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Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders

Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders. V. Mark Durand, Ph.D. USF St. Petersburg. Developmental Issues. By 3 months - you can fade nighttime feedings By 6 months - infants can sleep through the night. Different devices Brightness controversial.

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Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders

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  1. Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg

  2. Developmental Issues • By 3 months - you can fade nighttime feedings • By 6 months - infants can sleep through the night

  3. Different devices Brightness controversial Bright Light Therapy

  4. Can effect circadian rhythms and initiate sleep Temporary effects No long-term outcome studies Melatonin

  5. Assessing Sleep Problems • Polysomnographic (PSG) evaluation - includes assessment of airflow, leg movements, brain wave activity, eye movements, muscle movements, and heart activity

  6. Establish a set bedtime routine Develop a regular bedtime and a regular time to awaken Eliminate caffeine 6 hours before bed Limit alcohol Try milk Eat a balanced diet Do not exercise at bedtime Exercise earlier Restrict activities in bed The Good Sleep Habits Checklist

  7. Reduce noise in the bedroom Reduce light in the bedroom Avoid extreme temperature changes in the bedroom The Good Sleep Habits Checklist

  8. Graduated Extinction • Gradually increase the time between visits to the child’s room. • Parents are still allowed to check on their child, but are not allowed to pick up their child. • They are asked to keep interactions to a minimum.

  9. Scheduled Awakening • The parent arouses and consoles the child 15-60 minutes before a typical sleep interruption. • Upon elimination of the sleep problem, the scheduled awakenings are gradually reduced.

  10. Sleep Restriction • The new sleep time for the child should be approximately 90% of his/her previous average sleep time. • Adjust bedtime or time child is awakened to create new schedule. • For each successful week, adjust schedule by 15 minutes.

  11. Sleep Better! • Comprehensive coverage of sleep problems and their treatments • Written for families

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