(Disclaimer: This article is for scientific purposes only. To protect the patient’s privacy, the relevant information in the following content has been processed.) Abstract: The patient is a 13-year-old boy who, probably because of too much pressure from studying, has been getting up in the middle of the night to sit at his desk and study, without knowing it. There was no abnormality on magnetic resonance and electroencephalogram examination, and sleepwalking was considered. Through life adjustment, psychological guidance and medication-assisted treatment, the sleepwalking phenomenon was reduced and the condition was controlled and stabilized. Basic information] Male, 13 years old [Type of disease] Sleepwalking [Hospital] Shandong Third Hospital [Time of consultation] November 2020 [Treatment plan] Psychological guidance + lifestyle adjustment (avoid late night, regular diet) + oral medication (tranquilizing the spirit and replenishing the brain) [Treatment cycle] Outpatient treatment for 1 month [Effect of treatment] Symptoms have been improved, and the number of sleepwalking has been reduced. The child is now in his first year of junior high school. One week ago, when the parents went to the toilet, they suddenly found that the child got up in the middle of the night, turned on the light, sat next to the desk to study, and then went to bed on his own after a while. On the second day, the parents talked to the child and asked him not to study too late at night, but the child was puzzled and said that he didn’t get up to study, he had been sleeping all the time. Later, the parents installed a monitor in the child’s room and found that every 2-3 days, the child would get up and sit at the desk after falling asleep at night, and then go back to sleep after a while, with his eyes closed. Because of the frequency, the parents were worried and brought the child to the outpatient clinic. The parents said that the child had been weak since childhood and had night terrors as a child. Combined with the medical history provided by the child’s family, the outpatient clinic initially diagnosed sleepwalking, and recommended that the child complete the cranial magnetic resonance and electroencephalogram to rule out somatic diseases, the parents expressed their understanding and cooperation with the examination. The clinical manifestation of sleepwalking is that the child suddenly gets up during sleep, completes some simple or complex behaviors, and then goes back to bed and falls asleep again without being able to recall the behaviors afterwards, which is easy to occur when the child is tired, nervous and anxious. The child is in the first year of junior high school, his academic performance is average, and his parents said that the pressure of study is relatively high, so it is considered that the possibility of sleepwalking is high due to the high mental pressure of the child. Second, the treatment after perfect cranial magnetic resonance, electroencephalogram, as well as blood tests blood routine, liver and kidney function, ionic trace elements, etc. did not see obvious abnormalities. Psychological assessment suggested mild anxiety, and appropriate psychological guidance was given, suggesting regular dietary habits, good study habits, and attention to physical exercise in general. In addition, the child was given tranquilizing and brain tonic solution to assist in the treatment. Parents were advised to avoid giving the child too much study pressure, and to bring the child to engage in outdoor sports to relieve the mental and psychological pressure and improve the sleepwalking symptoms, and the parents expressed their understanding and actively cooperated with the treatment. 1 month later, the outpatient follow-up, the sleepwalking symptoms were reduced compared with the previous. Third, the treatment effect of the child after life adjustment, psychological guidance and drug-assisted treatment, about 1 month follow-up, parents said that the child’s current psychological pressure to a certain degree of relief, regular work and rest, sleepwalking than before the number of times to reduce the quality of sleep has been improved, the use of medication during the drug did not occur adverse drug reactions, the parents of the child is more satisfied with the therapeutic effect. The parents of the child were satisfied with the treatment effect. We are very happy that the child recovered well after life adjustment and psychological stress relief, and the sleepwalking was reduced, which is the result that both the child’s family and I want to see. Although the child’s condition is in remission, we should not relax our vigilance, and we additionally advise the child and his parents to pay attention to the following matters after discharge: 1. We suggest that the child develop good living habits, pay attention to the combination of work and rest, and reasonably arrange his life and study; 2. Parents should avoid exerting too much pressure on the child, so as to avoid aggravation of the symptoms. Giving a relaxing environment and psychological appeasement will help the child’s symptoms improve; 3. Daily diet should be light, avoiding spicy stimulation and greasy food; 4. Increase daily exercise, mainly running, jumping rope and swimming, which will help to enhance physical fitness. V. Personal perception of sleepwalking symptoms can be mild or serious, treatment or not, depending on whether the sleepwalking is secondary to somatic diseases, parents should actively pay attention to the child’s growth and development, if sleepwalking symptoms, but also should go to the hospital to improve the relevant examination, to exclude somatic diseases, to avoid delaying the treatment of the condition. As in this case, the parents took the child to the hospital in a timely manner after frequently discovering the child’s sleepwalking, which effectively improved the child’s sleepwalking condition. In addition, as a parent, you should give your child a relaxed living environment to avoid excessive anxiety and stress. Learning is important, and so is the child, and over-stressing the child may lead to a relapse of the disease.