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5 - Sleep problems in childhood and adolescence

from Factsheets for parents, carers and anyone who works with young people

Published online by Cambridge University Press:  02 January 2018

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Summary

How much sleep does a child need?

The amount of sleep needed gradually decreases from infancy to adulthood. Every child is different but as a general rule of thumb:

  • • toddlers need about 12–14 hours’ sleep (including daytime naps)

  • • pre-schoolers (aged 3–5) need 11–12 hours’ sleep

  • • school-age children need 10–11 hours’ sleep

  • • teenagers need 9–10 hours’ sleep.

  • Why can't my child sleep?

    There can be different reasons.

  • • Very young children often fear being left alone at night. This is called ‘separation anxiety’ and is normal at a young age.

  • • Bedtime fears – many young children are afraid of the dark.

  • • Bad habits – napping too much during the day.

  • • ‘I'm not sleepy’ – you might find that when your child gets very tired, they get irritable, aggressive or even overactive (hence the phrase ‘overtired’).

  • Daytime sleepiness

    This can simply be caused by your child not getting enough sleep at night. They could be going to bed too late or having problems sleeping, for reasons described above.

    There are a number of less common reasons for daytime sleepiness.

  • Large tonsils and adenoids at the back and sides of the throat can cause breathing difficulties that can wake a child many times each night. The child may not remember waking up, but you may notice that they snore loudly and sleep restlessly. This is called obstructive sleep apnoea. An operation to remove the tonsils and adenoids may be needed.

  • Restless legs syndrome is a condition where the child complains of crawling feelings or ‘growing pains’ in their legs that make them want to keep moving them, which stops them getting to sleep.

  • Narcolepsy is an unusual condition that causes unpredictable attacks of sleep during the day. People with narcolepsy may also have sudden attacks of weakness – this is called cataplexy.

  • • In teenagers, drug or alcohol misuse is sometimes a factor.

  • • Some young people who have depression sleep more than usual.

  • Nightmares

    Most children have nightmares occasionally. These are vivid and frightening dreams. Children will usually remember the dream, and will need to be comforted so that they can get back to sleep.

    Type
    Chapter
    Information
    Mental Health and Growing Up
    Factsheets for Parents, Teachers and Young People
    , pp. 58 - 60
    Publisher: Royal College of Psychiatrists
    Print publication year: 2013

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