(Disclaimer: This article is for scientific purposes only. In order to protect the patient’s privacy, the relevant information in the following content has been processed.) Abstract: The patient in this case is a 71-year-old aunt, whose companion passed away 6 months ago, and lives alone. The child was worried that the old man was lonely, and had strongly requested to live with her, but the old man refused. Recently, her family found that she often got up in the middle of the night to fold clothes, sweep the floor, and talk to herself, so she was admitted to our hospital. Cranial magnetic resonance and electroencephalogram examination showed no obvious abnormality, and the psychological evaluation suggested moderate depression, so sleepwalking disorder was considered. It was suggested to give psychological counseling + medication. After the treatment, the patient’s condition stabilized without any special discomfort, and the therapeutic effect was good. Basic information] Female, 71 years old [Type of disease] Sleepwalking disorder [Hospital] Shandong Third Hospital [Date of consultation] March 2020 [Treatment plan] Medication (alprazolam tablets, ghrelin tablets) + psychological counseling [Period of treatment] Outpatient treatment for 2 weeks, outpatient follow-up after 1 month [Effect of treatment] Stable condition, no special discomfort, and good therapeutic effect I. Initial interview Description of patient’s family members Recently, the patient was found to get up alone at 2:00 p.m., folding clothes, sweeping the floor, talking to the air, and then going back to sleep, but the patient didn’t think there was any big problem. After communicating with the patient individually, she realized that she had been in a very bad mood since the death of her partner, and that living in a shared home, it was as if she could see her deceased partner all the time. By understanding the patient’s recent condition, combined with the video provided by the patient’s child, sleepwalking was considered to be sleepwalking disorder, related to psychological disorders. The treatment plan is tentatively set as: psychological counseling + medication-assisted treatment, the patient and his family understand and actively cooperate with the treatment. Second, the treatment process Prudence, we suggest that the patient improve the cranial magnetic resonance examination did not see obvious abnormalities, electroencephalogram examination did not see obvious abnormalities, blood tests suggest that uric acid and cholesterol is high, please consult the Department of Psychiatry, after psychological assessment suggests that a moderate state of depression. Considering the patient’s sleepwalking disorder after the trauma to his mind, it was suggested to arrange psychological counseling, and at the same time give alprazolam tablets and ghrelin tablets to assist the quality of sleep to reduce the occurrence of sleepwalking. After communicating with the family, it was suggested that the patient should live with her to help alleviate the patient’s mood, reduce psychological burden and pressure, and distract her attention from over-immersing herself in sadness, and detach herself from her original living environment, which would also help to improve her depressive state, which the patient’s family understood and indicated that they wanted to take care of the patient by living with her mother. It is recommended that outpatient follow-up in 2 weeks to observe the effect of treatment. 2 weeks later, outpatient follow-up, the patient said that he had better sleep recently, and his mood had improved significantly compared with the previous period, without sleepwalking, and it is recommended that he continue to have psychological counseling for a period of time. (Blood test results) (Cranial magnetic resonance imaging) The main causes of sleepwalking include psychosocial factors, genetic factors, developmental factors, and sleep factors. In this patient, the psychosocial factors of trauma due to the death of her partner led to nocturnal sleepwalking, which was associated with a depressive state. After 2 sessions of psychological counseling, the patient’s mood improved significantly compared to the previous session, and after being given alprazolam tablets and ghrelin tablets at night to assist her sleep, she was able to ensure 7-8 hours of sleep per night, and her sleep quality was good. At the follow-up, his family indicated that no sleepwalking reappeared after treatment and the treatment effect was relatively good. It is recommended to continue the medication and follow-up in the outpatient clinic in 1 month. It is gratifying that the patient’s symptoms have disappeared after treatment and her quality of life has improved. Sleepwalking disorder is mainly manifested as a series of unconscious autonomous activities after falling asleep for a period of time, which cannot be remembered when waking up on the 2nd day, and is generally associated with a high possibility of psychological disorders. During treatment, patients should learn to regulate their emotions and stress, and their families should pay more attention to relieve their psychological pressure and improve their living environment. Monitor the quality and duration of sleep every day, and pay attention to the occurrence of sleepwalking. In daily life, pay attention to maintain good dietary habits, avoid picky eating, usually should be light diet, avoid spicy, stimulating, greasy food. Physical exercise, such as Tai Chi, can be added appropriately to enhance one’s physical fitness, and at the same time find a way to release psychological pressure. During the medication period, you should take the medication on time and go to the hospital outpatient clinic for follow-up on a regular basis. V. Personal Insights Everyone needs to experience life and death, and the elderly who have just lost their partners should be actively concerned to avoid a series of psychological barriers. Co-habitation can largely alleviate the grief and help to restore normal life more quickly, and the care and attention of family members are conducive to avoiding the occurrence of emotional disorders. In addition, if the patient is found to have a tendency to sleepwalking, he or she should pay conscious attention to it or record it and seek medical attention in time, just as the family of the patient in this case did, to avoid delays in his or her condition. For doctors, they should pay attention to the patient’s emotional state during diagnosis. If there is an anxiety and depression state, which can not be improved on its own after regulation, it is recommended to take oral anti-anxiety and depression medication and psychological counseling at the same time, which is conducive to the improvement of the disease.