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sleep
problems at this age usually involve having a late sleep phase.
teenagers will commonly stay up late on the weekends and then
sleep in the next day, sometimes until noon. this carries
over into the school week and can cause difficulty falling
asleep at a proper time on school nights.
it is now well known that being sleep deprived can lead to
behavioral and attentional problems in school, so it is important
that your teen gets enough sleep.
how much
sleep should your teen be getting at night? usually about
8-9 hours, with younger teens, aged 13-14 years, needing about
9 hours and older teens about 8.
one way
to prevent sleep problems and a late sleep phase is to encourage
a routine of falling asleep and waking up at about the same
time each day, including weekends and vacations.
it can
also help to avoid a lot of drinks with caffeine and give
your child responsiblity for going to sleep and waking herself
up.
one usual
suggestion, to make a child's bedroom a sleep-only zone, doesn't
usually work because teens often need some privacy and time
away. it may help to make the bed a sleep-only zone, with
your child not watching tv, reading or doing other things
while in bed.
also,
if your child can't fall asleep after 10-15 mintues in bed,
you might recommend that she get up and do something else,
like read a book or write in a journal. watching tv or listening
to the radio should be discouraged if she is having trouble
sleeping or as part of a bedtime routine.
late
sleep phase
as treatment to fix a late sleep phase, it is sometimes necessary
to allow your teen to stay up until the time that she easily
falls asleep. this might be midnight or 1 am. you can usually
find this time by seeing what time your child eventually falls
asleep. many children with a late sleep phase will lay in
bed for hours until the time that they will naturally fall
asleep. according to dr. ferber, in his book solve your child's
sleep problems, these children will have a 'consistent (but
late) time of falling asleep.'
once your
child gets in the habit of falling asleep quickly at her natural
bedtime, you can then move her bedtime back by 10-15 minutes
every 3-4 days. during this time, you should insist on a regular
morning wake up time to get ready for school and on weekends
too.
the alternative
is to start in the morning and allow your child to sleep in
until her natural wake up time. you can then begin to wake
her up 15 minutes early every few mornings. this will likely
make her more tired in the evening and she will gradually
begin going to sleep earlier. this technique is more difficult
if your child has to wake up early though to go to school,
but might work over a school break or summer vacation.
either
method should help move her to a more regular sleep cycle.
if your
child has a very late sleep phase, perhaps falling asleep
at 4 or 5 am, dr. ferber describes another method where your
teen goes to sleep even later, as you try to shift her sleep
schedule to a more normal time. so the first night, instead
of 4 or 5 am, she might have to stay up until 7 am and then
wake up at 3 pm. the next night, she would stay up until 10
am and wake at 6 pm and she would continue to shift her sleep
and wake up night until she got to a more normal schedule.
sleep
medications
in general, sleep medications are discouraged from being used
routinely in children. drugs, like benadryl, an antihistamine,
may help your child fall asleep, but she may be groggy the
next day and the sleep problems will likely return once she
stops taking them.
if your
child has a sleep problem and other medical problems, like
cerebral palsy, autism or learning problems, then melatonin
might help your child sleep better.
sleep
problems are also common in kids with adhd. it is important
to try and figure out if these sleep problems, especially
if your child has difficulty falling asleep, are a side effect
of any adhd medication he might be taking, such as ritalin
or adderall, or if their sleep problems might be contributing
to their attentional and behavioral problems.
also if
your child has other medical problems, like depression or
if he is very aggressive and has emotional or behavioral problems,
then the medications that treat these disorders, like antidepressants,
clonidine and risperdal, can also help your child to sleep
better.
medical
causes of sleep problems
it is also important to recognize that sleep problems can
be a sign of more serious conditions, like depression, drug
use, obstructive sleep apnea, and school avoidance. if you
aren't making progress with your child's sleep problems and
it is affecting her school work or behavior, a visit to your
pediatrician would be a good idea, especially if you suspect
that she might be depressed or have some other cause for her
sleep problems.
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