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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.
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Written by Robert Brayden, MD, Associate Professor of Pediatrics, University of Colorado School of Medicine.
Copyright © 2006 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved.
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© 2008 Texas Children's Hospital
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