Sleep

What helps

• Take devices out of the bedroom at night. A bright screen in a dark bedroom works against sleep. Charge devices in the kitchen overnight.
• Start winding down 30 to 45 minutes before bed. Go through bath, teeth, pyjamas, reading and low lights in the same order each night. The brain reads the sequence as “sleep is coming” and starts releasing melatonin, so it’s the predictability that makes it work.

Some tips to try

Short pieces from the library, and a first thing to try from each.

• The Body Too Awake for Bedtime. If your child is too wound up to sleep, slow yourself down at bedtime.
  • Put your phone in the drawer in the hall before you go in.
  theparentbook.com/quick-tips/the-body-that-will-not-settle
• The Early Riser. Some early waking can be changed and some can’t, and a two-week sleep diary will show you which you have.
  • Keep a two-week sleep diary and add up her sleep each day, naps included.
  • If you’ve tried all this for a few weeks and nothing has changed, or you’re too tired to cope, talk to your health visitor or GP.
  theparentbook.com/quick-tips/the-early-riser
• The Toddler Who Keeps Getting Out of Bed. Go back to her before she gets up, and when she does get up, take her back to bed without a conversation.
  • Go back with another kiss before she gets up, leaving longer gaps as she settles.
  • If a fortnight has changed nothing, or you’re too tired to keep going, talk to your health visitor or GP.
  theparentbook.com/quick-tips/the-toddler-who-keeps-getting-out-of-bed

The rest of each tip, with more to try and why it works, is in the library.

Something to do together

Reading in the same room. For the last twenty minutes before bed, everyone reads in one room, you included. Keep reading aloud to her for longer than you think she needs it.

What it is for. In our experience, slowing bedtime down helps more at the end of the day than starting a new routine. Reading beside her, or to her, slows the last half hour with you in the room.

• The first step. Slow down where you already are. Take the last twenty minutes before her bedtime, in the room you are in, with the light you already have.

Safety. A printed book, not a screen: screens off about an hour before bed. Small torches often take button batteries, which are dangerous if swallowed; with young children in the house, use ones whose compartment screws shut.

When to get help. If bedtime has stopped working for weeks, not just a few nights, or her sleep has changed along with a low or worried mood, talk to your GP. If something she says at bedtime tells you that someone is hurting her, that she is hurting herself, or that she does not want to be alive, stay calm, thank her for telling you, do not promise to keep it secret, and act that day, using the routes under “If you need help right now”, at the foot of every page.

The other four steps, and your part in it, are in the library.

If you want to read further

• The Hour Before Bed. For parents whose child’s bedtime has turned into an hour of worries, questions and meltdowns. theparentbook.com/reader/the-hour-before-bed
• Screen Time. For parents who have lost the argument about screen hours, and suspect it was never quite the right argument to have. theparentbook.com/reader/screen-time

Worth your time

• A book for you: Helping Your Child with Sleep Problems, Rachel Hiller and Michael Gradisar. Sleep researchers set out a CBT-based programme for school-age children, covering bedtime resistance, night waking, night-time fears and worries, with gradual methods parents can choose between. uk.bookshop.org/p/books/helping-your-child-with-sleep-problems-a-self-help-guide-for-parents-michael-gradisar/ffd16151003f621b
• A book to read together: Goodnight Moon, Margaret Wise Brown. A little rabbit says goodnight to everything in his room as the light fades. The slow, repetitive rhythm makes it an ideal part of a toddler’s bedtime routine. uk.bookshop.org/p/books/goodnight-moon-margaret-wise-brown/0071b9c0e7537a3b
• Something to watch: How to Encourage Good Sleep Habits in Kids | Child Mind Institute, Child Mind Institute, YouTube. A specialist explains the building blocks of good sleep for children, consistent bedtimes, wind-down routines and screens out of the bedroom, and what to do about night-time worries. www.youtube.com/watch?v=RyDiy_jXNBM
• Something to listen to: Helping Kids Build Healthy Habits for Better Sleep, Thriving Kids, 26 min. Clinical psychologist and sleep specialist Shelby Harris explains why sleep matters for children’s mood, learning and behaviour, and the small, compassionate changes that help a family sleep better. podcasts.apple.com/gb/podcast/helping-kids-build-healthy-habits-for-better-sleep/id1824322109?i=1000730973332

Who else can help

Most sleep problems are habits rather than illness. The GP is the right first call if snoring, pain or breathing are part of it, or if the pattern has changed suddenly.

• Your GP. The gateway to everything the NHS offers a child: paediatric assessment, a referral to CAMHS, and support for you as the parent. Ask for a double appointment. Describe the pattern over weeks rather than the worst single day, and say plainly what you are worried about. Bring a written list; the ten minutes go quickly. www.nhs.uk/service-search/find-a-gp
• Your child’s school. The pastoral lead, the head of year, or the form tutor. Free, already knows your child, and often the quickest way to get something changed at school. Before or alongside anything else. A school cannot act on what it has not been told, and what you bring is often what it did not have.

• The Sleep Charity. The UK’s only national sleep helpline, staffed by trained sleep advisers, covering children from a year old, including autistic and ADHD children, and teenagers. When nothing you have tried has worked and you want someone to look at the whole pattern with you. Charged at your standard call rate, not free. National Sleep Helpline 03303 530 541 · Mon-Thu 9am-11am; Mon, Tue and Thu 7pm-9pm; closed bank holidays thesleepcharity.org.uk/national-sleep-helpline
• NHS: mental health advice for parents and carers. The NHS’s pages for parents, in one place: anxiety, low mood, anger, bereavement, arguments with teenagers, exam stress, and how to talk about feelings. When you want the NHS’s own account before anyone else’s. www.nhs.uk/mental-health/children-and-young-adults/advice-for-parents

The full list for sleep, with what each organisation does and when it is the right call, is at theparentbook.com/help/sleep/services