They can be triggered in certain individuals, by alcohol, sleep deprivation, physical activity, emotional stress, depression, medications, or a fevered illness. These disorders of arousal can range from confusional arousals, somnambulism, to night terrors. Other specific disorders include sleepeating, sleep sex, teeth grinding, rhythmic movement disorder, restless legs syndrome, and somniloquy. Differential diagnosis for NREM-related parasomnias
Sleep-disordered breathing
REM-related parasomnias
Nocturnal seizures
Psychogenic dissociative disorders

Confusional arousals
Confusional arousal is a condition when an individual awakens from sleep and remains in a confused state. It is characterized by the individuals partial awakening and sitting up to look around. They usually remain in bed and then return to sleep. These episodes last anywhere from seconds to minutes and may not be reactive to stimuli. Confusional arousal is more common in children than in adults. It has a lifetime prevalence of 18.5% in children and a lifetime prevalence of 2.9–4.2% in adults. Infants and toddlers usually experience confusional arousals beginning with large amounts of movement and moaning, which can later progress to occasional thrashings or inconsolable crying. In rare cases, confusional arousals can cause injuries and drowsy driving accidents, thus it can also be considered dangerous. Another sleeping disorder may be present triggering these incomplete arousals. Somniloquy (sleep talking)
A form of parasomnia where a person will speak during their dreams. Sleep-related abnormal sexual behavior
Sleep-related abnormal sexual behavior, Sleep sex, or sexsomnia, is a form of confusional arousal that may overlap with somnambulism. Thereby, a person will engage in sexual acts while still asleep.
Sleep enuresis
Parasomnias due to medical disorder
Parasomnias due to medication or substance
Parasomnia, unspecific
Sleep drunkenness, also known as confusional arousal, is the feeling of confusion or sudden action upon waking up from deep sleep. Severe sleep inertia, one cause of oversleeping, is considered to develop sleep drunkenness. Isolated symptom/normal variant
Sleep talking (somniloquy)
According to ICSD-3 it is not defined a disorder in particular. It is rather an isolated symptom or normal variant and ranges from isolated speech to full conversations without recall. With a lifetime prevalence of 69% it is considered fairly common. Sleep talking is associated with REM-related parasomnias as well as with disorders or arousal. It occurs in all sleep states. As yet, there is no specific treatment for sleeptalking available. Diagnosis
Parasomnias are most commonly diagnosed by means of questionnaires. These questionnaires include a detailed analyses of the clinical history and contain questions to:

Rule out sleep deprivation
Rule out effects of intoxication or withdrawal
Rule out sleep disorders causing sleep instability
Rule out medical disorders or treatments associated with sleep instability
Confirm presence of NREM parasomnias in other family members and during the patients childhood
Determine the timing of the events
Determine the morphology of the events.Furthermore, a sleep diary is helpful to exclude that sleep deprivation could be a precipitating factor. An additional tool could be the partners log of the events. The following questions should therefore be considered:

Do you or your bed partner believe that you move your arms, legs, or body too much, or have unusual behaviors during sleep?