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Published on: 11/20/2025

What are the typical behaviors seen during an REM Sleep Behavior Disorder (RBD) episode?

During an REM Sleep Behavior Disorder (RBD) episode, people may act out their dreams with movements like punching, kicking, or jumping out of bed, which can be quite vigorous and sometimes aggressive.

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Explanation

REM Sleep Behavior Disorder (RBD) is a condition where people physically act out their dreams during the REM (Rapid Eye Movement) stage of sleep. This happens because the normal muscle paralysis that occurs during REM sleep is absent, allowing people to move freely.

Typical Behaviors During RBD Episodes:

  1. Vigorous Movements: People may punch, kick, or flail their arms as if they are defending themselves or fighting in a dream. These movements can be quite forceful.

  2. Vocalizations: Shouting, talking, or even screaming can occur, often related to the dream content.

  3. Dream Enactment: The actions are often linked to the dream itself, which may include running or jumping out of bed.

  4. Aggressive Content: Dreams during RBD episodes can sometimes be aggressive or action-filled, which is reflected in the physical movements.

These behaviors can lead to injury to the person or their bed partner. If you or someone you know is experiencing such symptoms, it is advisable to consult a healthcare professional for further evaluation and management. For mental health support, visit 988lifeline.org.

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