Sleep disturbances can affect the whole family. Recent studies have shown that between 50-80 percent of individuals with autism experience some form of sleep disturbance. 81 percent of individuals with sleep disturbances have been linked with increased rates of acting out behavior during the day. The constant struggle to get to sleep and stay asleep increases family stress and causes a ripple effect throughout the next day. So what can you do to stop the bedtime headache?

At The Helm, many of our families share in this struggle. Many times, families will bring their concerns regarding sleep to our attention after years sleepless nights. It doesn’t have to be this way. With a few simple steps and a LOT of hard work and consistency parents can take back bedtime once and for all!

First thing is first. Before you start any sleep intervention it is important to rule out any underlying medical condition. Talk with your doctor to ensure that there are not medical reasons for the sleep disturbance. Once you get the all clear we are ready to start our four-step process!

1.     Identify an age-appropriate bedtime. For children under 9-years old it is recommended that bedtimes are between 7:30-8:00.

2.     Create a quiet “sleep only zone.” Bedrooms should be dark, cool, and reserved for sleeping alone. For children who are prone to sleep disturbances it is not recommended to co-sleep.

3.     Begin a soothing bedtime routine 30-minutes before bedtime. This should be the same activities every night. During this time there should be no electronics or stimulating physical activity. Here is a sample cool down routine for a three-year-old.

a.     Take Bath

b.     Brush Teeth

c.     Use Restroom

d.     Read Book

e.     Sing Song

f.      Good Night

The routine will be specific to your family, but should be the same every night.

4.     Commit to consistency. Nighttime can be chaotic. There is always so much to do, but being consistent with the routine has been linked to decreasing behavior and increasing confidence. We want to build fondness and sameness in the last thirty minutes before bed so children understand exactly what is going to happen. We find that a simple visual schedule can be helpful to ensure that your child knows what will be happening.

Behavior during the wind down routine is inevitable, but the more we stick to the schedule the easier it is to redirect and get back on track. When all else fails go back to the schedule.

Do you have questions about sleeping?  Contact us today and schedule and intake so we can help get your sleep back on track!

 

 

We have been a family blessed with the help of the team at The Helm. Our son was diagnosed with autism spectrum disorder when he was 2.5 and The Helm was one of the places recommended by our developmental psychologist. I am a physician and still found it hard navigating this new medical problem and knowing what to do next. I called many places and from step one Lee Ann was the most helpful explaining the process with paperwork, assessment, available services, insurance, etc. we were able to start therapy quite soon after diagnosis and had sessions at home daily for 3 hours. The quality of staff, the system they have in place for the therapists, the coordination by the BCBA supervising therapist and early response put us at ease that we were on the right path. Ultimately the steady positive changes we saw with our son overcame any fears we had about autism holding our son back for the rest of his life.

We used many forms of intervention that we felt were individually tailored for our family – for potty training, anger management, dietary intervention and even let them know when we could not maintain something suggested in family training, and they would just take our request and implement another plan. Our son has now graduated/transitioned out of therapy and is currently in pre-K in a regular classroom with him on par with his class in academics, has friends and no behavior issues. Most important of all we have a happy son who loves to play with his big sister.

I know that I will always read all there is on autism and watch my son for any features. But I hope my review adds to positive aspects that I wish someone would have told me when I started the journey – start early, don’t put off your suspicions, get your child evaluated now! The label does not hinder,  in fact it falls to the side once you have the diagnosis to facilitate therapy. ABA intervention, especially done with the right people, makes a big difference. It does not pressure or upset the child at all, and you are not stuck in therapy for life! I know if any behavioral issues come up in the future I have The Helm, and they will help us and the outcome is going to be positive. Said with heartfelt thanks.

– Former Helm ABA Family

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