy Treatment Center

A MISSION FOR MICHAEL

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Living with a mental health condition can create hardships in various areas of your life. This can include your professional and social life, and in some cases, your overall health. A Mission For Michael (AMFM) provides residential mental health treatment in California, Washington, and Virginia. Our treatment programs offer comprehensive care including evidence-based approaches, wellness programs, and holistic therapies.

We offer treatment for a range of mental health challenges, including dual diagnosis conditions. Abnormal sleep behaviors can significantly impact your health. You may find yourself struggling with your attention, and focus, and experiencing fatigue. For this article, we would like to review parasomnias and commonly used treatment approaches for this condition. With this knowledge, you will better understand which treatment approaches and interventions you should look for in a mental health clinic.

Understanding What Are Parasomnias?

Parasomnias are sleep disorders that typically include abnormal behaviors, emotions, and perceptions during sleep. These sleep disturbances often occur during transitions between sleep stages, or between sleep and wakefulness. This may include actions like sleepwalking, talking, or more complex activities.

Abnormal sleep behavior can disrupt sleep quality, leading to daytime confusion or fatigue. The exact causes of sleep disorders are unknown but are believed to be linked to stress, genetics, or neurological conditions. If you have been struggling with abnormal sleep behaviors, we encourage you to contact AMFM today for a free and confidential mental health assessment. This allows us to understand your current symptoms, and provide you with an appropriate treatment recommendation.

Parasomnia therapy and treatments may be available in psychiatric facilities and mental health clinics. These programs typically begin with a comprehensive medical evaluation, which can help lead to a proper diagnosis and the development of your treatment plan. Treatment can include therapy and counseling services, parasomnias medications, and other services to address the underlying causes of your sleep disorder.

Your treatment plan may include the use of Cognitive Behavioral Therapy (CBT) to help you learn to manage your triggers. Healthy lifestyle changes can include implementing a regular sleep schedule, incorporating stress management skills, and using medications in some cases. Medications may also be recommended for those whose sleep disturbances are caused by mental health conditions, like anxiety, depression, and PTSD.

Parasomnias do not have a “cure” in the traditional sense of the word. There are often individual differences in managing parasomnia symptoms. For many, symptoms can be managed with healthy sleep hygiene and lifestyle adjustments. Some find that their parasomnia symptoms resolve over time, or greatly improve.

For those who are living with severe sleep disorders, you may be referred to a treatment center offering therapy, parasomnias medications, and medical devices if your condition is caused by an underlying health condition. This can include a CPAP machine. Early diagnosis and intervention can have a significant impact on managing your symptoms. Contact AMFM Mental Health Treatment Centers today if you’re experiencing persistent abnormal sleep behavior.

Research does suggest that there is a genetic component for some parasomnias, including sleepwalking and night terrors. A family history of these conditions can increase the likelihood of you developing a similar sleep disorder. It is important to note that there are additional factors to consider and that it is not caused solely by genetics.

Stress, sleep hygiene, and medical conditions can have a significant role in developing abnormal sleep behaviors. If you do have a family history of parasomnias, you can take an active approach to prevention by speaking with a healthcare provider about healthy lifestyle changes you can implement.

Are There Free & Confidential Parasomnia Assessments Near Me

For many, sleep disorders can be exacerbated by underlying mental health conditions. In these cases, A Mission For Michael can provide you with a confidential and complimentary assessment. Our assessments focus on identifying your current symptoms, their severity, and how they are impacting your abnormal sleep behaviors. This information is used to provide you with a personalized treatment recommendation.

Medical assessments for parasomnias can range in price, depending on the type of assessment you receive. Your insurance may provide you with coverage for medical assessments focusing on your sleep disorder.

Common Types of Parasomnias

Parasomnias are classified into non-REM, REM, and other types based on the variations in the sleep phase where symptoms occur. These conditions can include a range of behaviors, from simple movements to more complex actions. You can experience unique symptoms compared to others with similar conditions. Continue reading for our list of examples, keeping in mind that it’s not exhaustive:

Non-REM Parasomnias are disorders that occur during non-REM sleep. Typically, these sleep disturbances occur in the early stages of your sleep cycle. Common examples of non-REM parasomnias include sleepwalking (somnambulism), sleep terrors (night terrors), sleep talking, sleep-related eating disorders, bruxism (teeth grinding), nocturnal enuresis (bedwetting), and confusional arousal.

Non-REM parasomnias tend to cause severe social and personal challenges. They can be caused by many factors, including genetics, and some phenotypes. The behaviors that occur are done unconsciously, which means that you are unable to remember what occurred. Treatment for these conditions can vary and often includes taking safety precautions to prevent physical injury or harm during an episode.

REM parasomnias can occur during REM sleep when the body is paralyzed, and the brain is active. This can cause vivid dream enactment, including punching or shouting. REM Sleep Behavior Disorder (RBD) is a REM parasomnia that involves muscle activity and acting out dreams. This is commonly linked to neurological conditions like Parkinson’s and with the use of certain medications.

Nightmares, another REM parasomnia, can cause distressing dreams that you remember after waking up.  Those who experience chronic REM parasomnia symptoms may have underlying anxiety or trauma contributing to their symptoms.

Additional parasomnias include less common conditions like sleep paralysis and exploding head syndrome. These parasomnias can occur during various stages of sleep. Sleep paralysis is a condition that causes a temporary inability to move or speak upon waking or falling asleep. Your mind is awake, yet you’re unable to open your eyes or move your limbs. Some experience hallucinations.

Exploding head syndrome involves hearing loud noises, such as a bang or explosion, during sleep transitions.  This can be an alarming experience, and lead to sleep-related anxiety and sleep disruptions.

What Are the Causes and Triggers of Parasomnias?

Several factors can contribute to the development of parasomnias. This can include incomplete transition from being awake to sleeping, lack of sleep, irregular sleep, medications that cause sleep, and certain medical issues. This includes restless leg syndrome, obstructive sleep apnea, pain, narcolepsy, sleep deprivation, and circadian rhythm disorders.

Other factors that can contribute to the occurrence of parasomnia include genetics, fever, stress, substance abuse, head injury, pregnancy, menstruation, certain inflammatory diseases, and mental health conditions. This includes anxiety, depression, and Post Traumatic Stress Disorder (PTSD).

Parasomnia Counseling, Therapy, and Treatment Programs Near Me

A Mission For Michael (AMFM) residential mental health treatment facilities can provide comprehensive care focusing on underlying mental health conditions that contribute to parasomnias. Our multidisciplinary team will personalize your treatment plan to ensure that you receive the support and care needed to improve your sleep behaviors. Dial (866)478-4383 today to learn more about available treatment options.

Evidence-Based Therapies Available for Parasomnias Therapy Near Me

Mental health clinics that offer psychotherapy services for parasomnias may utilize various therapeutic approaches. The approaches that are used have been proven effective when treating sleep disorders. They tend to target the psychological and behavioral aspects of the condition. Continue reading for examples of evidence-based approaches that may be included in your treatment plan.

Acceptance and Commitment Therapy (ACT)

Acceptance and Commitment Therapy (ACT) is an approach that can be used in both inpatient and outpatient therapy sessions. This approach will help you learn to accept parasomnia-related challenges you experience and commit to behavioral changes that promote healthy sleep. Mindfulness and values-based actions will be a focus on the healthy behavioral changes you make.

Mindfulness-Based Cognitive Therapy (MBCT)

Mindfulness-Based Cognitive Therapy (MBCT) is an approach that combines the use of mindfulness practices and cognitive therapy. MBCT is an example of a therapy for anxiety that can be used to treat underlying conditions that contribute to sleep disorders. This approach can help you feel relaxed, and identify healthy sleep habits you can implement.

Interpersonal Therapy (IPT)

Interpersonal Therapy (IPT) can be used to address relational stressors or challenges that are contributing to underlying challenges. IPT is an approach that focuses on improving your relationships. This can include learning healthy communication methods, and how to reduce conflicts within your relationships.

Dialectical Behavior Therapy (DBT)

Dialectical Behavioral Therapy (DBT) was originally developed to treat borderline personality disorder. This approach can also be used to help you learn new emotion regulation and distress tolerance skills. This can increase your ability to effectively manage stress. DBT also incorporates mindfulness skills, which can be impactful for various mental health conditions.

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) can be used to help you gain awareness of negative thoughts and behaviors that affect your sleep. You’ll learn how to challenge unhealthy thoughts, like sleep-related anxiety. This approach can help you develop healthier sleep patterns and behaviors which can help reduce the intensity and frequency of parasomnia episodes.

Music Therapy

Music therapy is a holistic treatment approach that may be used to enhance other treatments, such as trauma therapy. Music therapy can help you learn to relax your mind and body, which can promote a healthy sleep routine. With improved sleep hygiene, many find that their sleep quality improves.

Yoga Therapy

Yoga therapy is another holistic approach that can be used to enhance the effects of evidence-based approaches. Yoga therapy combines the use of particular movements and postures with meditation and breathing exercises. Yoga can be a relaxing experience, and help reduce underlying stress contributing to your abnormal sleep behaviors.

Art Therapy

Art therapy can help you find creative ways to express and process mental health challenges that are contributing to sleep disorders. This can be used in addition to mood disorder treatments or trauma therapy. Art therapy can help improve your overall emotional well-being, which can promote better sleep.

Behavioral Activation (BA)

Behavioral Activation (BA) focuses on incorporating positive activities into your routine. Positive activities can help improve your mood and decrease stress levels. These two changes can help improve your sleep patterns, decreasing the intensity and frequency of abnormal sleep behaviors.

Methods and Programs for Parasomnia Therapy and Treatment

There are a couple of treatment approaches that can be used to treat parasomnias. Treatment typically begins with an evaluation. This helps determine which behavioral therapies, and medications can be used to reduce symptoms and improve sleep quality. Continue reading for a brief overview of some common programs and methods used.

Inpatient mental health treatment can be beneficial for severe cases of parasomnias. These programs provide constant monitoring and intensive care. Treatment often focuses on identifying triggers, developing healthy sleep patterns, and focusing on safety during episodes. Your care can include working with a sleep specialist to ensure that underlying causes are recognized and addressed properly.

Partial hospitalization programs offer structured care and allow you to return home at night. These programs are ideal for those who require intensive therapy without needing around-the-clock support. Treatment commonly includes psychotherapy services, skill building, individual therapy, and group therapy. 

Parasomnias medication use varies, due to individualized symptoms. Common medication options include melatonin, sedatives, and antidepressants. Medications can be used to help regulate sleep cycles and treat co-occurring disorders like PTSD, anxiety, depression, and some medical conditions. Medications are often used in addition to psychotherapy services for those experiencing underlying mental health concerns.

Outpatient therapy can include weekly or biweekly individual or group therapy, or Intensive Outpatient Programs (IOPs). IOPs provide you with several hours of therapy, multiple days each week. Outpatient mental health rehabilitation programs generally allow you to balance treatment with work, academic, and other responsibilities.

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    Find out about our free assessments and admissions process

    We accept most major insurance providers and can check your coverage levels for you.

    If we are not an appropriate provider for care, we will assist in finding a care provider that can help. 

    Does Health Insurance Cover Parasomnia Counseling and Therapy?

    Yes, insurance coverage can provide you with coverage for parasomnia treatment. Your plan may include coverage for crisis stabilization services, inpatient mental health treatment, and outpatient therapy. Treatment typically involves the use of evidence-based approaches like cognitive behavioral therapy, dialectical behavior therapy, trauma therapy, and medication management services.

    It is important to note that insurance carriers can vary in the coverage they offer. Additionally, there are typically differences in coverage options and out-of-pocket expenses within plans offered by the same insurance company. To understand the details of your insurance coverage, we encourage you to complete the AMFM insurance verification form. This provides us with the necessary information to contact your insurance provider and inquire about the details of your coverage.

    Which Health Insurance Providers May Cover Parasomnias Therapy and Counseling?

    Some health insurance companies will provide coverage for parasomnia counseling and therapy. Blue Cross Blue Shield, Aetna, United Healthcare, Cigna, and Magellan are just a few examples. The coverage that you receive is dependent on the details of your policy. You may have limitations or exclusions about working with out-of-network providers, required authorizations, and out-of-pocket expenses.

    Verifying your insurance can help you understand the details of your policy. AMFM admission counselors are here to support you during each step of the admission process and can help you determine your coverage options.

    Does Health Insurance Cover Medications Prescribed for Parasomnia Treatment?

    Insurance companies typically provide coverage for parasomnias medications. This can include medications like melatonin and sedatives, as well as medications used to treat underlying mental health conditions. This can include antidepressants. Your insurance policy may require that you obtain prior authorizations for some medications or have limitations on name-brand medications.

    Coverage does depend on the drug formulary of your insurance plan. Contact AMFM Mental Health Treatment Centers to understand your prescription medication coverage.

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    How Much Does Parasomnia Therapy Cost With Health Insurance Assistance?

    When you’re using health insurance, the costs for parasomnia treatment can vary widely. Insurance policies are often available at varying levels, allowing policyholders to choose a healthcare plan that aligns with their budget and supports their medical and mental health needs. This is a key reason for variations found among insurance plans.

    Your plan has a set level of coverage, that may require out-of-pocket expenses, like copayments and deductibles, to be met first. To provide you with a personalized quote for the cost of parasomnia treatment with your insurance coverage, we encourage you to call (866)478-4383 to speak with an admission counselor today.

    How Much Does Parasomnias Treatment Cost Without Health Insurance Coverage?

    The cost of treatment for parasomnias can fluctuate greatly and is dependent on the care you receive. Sleep studies are often used in medical assessments, and can range from a few hundred dollars to more than $10,000. Sleep lab studies generally have higher costs than in-home sleep studies.

    Additional costs can include medical treatment, like CPAP machines, that can be used to address underlying medical conditions. For those whose parasomnias are influenced by mental health concerns and poor sleep hygiene, treatment expenses are dependent on the care you receive. Inpatient treatment can range from $500 to $2,000 per day, whereas outpatient therapy sessions fall between $100 to $200. Those who receive medication management services can accrue additional costs for treatment.

    AMFM Mental Health Treatment Centers can provide you with treatment for underlying mental health conditions that are contributing to abnormal sleep behavior. Our admission process has been perfected over time to be direct, efficient, and effective. While there may be unique differences among certain locations, here is a general overview of what you can expect:

    • Initial Contact: The first step is to contact AMFM and ask for help. Our admission counselors will ask about your symptoms, and for your contact information.
    • Assessment and Evaluation: We will schedule an assessment that will explore your symptoms, mental health history, medical history, and lifestyle. We will then compare your symptoms to those of mental health disorders to reach an appropriate clinical diagnosis.
    • Insurance Verification and Coverage: We will verify your coverage, inquiring about limitations, exclusions, required authorizations, and out-of-pocket expenses.
    • Treatment Plan Development: Our clinical team will personalize your treatment plan based on the information from your assessment and evaluation.
    • Admissions Coordination: Once the necessary paperwork is complete, we will arrange your admission.
    • Orientation and Program Introduction: Upon arrival, we will help you acclimate to your new surroundings. This can include a tour and introduction to our staff.
    • Active Participation in Treatment: You will be given a treatment schedule that you can then begin following.
    • Progress Monitoring and Adjustments: Throughout your treatment, we will monitor your progress. When necessary, we will modify your treatment plan.

    If you’re struggling with a sleep disorder, like parasomnia, finding the right mental health care can have a significant impact on your health. While you may require specific steps to find care appropriate for your needs, there are steps you can take to make your search straightforward. We recommend trying some, or all, of the following steps:

    • Use Search Engines: Search for terms like “Parasomnias treatment center near me” or “Behavioral health services for parasomnias in Orange County.” Using a specific location in your search can narrow down your result list. Popular search engines should provide the contact information for relevant counseling centers.
    • Explore Online Reviews and Testimonials: Review online reviews on platforms like Google Reviews, Yelp, and specialized mental health websites. This can provide you with insights into the professionalism of staff, and the quality-of-care others have received within the mental wellness center.
    • Check If They Accept Insurance: Read through the center’s website or call to ask about insurance plans they accept. This can help you determine if they are an in-network provider, and what your out-of-pocket expenses may be.
    • Confirm Private Pay Options: If you’re not using insurance, you can inquire about options for private pay. This may include sliding-scale fees or payment plans to make treatment more accessible without insurance.
    • Verify Accreditation: We recommend looking into the accreditation of the psychiatric facility. Use organizations like The Joint Commission or CARF (Commission on Accreditation of Rehabilitation Facilities). Accreditation means that the facility has proven high-quality standards for the behavioral health services they provide.
    • Check for Evidence-Based Treatments: Provider’s websites often list some of the therapies and holistic approaches they offer. Look for approaches like Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and medication management services.
    • Visit the Location: Some facilities allow an in-person visit or a virtual tour of the treatment center. This allows you to see the environment, meet the staff, and determine if you feel comfortable in their treatment center.
    • Parasomnias affect about 10% of Americans and are more common among children.
    • Sleep talking is the most common non-REM parasomnia, followed closely by nightmares.
    • The least common parasomnia, as indicated by research,  was sleep-related eating disorders.
    • Examples of dangerous behaviors and injuries that can result from sleepwalking include dislocation of the shoulder, getting hurt after breaking objects, and sexual encounters without consent.
    • Confusional arousals affect between 2.9-4.2% of adults, sleep terrors occur in 1-6.5% of adults, and rates for nightmare disorder are between 2-8% of the population.

    Check if your health insurance will cover the cost of mental health treatment.