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