This editorial documents the controversial diagnosis of sexsomnia, a sleep disorder that is now recognized in the DSM-5. 

Sexsomnia—engaging in sexual activity while asleep—is something physicians may want to consider as a diagnosis in some patients, Brandon Moore, MD, said Saturday at the annual meeting of the American Academy of Psychiatry and the Law. The disorder can take different forms, “as mild as [patients] rubbing their buttocks or genitals to self-gratification” and even intercourse, Moore, a fourth-year psychiatry resident at Western Michigan University, in Kalamazoo, told MedPage Today.

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