Parasomnias
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Sleepwalking – Virtual Primary Care for Parasomnias and Metabolic Health
Sleepwalking is a type of parasomnia, where unusual behaviors occur during sleep. For many, it’s more than a childhood phase — adults may continue to experience episodes of walking, talking, or eating during sleep, leading to safety risks, poor rest, and daytime fatigue. These disruptions are also tied to obesity, metabolism, and overall health, since fragmented sleep can worsen insulin resistance, appetite regulation, and emotional well-being.
At SustainMD, we support patients experiencing parasomnias such as sleepwalking, sleep talking, night eating syndrome, and REM sleep behavior disorder through membership-based primary care. Dr. Allison Barbee helps patients identify triggers, improve sleep quality, and coordinate with specialists when needed. Care is available virtually in California, Florida, Maine, and North Carolina.
At-a-Glance
Type of Care: Virtual, membership-based primary care
Serving Patients In: California, Florida, Maine, North Carolina
Ideal For: Adults experiencing parasomnias, sleepwalking, or disrupted sleep tied to metabolic and lifestyle factors
First Step: Initial telehealth consultation and sleep-health review with Dr. Allison Barbee
Understanding Sleepwalking and Parasomnias
Sleepwalking and related parasomnias occur when the brain remains partially active during sleep, causing physical actions without full awareness. Episodes may involve walking, talking, eating, or acting out dreams.
When exploring what causes parasomnia, factors often include disrupted sleep cycles, stress, alcohol or medication use, hormonal changes, or metabolic conditions. Obesity and insulin resistance can worsen parasomnias by fragmenting sleep and altering hormonal balance. That’s why long-term care must address sleep + metabolic health together.
Recognizing Risk Factors and Symptoms
Common Risk Factors
Family history of sleepwalking or parasomnias
Irregular sleep schedules or poor sleep hygiene
Stress, anxiety, or mental health conditions
Alcohol, sedatives, or certain medications
Obesity and insulin resistance
Other sleep disorders such as sleep apnea
Possible Signs and Symptoms
Patients may experience:
Repeated episodes of sleepwalking or wandering at night
Sleep talking or unusual vocalizations during sleep
Nighttime eating behaviors (night eating syndrome)
Acting out dreams or violent movements (REM sleep behavior disorder)
Daytime fatigue, irritability, or difficulty concentrating
Our Membership-Based Approach to Sleepwalking and Parasomnia Care
At SustainMD, care focuses on connecting parasomnia symptoms to overall health, sleep cycles, and metabolism. Dr. Allison Barbee provides individualized guidance and collaborates with sleep specialists when advanced care is needed.
Your Personalized Care May Include:
Evaluation and support for sleepwalking treatment options
Guidance on how to stop sleepwalking safely with lifestyle strategies
Monitoring and support for sleep talking treatment
Coordination for night eating syndrome treatment and metabolic management
Preventive care to reduce risks of parasomnia treatment complications
Referral coordination for REM sleep behavior disorder treatment when indicated
Weight and lifestyle management to improve long-term sleep quality
How to Start With SustainMD
01.
Review our Programs & Pricing
02.
Select the membership plan that fits your needs
03.
Complete your secure online intake form
04.
Schedule your first virtual consultation with Dr. Allison Barbee
05.
Begin your personalized sleep and health care plan
Meet Allison Pope Barbee, MD – Your Partner in Sleep and Health
Allison Pope Barbee, MD, is a Board-Certified Family Medicine physician with over 20 years of clinical experience. She integrates obesity medicine, preventive care, and sleep-focused lifestyle strategies to help patients experiencing sleepwalking and related parasomnias. Her approach emphasizes evidence-based, stigma-free care that adapts to each patient’s needs.
Serving Patients in Four States
SustainMD provides membership-based parasomnia support in:
- California
- Florida
- Maine
- North Carolina
What Our Patients Say
Patient12
Dr. Barbee listens to your concerns, is empathetic and knowledgable. Not once has she made me feel ashamed or less than. She gives practical, reasonable and most importantly, doable recommendations. She uses lifestyle interventions instead of immediately jumping to medications, but will also use medications if you and she believe
Patient11
Dr. Barbee has been a remarkable weight loss physician for me. She distinguished herself by customizing her approach to suit my individual needs. Throughout our sessions, she was incredibly attentive, understanding my specific health concerns and weight loss goals. Dr. Barbee excelled in explaining the details of the medications she
Patient10
Dr. Barbee is an extremely knowledgeable physician who I rely on with all my medical needs. Her bedside manner is impeccable and very friendly. She listens to all of my issues and gets to the bottom of any problem you may have. I honestly cannot say enough good things about
Patient9
Dr Barbee actually listened to me and was able to diagnose my symptoms and actually treat and control the issue. I can not thank her enough! She was super patient and kind. Something you don’t really see now a days.
A.M.
Dr. Barbee understands that health is not one-size-fits-all. She takes the time to listen, remembers details, and works collaboratively with me as things evolve. The most meaningful part of working with her is feeling truly heard and supported, not just during appointments but overall in my care.
Andrea
The best! I have been a patient of Dr. Barbee’s for years! She has guided and treated me in my worst and best days. Her professionalism is top notch, along with her knowledge of health. You cannot ask for any better care than Dr. Barbee!
Suzanne Layser
Truly a compassionate Doctor- I can’t say enough good things about Dr. Barbee. I felt truly cared for. Dr. Barbee was incredibly compassionate, took the time to really listen, and never made me feel rushed. She asked thoughtful questions and genuinely wanted to understand what I was experiencing. What impressed
Patient8
Dr. Barbee is an extremely knowledgeable physician who I rely on with all my medical needs. Her bedside manner is impeccable and very friendly. She listens to all of my issues and gets to the bottom of any problem you may have. I honestly cannot say enough good things about
Patient7
Great doctor- Dr. Barbee is a kind and caring doctor. She is the type of person you can talk to and really will listen. She understands your problems and will work with you to solve them. She is very thorough and make sure everything is looked at does not miss
Patient6
Thoughtful, caring and truly helpful-I have been a patient of Dr. Barbee for many years. I have always found her honest and helpful. She works hard to look at root causes, which can take a while to figure out. She is persistent, yet kind. As we age, our bodies change.
Take the First Step Toward Better Sleep and Health
With membership-based virtual care, SustainMD helps patients manage sleepwalking and parasomnias while supporting overall health. Serving CA, FL, ME, and NC.
