Section - Video Lectures

03. Understanding RBD Behaviors

Published on December 1, 2022 Certification expiration date: December 1, 2028

Carlos H. Schenck, M.D.

Professor & Senior Staff Psychiatrist at the Hennepin County Medical Center (HCMC) - University of Minnesota

Key Points

RBD involves dream-enacting behaviors with a full range of behaviors.
RBD can involve vigorous, violent, and potentially lethal behaviors.
The dreamer is rarely the primary aggressor.
RBD nightmares involve unfamiliar people.

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Slides and Transcript

Slide 1 of 11

I will now address the issue of understanding RBD behaviors.

Understanding RBD Behaviors Slide 1 of 11

Slide 2 of 11

The RBD behaviors span a spectrum from minimal behavior such as limb twitching and jerking during REM sleep to complex behaviors involving hand waving, hand grabbing, reaching and searching motions and gestures, also vigorous and violent behaviors, punching, kicking that are often injurious. There’s a range of vocalizations involving talking, yelling profanities, anger and laughter.

References:

Schenck, C. H., Lee, S. A., Bornemann, M. A., & Mahowald, M. W. (2009). Potentially lethal behaviors associated with rapid eye movement sleep behavior disorder: Review of the literature and forensic implications. Journal of Forensic Sciences, 54(6), 1475-1484.

Understanding RBD Behaviors Slide 2 of 11

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04. Prevalence, Assessment, and Management of RBD

Learning Objectives:

After completing this activity, the learner will be able to:

Determine the potential etiologies of parasomnias and understand the burden they cause.
Screen patients for RBD through a validated single-item questionnaire.
Recommend the correct treatment option in simple and intricate clinical cases.

Original Release Date: December 1, 2022

Review and Re-release Date: December 1, 2025

Expiration Date: December 1, 2028

Expert: Carlos Schenck, M.D.

Medical Editor: Paz Badía, M.D.

Relevant Financial Disclosures:

Carlos H. Schenck, MD declares the following interests:

– Eisai, Inc.: One time lecture on REM sleep behavior disorder, without any product being promoted.

All of the relevant financial relationships listed above have been mitigated by Medical Academy and the Psychopharmacology Institute.

Contact Information: For questions regarding the content or access to this activity, contact us at support@psychopharmacologyinstitute.com

Instructions for Participation and Credit:

Participants must complete the activity online during the valid credit period that is noted above.

Follow these steps to earn CME credit:

View the required educational content provided on this course page.
Complete the Post Activity Evaluation for providing the necessary feedback for continuing accreditation purposes and for the development of future activities. NOTE: Completing the Post Activity Evaluation after the quiz is required to receive the earned credit.
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Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Medical Academy LLC and the Psychopharmacology Institute. Medical Academy is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement

Medical Academy designates this enduring activity for a maximum of 0.75 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.