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Insomnia in Children: Care Instructions

Overview

Insomnia is the inability to sleep well. Insomnia may make it hard for your child to get to sleep, stay asleep, or sleep as long as needed. This can make your child tired and grouchy during the day. It can also make your child forgetful, less effective at school, and unhappy.

Insomnia can be linked to many things. These include health problems, medicines, and your child's thoughts and behaviours that interfere with sleep.

Your doctor may work with you to find the cause of your child's insomnia. Your doctor can recommend steps you can take that may help your child sleep better.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Your doctor can suggest things that you can try at home. They are based on your child's age and what might be causing the insomnia.
  • If your child is older, your doctor may recommend cognitive behavioural therapy for insomnia. This can include changing thoughts and behaviours that interfere with sleep.
  • If your doctor suggests it, try to have a bedtime routine to help your child get ready for bed and sleep.
  • Help your child get regular exercise.
  • If your doctor prescribes medicine, have your child take it exactly as prescribed. Call your doctor or nurse advice line if your child has any problems with a medicine.

Bedtime routine

  • Do not let your child have food or drinks with caffeine, such as soft drinks, iced tea, or chocolate, for 8 hours before bed.
  • Do not let your child eat a big meal close to bedtime. If your child is hungry, let them eat a light snack.
  • Do not let your child drink a lot of water close to bedtime, because the need to urinate may wake up your child during the night.
  • Do not let your child read, watch TV, or use electronic devices, such as smartphones and tablets, in bed. Use the bed only for sleeping.
  • Make your house quiet and calm about an hour before your child's bedtime. Turn down the lights, turn off the TV, log off the computer, and turn down the volume on music. This can help your child relax after a busy day.
  • Have your child go to bed at the same time every night and wake up at the same time every morning.
  • Keep your child's bedroom quiet, dark, and cool. It may help to remove the TV, computer, and other electronic devices from your child's room.
  • Have your child sleep on a comfortable pillow and mattress.
  • If watching the clock makes your child anxious, turn it so your child can't see the time.
  • If your child worries when going to bed, have your child start a worry book. Well before bedtime, have your child write down their worries, and then set the book and concerns aside.

When should you call for help?

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse advice line if:

  • Your child continues to have sleep problems.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.