However, to help minimize common sleep problems, a parent should develop consistent bedtime and regular bedtime and sleep routines for children. Parents often find that feeding and rocking help an infant to get to sleep. However, as the child leaves infancy, parents should encourage the child to sleep without feeding and rocking. Otherwise, the child will have a hard time going to sleep alone.

Nightmares are relatively common during childhood. The child remembers nightmares, which usually involve major threats to the child's well-being. Nightmares, which begin at a variety of ages, affect girls more often than boys. For some children nightmares are serious, frequent, and interfere with restful sleep.

Sleep terrors, sleepwalking, and sleep talking constitute a relatively rare group of sleep disorders, called "parasomnias." Sleep terrors are different from nightmares. The child with sleep terrors will scream uncontrollably and appear to be awake, but is confused and can't communicate. Sleep terrors usually begin between ages 4 and 12. Children who sleepwalk may appear to be awake as they move around, but are actually asleep and in danger of hurting themselves. Sleepwalking usually begins between ages 6 and 12. Both sleep terrors and sleepwalking run in families and affect boys more often than girls.

Most often, children with parasomnias have single or occasional episodes of these disorders. However, when episodes occur several times a night, or nightly for weeks at a time, or interfere with the child's daytime behavior, treatment by a child and adolescent psychiatrist may be necessary. A range of treatments is available.

Sleep wake reversal may occur in some teens and may cause problems with daily life. Sleep can also be disturbed by mood disorders, substance abuse, ADHD, and anxiety.

Fortunately, as they mature, children usually get over common sleep problems as well as the more serious disorders (parasomnias). However, parents with ongoing concerns should contact their pediatrician or directly seek consultation with a child and adolescent psychiatrist.

The American Academy of Child and Adolescent Psychiatry (AACAP) represents over 6900 child and adolescent psychiatrists who are physicians with at least five years of additional training beyond medical school in general (adult) and child and adolescent psychiatry.

The Facts for Families^© series is developed and distributed by the American Academy of Child and Adolescent Psychiatry (AACAP). Facts sheets may be reproduced for personal or educational use without written permission, but cannot be included in material presented for sale.

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Copyright © 1997 by the American Academy of Child and Adolescent Psychiatry.

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