Childhood Insomnia

Childhood insomnia is difficulty initiating and/or maintaining sleep or early morning awakenings. Types of insomnia include:

  • Acute insomnia — Sleep issues lasting less than three months
  • Chronic insomnia— Sleep issues lasting more than three months
  • Transient insomnia — Short-term; typically lasting less than one week

What causes childhood insomnia?

Childhood insomnia, or difficulty falling or staying asleep, can be caused by various factors, such as:

  • Stress and anxiety
  • Sleep environment
  • Screen time
  • Irregular sleep schedule
  • Underlying medical conditions
  • Mental health disorders
  • Poor lifestyle choices
  • Certain medications
  • Caffeine

What are the symptoms?

  • Excessive worrying about difficulty sleeping at night
  • Trying too hard to fall asleep
  • A decrease in daytime functioning
  • Behavioral changes, including irritability and a decline in school performance
  • Daytime fatigue
  • Excessive caffeine use 

How can I help my child?

  • Ask your doctor to refer your child to a sleep specialist who can help you further
  • Make sure you follow a healthy sleep practice, called “sleep hygiene”

Sleep hygiene

  • Have a set bedtime and wake time
  • Keep a consistent sleep schedule
  • Avoid electronics at bedtime
  • Establish a bedtime routine
  • Avoid caffeine
  • Create a good sleep environment
  • Avoid naps for children over 5 years old 

Diagnosis and treatment

  • Your sleep specialist will schedule an initial clinic visit to learn details about your child’s sleep issues
  • Depending on the evaluation, your sleep specialist may:
    • Ask you to fill out a sleep diary
    • Order a sleep study or polysomnography if an underlying sleep disorder is suspected
    • Prescribe medications