Table 3

Conditional Release Considerations for Patients With Sexsomnia

Avoidance of triggers
    Abstinence from alcohol and other drugs
    Avoid shift work that disrupts sleep schedule
    Stress reduction measures or psychotherapy
Risk-reduction strategies
    Treatment with clonazepam
    Treatment of co-occurring sleep disorders
    Sleeping in bed with no bed partner
    Sleeping with door locked to prevent sleepwalking
Forensic considerations
    Presence of paraphilic interests or disorders
    Use of automatism/unconsciousness or not guilty by reason of insanity defenses
    Unclear benefit from psychiatric hospitalization
    Unclear utility of sexual offender registry