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Parenting

By Ranu Boppana, MD

Getting your Child to Sleep

Does your young child resist going to sleep at night? Is bedtime frustrating or chaotic in your household, making the morning an impossible dash to get everyone out the door on time? Working parents are being stretched to the maximum to accommodate overly hectic family schedules. Hence, it is no surprise that kids are probably not getting enough sleep.

What are Children’s Sleep Needs and is my Child Sleep Deprived?
Most preschoolers need ten to twelve hours of sleep a night and most school age children also need a substantial ten hours. However, recent surveys

conducted by the National Sleep Foundation indicate that a significant number of American children are not getting the sleep they need. You will know your children are sleep deprived if they have difficulty waking up on their own, are cranky in the morning or fall asleep too easily. Sleep deprived children also have difficulty concentrating and those prone to hyperactivity can become overly active.

What Prevents Good Sleep Hygiene?
Several factors contribute to our children’s current sleepy daze. Increasing numbers of after school activities, sports and social engagements extend a child’s day. Longer travel times and working parents who are not able to begin dinner or homework supervision until late also contribute to a longer evening. Also, hours spent watching television cut into a child’s sleep time. Children who have televisions in their rooms watch even more TV and have shorter sleep times. Additionally, children who drink caffeinated beverages can have trouble winding down and falling asleep. This is no surprise because caffeine is more slowly metabolized in children, making kids more sensitive to its effects.

Cultural factors can also play a role in bad sleeping habits. Co-sleeping arrangements are common in South Asian families. If your child is accustomed to sleeping with dadi (grandma) or maasi (auntie), he or she might have difficulty falling asleep when alone. So decide which arrangements are comfortable for you as a family and try to be consistent. If you do change routines, expect the transitions to take some time for adjustment.

How can I Ensure that my Child Gets Enough Sleep?
To make sure your family gets enough rest, have an established bedtime. Streamline your activities and have some evening rituals that help your kids know that bedtime is approaching. Be consistent with your routines and allow enough time for winding down and spending some time together. This is when you can reflect on your day and prepare for upcoming events. Any concerns or worries your kids have may come out at this time. Also make sure your child’s bedroom is a cozy sanctuary where he or she feels safe and secure. For this reason you may want to avoid using the bedroom for punishment, because if your children dread being there, they might have trouble falling asleep. Try not to deviate too much from bedtime, even on weekends, as large changes in a child’s sleep schedule during holidays can make it hard to fall asleep on school nights.

Sometimes, despite a consistent bedtime routine and schedule, children still have difficulty falling asleep or experience disruptions in the quality of their sleep. Sometimes separation anxiety contributes to children’s inability to let go and fall asleep. Anxiety, or the effects of traumatic experiences, can surface as nightmares or nocturnal teeth grinding. Occasionally, a child may have a biological sleep disorder such as sleepwalking or night terrors. If your child experiences any of these problems, be sure to discuss them with your child’s pediatrician. Some of these symptoms may require further evaluation or treatment.

So, be mindful of how much sleep your children are getting and the effects of sleep deprivation. By paying attention to your children’s sleeping hours, you can be sure they will be happy and productive in their waking ones.



Ranu Boppana, MD is an Adult and Child Psychiatrist in private practice in New York, NY and a Clinical Instructor at the NYU School of Medicine.


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