Sleep Misbehaviors: Overview
Climbing Out of the Crib
- Premise
Once a child climbs out of a crib with the springs on the
lowest setting, he or she will definitely try to climb out
again and eventually will fall and possibly get hurt.
- Response
Correct this hazard on the same day your child climbs out. One
solution is to put your child's mattress on the floor. Another
is to leave your child in the crib with the crib railing down
and a chair next to the bed so he or she can easily get out.
Eventually you can transfer your child to a floor-level bed.
Nap Refusal
- The rule
"Don't leave your room during quiet time." Every day after
lunch, you or your child's caretaker can expect him to spend 60
to 90 minutes resting in his room. During this time he may
read, but may not turn on the radio or TV.
- Discipline technique
Return your child to his room if he comes out before 60 to 90
minutes are up. If he comes out a second time, close the door
temporarily.
Bedtime Negativism
- Examples
Your child refuses to put on her pajamas, lie down, close her
eyes, or stay in bed.
- The rule
"Stay in your bedroom after we put you to bed."
- Discipline technique
Natural consequences. Your child will eventually become tired
and go to sleep. Your child can't be forced to fall asleep.
Insisting on any of the actions mentioned above is unnecessary
- it doesn't matter if your child sleeps on the floor in her
daytime clothing.
Playing and Talking in the Bedroom After Bedtime
- The rule
"After bedtime you have to be quiet so that your mind will be
able to go to sleep."
- Discipline technique
Logical consequences. For every night that children stay up,
fight, play, or make noise, they will be put to bed 15 minutes
earlier the following night. If one child in particular tries
to keep the other one up, that child can be sent to bed 1 hour
earlier.
- Praise
Praise your children the following morning for going to sleep
without a fuss.
Wandering or Prowling About During the Night
- Examples
Some children awaken during the night and move about the house
getting into trouble. They may raid the refrigerator or leave
it open. They may watch TV, or turn on the stove or water
faucet. Unlike sleepwalkers, they are awake.
- The rule
"If you wake up during the night, except for going to the
bathroom, you have to stay in your room."
- Discipline technique
Nighttime restriction to the bedroom. Because of the safety
issues, until children are safety-conscious (namely, at age 4
or 5), they need a barricade to keep them in their bedrooms.
This can be a gate, plywood plank, or locked door. A chain lock
(hotel lock) can keep your child in the room, yet allow him to
open the door partially in case he needs to cry out for
someone. If your child is one who needs to urinate during the
night, a pot can be placed in his room. After 4 years of age
most children will stay in their rooms if they awaken early and
have been told they're expected to stay and play quietly.
Sleeping with the Parents
- The rule
"Stay in your room during the night. Starting tonight we sleep
in separate beds. We have our room and you have your room. You
have your bed and we have our bed. You are too old to sleep
with us anymore." Since many normal children sleep with their
parents during the early years, the parents must decide if they
want to discourage it.
- Discipline technique
If your child crawls into your bed, she should be sternly
ordered back to her own bed. If she doesn't move, she can be
escorted back immediately without any conversation. If your
child usually doesn't awaken you when she crawls into your bed,
use a signaling device that will awaken you if your child
enters your bedroom (for instance, a chair placed against your
door that will fall when it is moved or a loud bell attached to
your doorknob). Some parents simply lock their bedroom door.
Another approach is to put a barrier in front of your child's
bedroom door.
Wanting to Choose His or Her Own Bedtime
- Assumption
Adolescents should be able to take care of their own sleep
requirements before going off to college.
- The rule
"Stay up as late as you want, but it's your responsibility to
get yourself up in the morning with an alarm clock and to get
to school on time. Also, you can't make any noise after the
rest of the family has turned in."
- Discipline technique
Natural consequences.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2002-03-05
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
© 2009 RelayHealth and/or its affiliates. All Rights Reserved.