How do you approach the evaluation and treatment of insomnia in children?

The evaluation and treatment of insomnia in children requires a structured assessment of sleep patterns, contributing medical or behavioral factors, and the implementation of primarily behavioral interventions, with selective use of pharmacologic treatments.

Identify Sleep Complaint: Difficulty fall...

The evaluation of insomnia begins with a comprehensive history, including onset, frequency, duration, and symptom pattern (e.g., bedtime resistance, sleep-onset difficulty, or early morning awakening), as well as variability on weekends. Assessment should also address bedtime routines, pre‑sleep act...

Depending on the age and specific concern, I gather a comprehensive sleep history including typical bedtime routine, sleep associations, sleep setting details, schedule, typical hours of sleep, nighttime behaviors (wakings, nightmares, snoring, etc.), morning waking, how rested the patient feels, an...