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Dr. Michael J. Breus

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Back to School (and Back to Sleep)

Posted: 09/04/10 09:00 AM ET

As summer is coming to an end and fall is right around the corner, for many parents it is that time of year again: back to school.

If you are a parent, and your child is getting ready to return to school after a long stretch of vacation time, you know that that the first week is typically a serious struggle. Ever wonder why? A few reasons:

  • If you have a teenager, their body clock naturally wants to stay up later and sleep in later so you are really going against nature on that one.
  • If your child had a later bedtime over the summer than during than the school year, their sleep pressure (like hunger, but for sleep) is less earlier in the evening rather than later, and going to sleep at their "school year" bedtime will be harder.

  • Finally, remember there is always an adjustment period to any big change and it is often pretty painful.

  • So how much sleep should your child get?

    • Toddlers ( 1-3 years): 12-14 hours of sleep, once they reach 18 months, naps will decrease to once per day
    • Pre-Schoolers (3-5 years): 11-13 hours, they usually lose their nap by age 5
    • School-aged Kids (5-12 years): 10-11 hours
    • Teens (13-19 years): 9-10 hours


    Here are a few tip and tricks I have used with my patients over the years to make the transition from summer to school a bit smoother:


    • About two weeks before school starts, have your child go to bed 15 minutes earlier than they normally do, then after three days of this make it 30 minutes and so on, until they are within 30 minutes of what should be their normal bedtime.


    • Begin to limit or eliminate caffeine intake by about 2:30 p.m., many people do not know that caffeine can stay in your system for 10 hours (this includes energy drinks as well). Check the label on some vitamin waters -- they may have caffeine.


    • Even if you cannot get your children to go to bed any earlier (which you really should try) get them waking up closer and closer to their school time wake up time. This will help provide an anchor to their already shifting biological rhythm.


    • Exercising each day will certainly help their sleep, so keep them outside as long as you can (use sunscreen) and in the pool so they will be nice and tired (particularly for younger children) for bed. Remember to make the bedroom dark, as in many cases you may be asking them to go to bed before the sun has completely set.


    • If they are into electronics in the evenings, start to have them "unplugged and powered down" an hour before bed. Have them relaxing, reading, and getting back into a bedtime routine.


    Next blog: Pre-sleep video game playing...

    Sweet Dreams,

    Michael J. Breus, PhD
    The Sleep Doctorâ„¢
    www.thesleepdoctor.com

     
     
     

    Follow Dr. Michael J. Breus on Twitter: www.twitter.com/thesleepdoctor

As summer is coming to an end and fall is right around the corner, for many parents it is that time of year again: back to school. If you are a parent, and your child is getting ready to return to sch...
As summer is coming to an end and fall is right around the corner, for many parents it is that time of year again: back to school. If you are a parent, and your child is getting ready to return to sch...
 
 
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HUFFPOST SUPER USER
r81801
08:51 AM on 09/08/2010
Many High Schools have early start times that make it almost impossible for teens to get enough sleep. My son has to leave at 7am for school (earlier if by bus), so has to wake at 6. To get 9-10 hours of sleep (the amount of time he naturally slept all summer), he has to be asleep by 8 or 9pm. What teen will go to bed that early?! I am working with the school board to make a High School start time change for our district. There's tons of data showing later start times help teens do better academically, as well as many other benefits. Let's change this nationwide.
09:50 AM on 09/06/2010
It has always been incredibly difficult to get my 7-year-old son to sleep. We've tried all the tricks...milk before bed, no electronics in the evening, snacks, no snacks, singing, nightlights, no lights, bedtime stories, you name it, etc. We keep strictly to a routine throughout the day. Still, almost every night is a battle to get him to sleep.

Turns out, he was diagnosed last year with Asperger's. Kids with AS (or autism generally) have a real problem experiencing the physical sensation of falling asleep. It is a HUGE shift or transition from one state of awareness to another and kids with AS have difficulty with any transition. Many parents of autistic and AS kids find that putting VERY heavy bedclothes on the bed (like specially weighted blankets) helps their kids finally fall asleep.

I'm not suggesting that all kids with sleeping issues have autism or Asperger's, but if your kid is like mine and NONE of the sugggestions seems to work, it might be worth considering. I always felt like a "bad parent" because I would read articles like these and it just feels like you aren't "doing it right" or your kid wouldn't have problems.
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07:06 PM on 09/06/2010
It's true that both disorders like autism or Asperger's can affect a child's sleep. The opposite is also true....many children exhibiting symptoms of ADD or ADHD actually a sleep disorder that is disrupting their sleep--leading to the behavior problems. Fortunately, most of these issues can be corrected with either behavioral changes or surgery to remove tonsils & adenoids.

I would also point out that adults with sleep apnea will often feel irritable or depressed during the day due to the sleep disruption.
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HUFFPOST SUPER USER
Vivian Alicia Evans
07:59 PM on 09/05/2010
Great advice, but I wish I had read this blog about 2 weeks ago. Luckily my son wakes up at about the time he needs to for school so the only one who will suffer is good old mom and I'm a night owl anyways.
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02:19 PM on 09/05/2010
Great advice on sleep! It should be noted that ADULTS also need 9-10 hours of sleep (not the popular 7 or 8) to be at optimum health. There may be variations but on the whole, we are generally a sleep deprived nation. More sleep equals better health, lower/healthier weight, less stress, longer life. Fitness expert Robb Wolff has said one should get as much sleep as possible without losing your job or getting divorced.
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HUFFPOST SUPER USER
dana94591
12:56 PM on 09/05/2010
As an elementary school teacher I want ALL of my parents to read this article! SLEEP is important! I see students with their heads on their desks at 10:00 a.m. due to lack of adequate hours of sleep! When I student falls asleep at 9:00 I know that there is a problem! Please read this!!
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bthechangeyouseek
12:58 AM on 09/06/2010
and a lack of something for breakfast.
HUFFPOST SUPER USER
copestir
06:32 PM on 09/04/2010
Physical exercise that is relaxing and non-competitive. We used to go for an hour walk or bike ride. Some times we would take our bird watchng book. Some time we would ride our bike over to feed the ducks. We were lucky to live in a neighborhood with parks.
03:06 PM on 09/04/2010
We have tried something that really works! We get the children in bed at 8:00 and, once the lights are out and everybody is lying on their pillow, I sing for 15 minutes. I sing soothing songs and hymns, and they are snoozing within a few minutes. I wonder if there's research about this somewhere; all I know is it works for my children. http://www.livewithflair.blogspot.com/
04:20 PM on 09/04/2010
That sounds magical. I'm sure it works well too.
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WYHKTai-Tai
Wyoming, Hong Kong, Tai-Tai
06:28 AM on 09/06/2010
OOOHH! That brings back memories! I used to do that with my boys when they were little. Now they're tweens and don't want to hear me sing. We read or lie in the dark and listen to books on tape for about 1/2 hour before their sleep-time. There are some GREAT ones on itunes.
12:54 PM on 09/04/2010
My daughter maintained their regular bed time sleep schedule all summer long. Her children (4) range from 7 to 13. Consequently she has not had a problem getting them up, She also kept them busy all summer by going to the beach and camping every weekend. Fairly cheap to do and they had a lot of fun. They have all lost weight (a couple of them had gained weight over the school year), have good healthy skin tones and have realized they feel better than they did.