
Sleep is essential for children's growth and development, but sleep problems are estimated to occur in 20-30% of children. Before turning to sleep aids, it is recommended to try improving sleep hygiene and making behavioural changes. This includes establishing a bedtime routine, such as taking a warm bath, listening to relaxing music, drinking chamomile tea, deep breathing, or light stretching. Other tips include keeping the bedroom cool, dark, and quiet, avoiding caffeine, and getting daily exercise. If sleep problems persist, parents should consult a doctor, who may recommend cognitive behavioural therapy or, in rare cases, prescribe medication.
| Characteristics | Values |
|---|---|
| Bedroom Environment | Cool, dark, quiet |
| Noise and Light | Earplugs, sleep mask, fan, air conditioning, dim light, no digital technology |
| Sleep Aids | Melatonin, herbal supplements, prescription medication, CBT, exercise |
| Sleep Problems | Sleep apnea, restless leg syndrome, insomnia, anxiety, autism, ADHD |
| Bedtime Routine | Consistent bedtime, relaxing activities, bath, music, reading, chamomile tea, deep breathing, light stretching |
| Sleep Duration | 8-12 hours, depending on age |
| Sleep Hygiene | Avoid caffeine, sunlight after waking up, regular sleep and wake times |
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What You'll Learn

Behavioural techniques and therapy
Sleep is essential for a child's brain function, development, mood, social interactions, school performance, and self-esteem. Sleep problems are estimated to occur in approximately 20% to 30% of children. Before considering behavioural therapy, it is recommended to try sleep and lifestyle changes to help your child sleep better.
Behavioural therapy, such as CBT-I (cognitive-behavioural therapy for insomnia), has been shown to be more effective than medication in treating insomnia in children. CBT-I teaches children how to manage their anxiety and supports parents in helping their children get better sleep. It is a gradual process that involves the child learning self-soothing skills to manage their distress, rather than relying on parental presence or reassurance. This process takes time and patience, and parents should work systematically towards the goal of their child sleeping independently.
Parents can also use CBT strategies to change their children's sleep habits. The first step is to identify the issue, which could be anxiety, depression, bipolar disorder, ADHD, autism, OCD, phobias, or media stressors. Once the issue is identified, parents can seek out solutions. For example, if a child is anxious about separating from their parents, a solution could be gradually moving farther away from the child while they fall asleep.
In addition to CBT, there are other behavioural techniques that can help children sleep:
- Exercise during the day can help children sleep better at night, as long as it is not too close to bedtime.
- A bedtime routine can help children wind down and feel ready for sleep. This could include activities such as taking a warm bath, listening to relaxing music, drinking chamomile tea, deep breathing, or light stretching.
- Keeping the bedroom cool, dark, and quiet can promote better sleep. If noise and light cannot be avoided, consider providing your child with earplugs and a sleep mask.
- Avoid caffeine and stimulants before bed, as these can disrupt sleep.
- Limit screen time before bed, as the blue light from digital devices can suppress melatonin levels and delay sleepiness.
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Exercise and relaxation
Yoga is a popular form of exercise that can help children relax and prepare for bed. Yoga poses and stretches can calm overactive sensory systems and provide heavy work input through the proprioceptive sense. Deep breathing exercises are often incorporated into yoga routines, further promoting relaxation and helping to calm and centre the body.
Bedtime relaxation stretches can also be done independently of yoga. These stretches can be done alongside other bedtime activities, such as reading a book. A study on resistance exercise training and stretching found that exercises improved symptoms of insomnia in participants.
In addition to exercise, relaxation techniques can help children calm down and prepare for sleep. A "key sleep phrase" or "sleep mantra" can be used to cue children that it is time to relax and go to sleep. This phrase should be simple and practised repeatedly with the child so that it becomes second nature. An example of a sleep phrase is, "I am safe. I am protected. I will see mommy and daddy in the morning."
Other relaxation techniques include deep breathing exercises, light stretching, listening to relaxing music, drinking chamomile tea, and taking a warm bath or shower. These activities can help children unwind and feel calm before bed.
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Sunlight and bright light exposure
To optimize this effect, ensure your child's bedroom is dark at night. Darkness triggers the body's natural melatonin production, aiding in sleep onset. If natural darkness is insufficient, consider using blackout curtains or a sleep mask for your child. Additionally, limit their exposure to blue light from electronic devices before bedtime, as this can disrupt their melatonin levels and delay sleepiness.
In cases where sunlight is scarce, such as during winter or in regions with limited daylight, consider providing your child with a bright lamp to turn on upon waking. This artificial light source can help simulate the effects of sunlight, promoting a healthier sleep-wake cycle.
It is worth noting that while sunlight and bright light exposure are important, they are just one aspect of establishing healthy sleep habits for children. Other factors, such as a consistent bedtime routine, relaxation techniques, exercise during the day, and minimizing anxiety and stress, also play a significant role in improving children's sleep quality.
If your child continues to experience sleep difficulties despite these interventions, it is advisable to consult a healthcare professional. They can provide personalized advice and guidance to address any underlying issues that may be impacting your child's sleep.
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Herbal remedies and supplements
Sleep is essential for children's growth, brain function, development, mood, and overall health. Poor sleep can contribute to digestive issues, immune system problems, focus and behavioural challenges, anxiety, and depression.
Before trying herbal remedies and supplements, it is recommended to try improving your child's sleep habits and environment. This includes establishing a bedtime routine, such as taking a warm bath, listening to relaxing music, drinking chamomile tea, deep breathing, light stretching, or reading a book. It is also important to keep the bedroom cool, dark, and quiet, and to avoid caffeine and stimulants before bed.
If your child continues to struggle with sleep, it is important to talk to their doctor or pediatrician. They may recommend cognitive-behavioural therapy (CBT) or, in some cases, medication.
- Melatonin: Melatonin is a naturally occurring hormone that helps prepare the body for sleep by regulating the sleep-wake cycle. It is typically produced by the body when it gets dark. Melatonin supplements are available over the counter, but it is important to consult a doctor before giving them to children as they can have side effects and may not be suitable for all children. The dosage should be determined by a doctor based on the child's age and specific sleep issues.
- Herbal Teas: Herbal teas, such as chamomile tea, are known for their calming and soothing properties and can be a gentle way to help your child relax before bed.
- Magnesium and L-theanine: These natural supplements are often advertised to help with sleep problems in adults, but there is limited evidence of their effectiveness.
- Valerian: Valerian is a natural supplement that has been used traditionally to promote sleep. However, there may be safety concerns, and it is important to consult a doctor before giving it to children.
It is important to note that herbal remedies and supplements can interact with other medications and may have side effects. Always consult a healthcare professional before giving any supplements to your child to ensure their safety and effectiveness.
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Prescription medication
While prescription medication for children's sleep issues is not recommended as a first-line treatment, it can be helpful in certain cases. It's important to consult a doctor before giving any medication to a child. Doctors will consider the child's overall health, the presence of other medical conditions, and any medications they are currently taking to determine the most appropriate treatment option.
One commonly prescribed medication for children's sleep problems is melatonin. Melatonin is a naturally occurring hormone that helps regulate sleep-wake cycles. It is typically produced by the body when it gets dark, signaling to the body that it's time to prepare for sleep. Melatonin supplements can be effective in moving sleep times earlier for children with a naturally late circadian rhythm. While melatonin is available over the counter, it is crucial to consult a doctor to determine the appropriate dosage and potential risks.
In some cases, doctors may prescribe sedatives or sleeping tablets for persistent sleep problems. However, these medications are typically used in combination with behavioural strategies and under careful medical supervision. Sleeping tablets, such as benzodiazepines, can be addictive and are generally not recommended for long-term use.
Antihistamines and drugs that treat high blood pressure have also been prescribed to treat sleep problems in children. Additionally, children with restless leg syndrome or periodic limb movement disorder may benefit from iron supplements or a diet high in iron to aid their sleep.
It's important to note that medications for children's sleep issues often lack FDA approval due to the challenges and costs associated with testing drugs in children. As a result, doctors may prescribe medications "off-label," meaning they are approved drugs used for unapproved purposes. Behavioural therapy, stress management, and dietary changes are often recommended as safer alternatives to medication for treating insomnia and improving sleep habits.
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Frequently asked questions
Before trying any sleep aids, it is recommended to first establish a bedtime routine for your child. This could include activities such as taking a warm bath, listening to relaxing music, drinking chamomile tea, deep breathing, or light stretching. It is also important to ensure that your child's bedroom is cool, dark, and quiet. If your child is older, they might benefit from reading a book, listening to gentle music, or practising breathing exercises to relax before bedtime.
While it is rare for sleep medicines to be prescribed to children in Australia, melatonin is a naturally occurring hormone that is sometimes recommended by doctors to regulate a child's sleep-wake cycle. It is important to consult a doctor before giving melatonin to your child, as it may have side effects and interact with other medications or supplements they are taking.
Cognitive behavioural therapy (CBT) is a form of therapy that has been shown to be effective in treating insomnia in children. This therapy teaches children how to manage their anxiety and supports parents in helping their children get better sleep. Other behavioural techniques include gradually moving away from the child to encourage them to fall asleep independently and addressing any underlying issues that may be causing their sleep difficulties.
There are several factors that can contribute to sleep difficulties in children, including anxiety, depression, ADHD, autism, and OCD. Additionally, interrupted circadian rhythms, sleeping or breathing disorders, and too much stimulation before bed, such as caffeine, sugar, or screen time, can also impact their sleep.










































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