Sleep

It is not easy to change poor sleep habits, it is not impossible particularly for children in preschool and elementary school, says Lynelle Schneeberg, PsyD, a Yale Medicine psychologist and author of “Become Your Child’s Sleep Coach: The Bedtime Doctor’s 5-Step Guide, Ages 3-10” (Lifelong Books). It’s with the best of intentions that parents end up reinforcing poor sleep habits, notes Schneeberg, identifying “too much parental assistance” as a key factor fueling the problem.

“It is challenging to help children in this age group learn to fall asleep independently at bedtime because they can talk and walk, which means they can ask you to come back to their room for many creative reasons, or come out of their rooms to find you and ask for one more escorted trip to the bathroom, more ice for their water cup, and so on,” Schneeberg explains. “Luckily, their brains are adaptable, and they can learn new ways to fall asleep that do not involve a parent.”

Understanding how you respond to your child’s nighttime requests is the first step to addressing them, says Craig Canapari, MD, a Yale Medicine pediatric sleep specialist, pulmonologist, and author of “It’s Never Too Late to Sleep Train: The Low-Stress Way to High-Quality Sleep for Babies, Kids, and Parents” (Rodale).

Crave consistency and predictability

For example, if your child cries out for you in the middle of the night and you habitually rock him back to sleep, you are imprinting that habit in your brain, Dr. Canapari explains adding that your own fatigue and stress actually increase the likelihood you will develop a counterproductive habit. “That’s why tired parents often fall into the same patterns over and over your tired brain forms habits to reduce your need to think,” he writes. Plus, your child falls into the habit of falling asleep in your arms or with you in the room, which can be tough to break.

So what’s the solution? Create new, healthy habits around everything involving your child’s sleep routine. “Routine” is the key word here. Children naturally crave consistency and predictability not just for sleep, but for most aspects of their day-to-day lives. Clear rules and expectations help reduce anxiety because your child knows what to expect, and therefore can help things run smoothly. A firm order of events around bedtime will allow you and your child to adopt good habits meaning you can turn on “autopilot” and follow a set plan.

In their books, Schneeberg and Dr. Canapari both delve into the nitty-gritty of how to create a solid bedtime routine, offering ways to tackle common problems, including night terrors, early wakings, and children who won’t sleep in their own beds. But before you can bring about positive change, it helps to understand where things went wrong. They highlight a few mistakes caregivers make and offer tips from Dr. Canapari and Schneeberg on how to fix them.

Order to fall sleep

“Lay down with me.” “Stay here.” It can be hard to resist a pleading child at bedtime, especially if you are desperate to get your child down so you can do household chores, relax, or sleep yourself. But if you give in to your child’s wishes and stay with him until he drifts to sleep, you are inadvertently training him to rely on your presence in order to fall asleep. You may also be snuggling, rubbing his back, or singing a lullaby. Such “sleep crutches” or “sleep props” become habits for you and your child, Schneeberg says.

Plus, your child can become so accustomed to your being there at bedtime that if he wakes up in the middle of the night, he’ll need you to return to sleep.  Teach your child how to “self soothe” and fall asleep independently, Schneeberg says. Place a basket next to your child’s bed and fill it with calm, quiet activities he can do on his own. For example, include chapter or picture books depending on age and reading ability a few stuffed animals or action figures, some paper, and crayons. Add a flashlight or headlamp to the basket so he does not need to turn on a bright light.

The idea is for your child to have items that are fun but not too stimulating and that can be played with in bed until he is drowsy enough to fall asleep. This, Schneeberg says, is a good habit to form and one adults often use themselves. If your child protests, be gentle (but firm) and tell him you are confident he can fall asleep on his own and that you will not be far away.

Handle curtain calls

Whether it is suddenly claiming they are starving or that the bed covers are hot, itchy, or just are not “right” in some other way, kids are masters at coming up with reasons they can not sleep. Schneeberg calls these “curtain calls” (if the child comes out of the bedroom to report these complaints) or “callbacks” (if the child calls the parent back to her room).

Solution: Dr. Canapari and Schneeberg suggest simple reward systems as a way to handle curtain calls and callbacks. For example, Dr. Canapari says you could give your child a “bedtime pass” each night, which allows her to come out of her room and make one request (a glass of water, quick story). If she does not use the pass, she gets a small reward the next morning.

Dr. Canapari suggests decorating the card with glitter or laminating it to make it fun. Also, if your child typically makes four curtain calls a night, you may want to start by handing out three passes a night and gradually reduce the number. The key is to set your child up for success, he says. Explain the reward system to your child in advance. In fact, you may want to consider rehearsing the entire bedtime routine, rewards and all, during a calm part of the day, Dr. Canapari advises.