Up to 40% of
children and teenagers have some type of sleep problem. Sleep problems are
problems with getting to sleep or staying asleep. You can manage and get over
many sleep problems in your child using common behaviour strategies.
Problems with
sleep
All children can
have trouble getting to sleep and staying asleep. These problems with sleep can
have many different causes.
Bedtime
routine and sleep environment
Your child needs
about an hour of quiet time to wind down and relax for sleep. Too much
excitement, noise and activity before bed can get kids revved up and make it
harder for them to settle down for sleep when it’s time.
Likewise, a
sleep environment that’s too noisy, light, cold or hot can make it harder for
children to get to sleep.
Sometimes
changes to children’s normal bedtime routine or environment can affect how well
they settle down. For example, daylight saving, jet lag, an unfamiliar bedroom
or a sleepover can have a child bouncing around when he’d normally be asleep.
Nutrition
What your child
eats and drinks can affect her ability to settle down at night.
For example, if
children consume caffeine – in energy drinks, coffee, tea, chocolate and cola –
especially in the late afternoon and evening, this might keep them awake at night.
Night
terrors, nightmares and sleepwalking
If your child
sometimes wakes up screaming or crying, it could be a night terror. Night
terrors are normal in children aged 4-12 years, and most children outgrow
them by the time they’re teenagers.
Your child might
also have nightmares. Nightmares or bad dreams can wake children up and make it
hard for them to get back to sleep.
Your child might
sleepwalk – that is, walk around the house as if he’s awake when he’s
actually in a deep sleep. Sleepwalking doesn’t harm your child, but it can
upset your family’s sleep. Some parents find it hard to sleep because they
worry that children might fall and hurt themselves while sleepwalking.
Although night
terrors, nightmares and sleepwalking are all pretty normal, it’s best to talk
to your doctor if you’re worried or if your child’s behaviour seems severe.
Sleepwalking can sometimes be a sign of an illness or medical condition.
Bedwetting
and toileting
If your child
isn’t dry at night, she might wake because she’s wetting the bed. Or she might
wake to go to the toilet and then find it hard to get back to sleep.
You can talk
with your child’s doctor if toilet training and bedwetting are problems for
your child.
Health and
wellbeing
Some children
can suffer from illnesses – for example, colds or ear infections –
that make it hard for them to settle or sleep well. Chronic illnesses such as
asthma or epilepsy can also affect children’s sleep.
Some children
snore. If your child snores all the time, even when he’s well, consider talking
with your child’s doctor. Snoring can sometimes be a sign of sleep apnoea.
Anxiety can
affect children’s sleep too. If your child is really anxious or worried about
something, she might find it hard to get to sleep, or get back to sleep if she
wakes in the night. It’s a good idea to talk with your child’s doctor if your
child has sleep problems and a chronic illness or anxiety.
Sometimes
problems with children’s sleep are caused by persistent sleep problems.
Persistent sleep problems are behaviour issues or medical conditions that
affect children’s sleep and make it hard for them to function during the day.
Talk with your child’s doctor if you’re concerned.
Managing
sleep problems
Some sleep
problems are behaviour issues that you can manage by promoting good sleep
habits. These include positive bedtime routines to encourage settling and
sleep, a quiet and relaxing sleep environment, and good health, nutrition and
activity during the day.
Sleep problems often
start to get better after the first week of getting into good sleep
habits. If you don’t see any improvement, there might be medical reasons for
your child’s sleep problems. It’s worth talking with your doctor in this
situation.
If your child
has been sick, you’ve
probably been up and down to him at night, soothing and settling him. Once he’s
better, he might like to keep having all that extra night-time attention. If
this sounds like your situation, you might need to be firm about getting back
into your child’s normal bedtime routine.
But do talk with
your child’s doctor if you think your child’s poor sleep is related to a medical
problem – for example, asthma or epilepsy.
Some sleep
problems such as jet lag and adapting to daylight saving time usually sort
themselves out in about a week as your child’s sleep cycle adjusts to a new
bedtime.
Persistent sleep
problems can make it harder for children to learn well. And when
children don’t sleep well, their parents are likely to experience poor sleep,
high levels of stress and depression. So there are good reasons for working on
your child’s sleep habits.
Getting help
Talk with your
doctor if you’ve been trying good sleep habits and they don’t seem to be
helping. You might be referred to a paediatrician, psychologist or other
health professional who is experienced in treating children’s persistent sleep
problems.
Medication
Although
medication isn’t the best solution to sleep problems, it can help in some
extreme cases






