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ND Digital Library

Sleep

Sleep and the lack of it is a big topic for many parents. When your child has an additional need the likelihood of ongoing sleep problems is higher.

Some research says that about 80% of children and young people with additional needs have sleep issues.

Neurodivergent children may find bedtimes challenging because transitions, like moving from daytime activities to sleep, can feel overwhelming and disruptive to their routine. This shift can create anxiety or discomfort, making it harder for them to settle and prepare for sleep.

You are not alone and there is support and information available that can help you.

Taking care of yourself in whatever way you can is important. If you have a partner, plan ahead to share the broken nights. Try and make sure you are both getting the occasional longer stretch of sleep.

  • Are there family and friends who could help out sometimes?
  • Take any chance to nap. If your child is at school, nursery or has a sleep during the day it is tempting to use the time for chores. Resting when you can will benefit your physical and mental health.
  • Try mindfulness and meditation - some people find it helps to top up energy levels.
  • Eating well and getting exercise are habits that can help keep you well.

Talk to your GP and professionals involved in your child’s care. They can help assess your child’s sleep challenges and support you too. There may be more help available for you and your family.

Dive Deeper

Bedtime Routines

Lack of sleep can significantly impact the entire family, affecting both physical and mental health. When you and your child are sleep-deprived, everyday tasks can feel much more challenging. Establishing a predictable, calming bedtime routine can be especially beneficial for neurodivergent children, as many thrive with structure and routine.

A helpful starting point is to follow the general sleep advice provided to all families.

Bedtime Routines

  • Start at the same time each night
  • Have quiet, screen-free playtime
  • Bath
  • Snack, drink and story time
  • Try and keep the wake-up time the same – even after a bad night

If your child does not settle – go to them and reassure them that you are nearby and leave the room as soon as they are calm again. You might have to repeat this many times but will build their confidence that you are there when they need you.

Keep to it even if you don’t think it is making a difference – routines take time.

Supporting Bedtime Routines

  • Talk to your child about what is going to happen – some children understand this better if you have pictures of the different stages of bedtime. 
  • Make the bedroom a calming place to be. Don’t use it as a place for ‘time outs’. Bedrooms should be a place your child likes to be.
  • Try a clock that changes colour to show when it is nighttime or morning. This works well for children and young people who cannot tell the time yet or for those who need a visual reminder.
  • Keeping their bedroom environment free from clutter, dark and at an ambient temperature to avoid overstimulation.

What Else Can I Try?

If your child is struggling to sleep, the following ideas could be helpful:

  • Get in touch with parent support groups for children with similar additional needs to your child. This can be a good way to share challenges and find out how others cope.
  • Keep a sleep diary – this can help you spot patterns. Are there some events, foods activities that make for better or worse nights for your child? Your child may be especially sensitive to sights, sounds, feelings and sensations.
  • Make sure they are not hungry or thirsty before bed. Avoid sugary or caffeinated snacks or drinks, especially in the evenings.
  • If sleep issues have been ongoing, they’re likely to affect your wellbeing. If you’re still struggling, reach out to any team member working with your family for additional help, or contact Just One Number for advice.

Diet & Sleep

Diet can be a factor in children and young people's sleep difficulties, without even realising it. Eating habits, including the amount and type of food your child consumes before bed, can have a negative effect on their sleep and lead to night-time disruptions.

Overstimulation

Eating and drinking late at night can negatively affect your child's sleep as their stomach begins to digest food which can feel uncomfortable as they try to sleep. A light healthy snack an hour before bedtime such as wholegrains or fruit and vegetables will not affect sleep as much.  

Drinking caffeinated drinks or consuming foods with caffeine in them late in the day can stimulate your child's nervous system which stops the body from naturally relaxing at night. Caffeine can be found hidden in lots of foods like hot chocolate and chocolate bars. 

Encourage your child to stay hydrated throughout the day but try not to let them drink 1 to 2 hours before bedtime. This can help to avoid sleep disruptions during the night.

Melatonin

Melatonin is the natural hormone made by your body and released at bedtime to encourage you to feel less alert and ready for sleep. Some neurodivergent young people can have an irregular release of melatonin which can mean they do not produce it at the right times of the day, causing sleep difficulties.

Melatonin can be found in certain 'sleep-friendly' foods, but more research needs to be done on the amounts and the impact on sleep. Foods with a naturally rich source of melatonin can include:

  • Bananas
  • Almonds
  • Fish
  • Warm milk
  • Honey

Find out more about melatonin here

Creating the Right Environment

It's important to provide a room where your child feels calm and relaxed. You could try using some of these strategies to help them get a good night's sleep:

  • Close curtains / use blackout blinds at night time to make the room dark. Open curtains during the daytime.
  • Play ‘white noise’ (there are apps and toys for this) or relaxing music through the night.
  • Think about how you could reduce noise - use a thick carpet or rug, or move your child's bed away from the wall if there is noise on the other side. Let your child use earplugs if they are comfortable wearing them, or block out noise by listening to music through headphones.
  • Tucking in bedding can help children to feel safe and secure, and stops duvets or blankets coming off in the night.
  • Remove distractions, such as electric devices near the bed and pictures on the wall (unless your child finds these relaxing).
  • Remove labels from bedding and night clothes which your child might find uncomfortable.
  • Use scented oils that your child finds relaxing.
  • Memory foam mattress toppers and pillows could help them feel more comfortable in bed
  • Paint the walls a colour that your child likes - soft blue and green are often suggested as relaxing colours.
  • Using a sensory projector can help your child doze off as they follow the shapes, although some neurodivergent children could find this over-stimulating.
  • Weighted blankets can be helpful for some children, but always check the guidelines to get the correct weight for your child.

Oversleeping

While many children and parents struggle with lack of sleep, it can also be a problem if your child sleeps too much.

If the additional stress of coping with neurodiversity leads to exhaustion, children might tend to oversleep or need excessive naps during the day - a condition known as hypersomnia.

You could try:

  • Making sure they have a consistent sleep schedule and wake up at the same time every day.
  • Encouraging them to take part in physical activity during the day, as this can help to regulate sleep patterns.

Downloads

Sleep Diary Template

Download

Sleep Hygiene

Download

Neurodivergent Sleep

Download

Sleep Service

Website

Online Course for Parents of Children with Additional Needs

This online course is for parents with a child with additional needs. It is for parents, relatives and friends of children who may have a physical or learning disability or who may have autistic traits. This short course will help you learn about:

  • Understanding and responding to your child's feelings
  • Self-regulation & anger
  • Communication and tuning in
  • Having fun together

Sign up for FREE with access code: JON70

Find out more

Let us know what you think!

We've been working together in Norfolk and Waveney with families and professionals to put together information, advice and resources that are helpful to families. Let us know what you think, and anything we could change or add to make it even better.

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Who Can Help?

If you live in Norfolk

  • You can contact the Healthy Child Service team by calling Just One Number on 0300 300 0123 or texting Parentline on 07520 631590. Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays) and 9am-1pm on Saturdays.

  • If you are 11-19 you can text ChatHealth on 07480 635060 for confidential advice from one of our team.

If you live in Waveney

Norfolk SEND Local Offer provide information and advice on services for young people with additional needs in Norfolk.

Suffolk SEND Local Offer provide information and advice on services for young people with additional needs in Waveney.

Mencap is a national charity who support people with learning disabilities. They offer a free Learning Disability Helpline with advice and guidance. Call 0808 808 1111 to speak to a trained professional.

Kooth offers online counselling, advice and emotional well-being support for anyone aged 10-18, seven days a week until 10pm. 

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