Sleep Problems
Definition
Sleep problems are very common and around 40% of children at some point suffer from them.
They are also more prevalent in children with ADHD, learning difficulties or chronic paediatric illnesses.
Signs & Symptoms
There are many causes of sleep problems, it’s important to find the cause in order to treat the problem.
There are 3 types of sleep problems:
- Not sleeping enough (sleeplessness or insomnia)
- Sleeping too much (excessive sleepiness or hypersomnia)
- Episodic disturbances of behaviour related to sleep such as night terrors, sleep-talking, sleepwalking and nocturnal enuresis
Treatment Options
Treatment for sleep problems can vary depending on the cause.
In some cases medication may be required if it is related to airways constraints, occasionally melatonin may be prescribed to promote sleep but more commonly talking therapy is recommended.
Assessment Elements
- Some questionnaires may be required to be completed by yourself or other third parties (if you are in agreement)
- Detailed questions will be asked during the assessment process regarding the patient's history, presenting concerns and desired outcomes
- Any pre-existing letters or materials from other clinicians who have assessed or treated the patient may be requested
- There are a wide range of potential investigations that children and young people with sleep disorders may require such as blood tests and other investigations. However, investigations are not required in every case, and often a good clinical history is adequate. If further investigations are required Professor Paul Gringras will outline the evidence base for the investigation, time scale and costs. There are usually a range of options (eg sleep investigations in a hospital bed or in the young person’s home) and Professor Gringras will outline the pros and cons of each option
- Depending on the patient’s or family's medical history, further cardiac investigations may be required. If so, we can provide you contact details of trusted clinics where these can be undertaken, or you can ask your GP for a referral
- Weight, height, pulse and blood pressure may potentially be taken or requested (if applicable)
- Psychoeducation strategies offered and written resources provided
- If a sleep disorder is diagnosed then medication may potentially be discussed and prescribed (if consent obtained) during the assessment process and if there are no significant physical health concerns
- If medication is commenced, then regular 30 minute review appointments (approx. every 1 to 3 months) at our centre will be required to safely monitor the patient's progress
Our Sleep Problems Pathway
Read about our unique sleep problems pathway for:
Submit an enquiry using the button below. Our Enquiries Team will telephone you to discuss.
