You said that your child does some unusual things when s/he is sleeping, falling asleep, or waking up. You said
your child has one of the following sleep-related problems:
Your child's arms and legs move around a lot while s/he is sleeping-sometimes in an aggressive way. This
happens during the deepest part of sleep. This usually happens later in the night. Your child is able to remember
his/her dreams.
Your child is unable to move his/her arms or legs. This usually happens when your child is falling asleep
or as s/he is waking up. When this happens your child may be very nervous. Your child may worry about lots of things.
Sometimes children say they are afraid of dying.
Your child has some sleep problems. Your child's doctor does not know if there is a medical reason for these
problems or not.
Some children with these types of sleep problems have a disorder called Parasomnia, NOS. You said your
child's trouble sleeping is causing problems. Your child's trouble sleeping may be causing problems for him/her at
home or preschool/daycare/school. It may also be causing trouble with how s/he gets along with you or other children.
Adapted in part from the American Psychiatric Association (APA) Diagnostic and
Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV) (1994) and the American Academy of Pediatrics
(AAP) Diagnostic and Statistical Manual for Primary Care (DSM-PC) (1996).
