An 11-year-old male with history of well-controlled asthma and attention deficit hyperactivity disorder was referred for evaluation of insomnia. Bedtime is at 9 pm with sleep onset latency of about 30 minutes. He wakes up at 8 am on his own in a good mood. His routine leading to bedtime has been stable for many years, and his mother does not report any bedtime resistance. She reports having found him in the kitchen looking for food during hours of sleep. He appears disoriented during these times and has minimal recollection of the events. He has also been found with food crumbs in his bed in the morning. He has had behavioral issues at school with poor performance. Daytime somnolence has also been reported with an Epworth Sleepiness Scale score of 13. No snoring or pauses in respiration while asleep have been noted. There is no caffeine intake. He takes 30 milligrams of lisdexamfetamine at 9 am and 12 noon. Physical examination reveals a child who is developmentally normal for his age with no tonsillar hypertrophy. The only notable finding was a body mass index in the 85^th percentile for his age. He underwent an overnight polysomnography which demonstrated no sleep related breathing events. An arousal was noted to occur from stage N2 sleep (Figure 1) when he began eating food placed at his bedside and then returned to stage N1 sleep.