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    AboutKidsHealth: Where’s the Snooze Button? Sleep Tips for Children and Teens

    Now that spring has sprung, the clocks have jumped forward, and March Break is but a distant memory, many parents notice that getting their child to sleep at night is a challenge. Brighter evenings and later bedtimes tend to throw off the routine. For other children, the time change hasn’t made any difference, as falling asleep or staying asleep is a nightly struggle. Frequent nightmares, night-terrors, or issues with bedwetting are also sources of concern.

    While sleep difficulties can go hand and hand with a number of neurodevelopmental disorders, such as intellectual disability, epilepsy, Autism Spectrum Disorder, and ADHD, it also is impacted by a variety of mental health issues including anxiety and depression. Children and teens may have fears about sleeping alone. Similarly, some children or teens develop anxiety about falling asleep (e.g., “What if I can’t fall asleep?”) which affects their ability to relax and to attend to the cues their bodies are sending that it is time for sleep.

    Psychologists at Boomerang Health frequently work with children and teens (and their parents) around sleep difficulties related to anxiety and behaviour. Massage Therapy is also beneficial to help children and teens develop greater awareness of their body states, their breathing and the best strategies for relaxation. Massage therapists also work with babies and caregivers using infant massage.

    AboutKidsHealth provides a useful tip sheet for maintaining healthy and consistent sleep routines. For more information about our psychological and massage therapy services, contact us at: (905) 553-3155.

    Here are some tips to help your child get the best sleep possible. Following the tips below will help your child fall asleep and stay asleep through the night.

    Tips for children aged 12 and under

    Keep a schedule

    Your child’s body likes a regular schedule. Keep a regular sleep routine that allows your child to wake up and go to bed about the same time every day. Bedtimes and wake times should not vary by more than one or two hours from one day to the next, including on weekends.

    Try to avoid letting your child sleep in late on weekends. Sleeping in can make it harder for your child to keep a regular schedule during the week. If your child is well rested, you can change the schedule once in a while for special events and they can recover from the occasional late night much faster.

    No naps for children aged six and older

    A healthy child over six years of age should not need a nap during the day. Daytime naps for older children can affect the time the child will fall asleep at night. This results in a later bedtime and may lead to poorer quality nighttime sleep.

    If your child is under six years of age, allow them to have a nap if they need one.

    Create a relaxing routine

    Create a relaxing bedtime routine that your child can follow each night. It should involve 20 to 30 minutes of quiet time. Good wind-down activities include reading, looking through a magazine, listening to music or writing in a journal. Avoid and discourage stimulating activities such as playing videogames, using the computer, using a cell phone or exercising an hour before bedtime.

    Comfortable sleep environment

    Make sure your child’s bedroom is cool and quiet. Keep the bed for sleeping only.

    • Make sure your child’s mattress and pillow gives good support to their spine.
    • It is best not to have a television in the bedroom. Watching television at night can stimulate the brain rather than relax it. In addition, your child may get into the habit of turning on the television if they cannot stay asleep during the night.
    • Avoid cell phones in the bedroom at night. Their ringing or vibration may disturb your child’s sleep.
    • Discourage your child from doing their homework or using a computer in bed. These activities can cause your child to link bedtime with stress or active thinking when they are trying to sleep.

    Healthy habits

    Help your child develop and maintain good lifestyle habits.

    • Encourage your child to get regular exercise.
    • Avoid or at least limit caffeine (from pop, energy drinks, coffee, tea or chocolate). Lots of people feel better when they cut down on caffeine even if they do not avoid it completely.
    • Offer regular, balanced meals based on the four food groups in Canada’s Food Guide.

    These good habits all help to make your child comfortable and ready for sleep.

    Tips for teenagers

    Here are some more tips to help teenagers get a good night’s sleep.

    • Encourage your teen to keep a good sleep routine, with regular bedtimes and wake up times on weekdays and weekends.
    • No pills, vitamins or drinks can replace good sleep. Consuming caffeine close to bedtime can hurt a teen’s sleep. Your teen should avoid coffee, tea, soda or pop, energy drinks and chocolate late in the day so they can get to sleep at night. Smoking cigarettes and drinking alcohol will also interfere with their sleep.
    • Encourage your teen to try keeping a diary or a to-do list. If they jot notes down before they go to sleep, they will be less likely to stay awake worrying or stressing.
    • If your teen is having trouble sleeping at night, encourage them to take some deep relaxing breaths, focusing on their breath as it goes in and out. Deep breathing for 5-10 minutes may help your teen become more relaxed and sleepy.
    • A drowsy driver is as dangerous as a drunk driver. Driving while sleep deprived causes many accidents each year. Advise your teen to call someone else for a ride if they ever feel sleepy before or during a journey.
    • If your teen hears their friends talking about their “all nighters”, remind them how good they will feel after they get enough sleep. Staying up late to study does not usually help  much. In fact, it will usually leave your teen too tired to concentrate well during a test or exam.
    • Most young people experience changes in their sleep schedules as they get older. Your teen’s internal body clock can make them fall asleep later at night and wake up later in the day. You cannot change this, but you can encourage your teen to take part in physical activities to help overcome sleepiness during the day. If they feel wide awake at night, make sure their activities at that time are relaxing to help make them more sleepy.

    If you have concerns about your teen’s sleep, either because they are not sleeping enough or are sleepy during the day, seek advice from your doctor.

    Author: Dr. Indra Narang

    Original publish date: September 10, 2013

    Link to article: https://www.aboutkidshealth.ca/article?contentid=646&language=English

    About About Kids Health

    AboutKidsHealth is a leading non-profit information source for children’s health. All of the content posted is unbiased, evidence based, and trusted as it was written in collaboration with over 300 SickKids paediatric health specialists. For more information, visit aboutkidshealth.ca.