Summary of Criteria for Sexsomnia*
| DSM-5 criteria for NREM sleep arousal disorders and sexsomnia subtype of sleepwalking |
| Criterion A. Recurrent episodes of incomplete awakening from sleep, usually occurring during the first third of the major sleep episode, accompanied by sleepwalking. |
| Criterion B. No or little dream imagery is recalled. |
| Criterion C. Amnesia for the episodes is present. |
| Criterion D. Clinically significant distress or impairment. |
| Criterion E. Disturbance is not attributable to the effects of a substance. |
| Criterion F. Coexisting mental or medical conditions do not explain the episodes. |
| Diagnosed as “NREM sleep arousal disorders, sleepwalking type, with sleep-related sexual behavior (sexsomnia)” |
| ICSD-3 criteria for disorders of arousal, including sleepwalking and confusional arousal subtypes |
| Criterion A. Recurrent episodes of incomplete awakening from sleep. |
| Criterion B. Inappropriate or absent responsiveness to efforts of others to intervene or redirect the person during the episode. |
| Criterion C. Limited or no associated cognition or dream imagery. |
| Criterion D. Partial or complete amnesia for the episode. |
| Criterion E. Another sleep disorder, mental disorder, medical condition, medication, or substance use does not better explain the disturbance. |
| Confusional arousals: |
| Criterion A. General NREM disorders of arousal criteria (above) are met. |
| Criterion B. The episodes are characterized by mental confusion or confused behavior that occurs while the patient is in bed. |
| Criterion C. There is an absence of terror or ambulation outside of the bed. |
| Sleepwalking: |
| Criterion A. General NREM disorders of arousal criteria (above) are met. |
| Criterion B. The arousals are associated with ambulation and other complex behaviors out of bed. |
↵* Adapted from References 1 and 2.
NREM = non-rapid eye movement