Pediatric Sleep Disorders
Sleep is essential for children’s growth, development, and overall health. The American Academy of Sleep Medicine (AASM) recommends the following daily sleep durations:
• Newborns (0–3 months): 12–16 hours, often in short periods; day-night patterns may not be established yet
• Infants, Toddlers, Preschoolers: 11–14 hours, including naps
• School-Age Children (Kindergarten to 8th grade): 9–10 hours
• High School Students (9th–10th grade): ~9.25 hours
• High School Seniors (11th–12th grade): ~8.5 hours
Signs Your Child May Need More Sleep
• Difficulty waking up in the morning
• Falling asleep during school or activities
• Hyperactivity or acting out
Tips for Better Sleep in Children
• Avoid caffeine: Limit soda or other caffeinated drinks
• Create a calming bedtime routine: Include bath time, storytime, or relaxing activities
• Keep devices out of the bedroom
• Maintain a consistent sleep schedule: Set regular bedtimes and wake times
If your child continues to have sleep difficulties despite these measures, a consultation at Forsyth Sleep MD is recommended.
Common Pediatric Sleep Disorders
1. Snoring & Obstructive Sleep Apnea (OSA)
• Signs: Loud snoring, mouth breathing, restless sleep, night sweats, hyperactivity
• Risk Factors: Enlarged tonsils or adenoids, overweight, certain genetic or neuromuscular conditions
• Treatment: Tonsil/adenoid removal, Positive Airway Pressure (PAP) therapy
• Consequences of Untreated OSA: High blood pressure, cardiovascular issues, failure to thrive, oppositional behavior, nighttime bedwetting
2. Behavioral Insomnia
• Difficulty falling or staying asleep due to behavioral factors
• Treatment: Behavioral interventions guided by a sleep physician
3. Restless Legs Syndrome (RLS)
• Unpleasant sensations in the legs causing trouble initiating or maintaining sleep
• About 25% of children with RLS also have ADHD
• Treatment: Address underlying triggers; iron supplementation or infusion may be recommended
4. Parasomnias
• Includes sleep terrors, nightmares, sleepwalking, and confusional arousals
• Description: Behaviors during sleep that appear purposeful, but the child is not aware of the environment
• Diagnosis & Treatment: Clinical evaluation; in-lab sleep study if needed; conservative management, reassurance, and education
5. Delayed Sleep Phase Syndrome
• Common in adolescents who have late sleep onset
• Treatment: Bright light therapy and melatonin under physician guidance
At Forsyth Sleep MD, our board-certified sleep physicians perform comprehensive pediatric sleep evaluations and develop individualized treatment plans to help children achieve healthy, restorative sleep.






