By V. Mark Durand
Many young ones adventure sleep difficulties and their mom and dad frequently search aid for what could be a nightly disruption to the complete family members. trouble getting an outstanding night's sleep may also effect a kid's functioning in the course of the day. additionally, sleep difficulties usually accompany and will give a contribution to different problems. regardless of universal trust, kids don't easily 'grow out of' so much sleep difficulties. whereas drugs are frequently prescribed, they could have critical side-effects and feature no longer been confirmed potent in little ones. besides the fact that, there's greater than two decades of mental examine helping non-pharmacological interventions for kid's sleep difficulties. This accomplished advisor presents intervention innovations for a large choice of sleep difficulties, together with bedtime disturbances, evening waking, sleep terrors, and nightmares. It additionally addresses sleep hygiene, bedwetting, and different sleep-related concerns. It makes use of a modular structure, beginning with a radical evaluation of the kid's sleep difficulties and the family's skill to interfere. each one intervention module outlines the way to tutor households in picking an intervention and sporting it out effectively. A better half workbook for fogeys comprises distinct steps for intervention, in addition to recording varieties for sleep and behaviour. Used as a stand-alone administration software for pediatric sleep difficulties or as a part of remedy for different youth problems, this consultant is an important source for clinicians.
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Extra info for When Children Don't Sleep Well: Interventions for Pediatric Sleep Disorders Therapist Guide Therapist Guide (Treatments That Work)
No Yes Conduct Module 7 sessions Is bedwetting a problem? No No Are nightmares or sleep terrors a problem? 3. Decision-Tree for Sleep Interventions 37 This page intentionally left blank Module 2 Good Sleep Hygiene This page intentionally left blank First Session Improving Sleep Hygiene (Corresponds to chapter of the workbook) Materials Needed ■ Completed Albany Sleep Problems Scale (ASPS) ■ Completed Sleep Intervention Questionnaire (SIQ ) ■ Completed Sleep Diary ■ Completed Behavior Log ■ Set agenda ■ Review homework ■ Discuss importance of good sleep habits ■ Discuss age-related sleep needs ■ Identify sleep hygiene problems and suggest changes ■ Help family prioritize sleep hygiene issues ■ Assign homework Outline Setting the Agenda Provide the family with an overview of the session as well as the expectations for the homework.
If they did not follow through with record-keeping, try to get them to recall the previous week’s episodes as best as they can. Lack of data-keeping can be the result of a busy week, or it can be a sign that the family may not be able to carry out sleep interventions. This concern will be assessed later in the session when you administer the Sleep Intervention Questionnaire. Use the parent’s partially completed Sleep Diary to calculate how long, on average, the child sleeps each day (combining both nighttime and daytime sleeping).
Yes → Instruct the family to: ■ Avoid any activity in bed other than sleeping or routines leading up to sleeping . Does the child sleep poorly in her own bed, but better away from it? Yes → Instruct the family to: ■ Avoid any activity in bed other than sleeping or routines leading up to sleeping ■ Follow bedtime routines and the other good sleep habits . Does the child consume caﬀeine in any form? Yes → Instruct the family to: ■ Reduce the amount of caﬀeine used by the child during the day (including soda, chocolate, nonprescription drugs) ■ Eliminate all intake of caﬀeine at least hours before bedtime .