Sleep and ADHD

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Written by Peggy Dolane   
Sunday, 21 September 2008
aADHD makes i hard for some children to get a good night's sleepDid you know that having trouble falling asleep is not unusual for children who have ADHD?  Here is my family's story about how we  helped our daughter learn to fall asleep.

Three years ago my seven-year-old daughter was diagnosed with ADHD.  Looking back on it, difficulty falling sleep was one of the significant symptoms of her ADHD.  From day one, she just didn’t go to sleep as easily as her older brother.  She would lie in her crib, clearly tired, singing to herself for up to an hour every night.  Often you’d find her sitting up in her crib asleep.  

Once we moved her to a big-girl bed, sleep became a major issue.  She just couldn’t seem to let go at the end of the day.  The more tired she was, the harder it was for her to go to sleep.  Exhausted, she would have major tantrums at night.  And she refused to stay in bed.  If I didn’t sit right outside her door until she fell asleep, I’d find her in the smearing strawberry jam like finger-paints on the refrigerator door.  Or happily sprinkling all of my spices throughout the kitchen.  (Do you have any idea how hard it is to get a turmeric stain out?) 

More nights than I care to remember, she would wind up in a hysterical tantrum that only ended when she was spanked.  Somehow that worked to send her off to sleep.  Traveling was very difficult for our family.  We had to book two hotel rooms so at least half of our family could get some sleep.  She would be up until 1 or 2 in the morning every night.

I read every book on sleep to help her.  But nothing worked.  Desperate we consulted with a psychologist who worked with us on a very strict sleep regime with no results.  During this time she was diagnosed with ADHD and I read that sleep disorders are common with children who have ADHD.  I found an article that said that Melatonin was a helpful, natural, supplement that many people with ADHD use to fall asleep. 

If you had asked me before raising my daughter if I’d consider giving my child medication to help her sleep, I’d have said, “no way!”  I remember as an adolescent lying awake at night, tired, unable to sleep and my mother having me tough it out.  That’s just what you do.  But we were desperate.  No one wants to spank their child to sleep at night.  And I knew we had done everything we could, read every book, tried months of expert-led behavioral therapy.  Worst of all, bedtimes were damaging my relationship with my child. 

At our next visit, our psychiatrist affirmed that many of his patients took Melatonin daily to sleep.  So with mixed emotions, we tried it.  The very first night we saw a dramatic improvement.  The child that regularly took an hour or more to fall asleep immediately lay down and slept.  Quietly.  With no fuss.  Within three weeks she was sleeping 11 hours a night instead of 10 and her evening tantrums had dramatically decreased.  I started being able to enjoy being around my child at bedtime.

Two years later we are still giving her Melatonin every night.  Does she still need it?  You bet she does.  One night last week, I forgot to give it to her.  She quietly played in her room for two hours.  I didn’t even know she was awake until I went to check on her before going to bed myself at 10:30.  At that point she was overtired, so it took her another hour to fall asleep after I gave her the Melatonin. 

I’m not a doctor, so I would urge anyone who is considering using Melatonin to consult with their pediatrician first before trying Melatonin.  I have heard that Melatonin can give some people nightmares, but that hasn’t been our experience.  I do know that problems with sleep for children who have ADHD and not uncommon.  Over at Café Mom's ADHD support groups, you’ll frequently find mother’s who are struggling with a child who can’t sleep and mothers who found Melatonin was the only thing that worked.  For our family, I’d call it a life saver. 

Links:

About.com and Family Doctor are two good places to start to learn more about the symptoms of ADHD.

Learn about Melatonin

Helpful books about ADHD

Support:  CHADD (Children and Adults with Attention Deficit Hyperactivity Disorder) or CafeMom (search ADHD)

More about helping your child sleep see Pick Nick’s Brain 
Comments
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autismfamily     |2008-11-04 00:34:16
avatar My 13 yr old has been taking one chewable melatonin (found at trader joes), he seems to like the flavor, every night at 8 pm since he was five years old. I think once a few months ago he had a nightmare, first time.
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Tags:  ADHD sleep pediatric sleep disorder AD/HD sleep Melatonin ADHD and sleep sleep and ADHD
 
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