How to spot sleep problems in special needs children

Special needs children have a higher rate of sleep disorders. This article discusses how to spot their sleep issues and what can be done to help them.

About 30 percent of children have a sleep disorder, but the rate is even higher in children with special needs, an expert says.

This increased risk in children with special needs is likely related to physical and behavioral differences, as well as side effects from medication, said Dr. Jennifer Accardo, director of the Sleep Disorders Clinic and Lab at the Kennedy Krieger Institute in Baltimore, Md.

Not all children with special needs who have sleep disturbances will be diagnosed with a sleep disorder, but early detection of common signs is the key to improving sleep. Parents know their child's sleep patterns best and can spot sleep issues if they know what to look for.

Signs of sleep problems in school-age children with special needs include: snoring; difficulty falling or staying asleep; sleepwalking, night terrors and other nighttime activities; sleeping too much; and needing parents to be in the room to fall asleep.

"While a good night's sleep is important for all children, it is especially critical for children with special needs," Accardo said in an institute news release. "Parents can make small changes at home to help their child get a better night's sleep and improve their performance in daytime activities, therapies and social interactions."

Accardo offered tips to improve sleep for children with special needs:

• Make sleep a priority and develop a bedtime routine.
• Keep schedules consistent every day on both weekdays and weekends.
• Make the bedroom a restful place and have your child sleep in the same place every night.
• Avoid caffeine.
• Put your child to bed when he or she is sleepy, but not yet fully asleep.
• Address anxiety, which is common in children with special needs.
• Take note of signs of sleep problems.

"If parents are concerned about their child's sleep patterns and behaviors, they should consult with their pediatrician or a sleep expert," Accardo said. "Sleep evaluations can be extremely beneficial in identifying causes and ultimately improving sleep for the entire family."

Read more here

Ten Things I Wish Someone Told Me About Parenting a Child with Special Needs

My thanks to Liane Kupferberg for an excellent article with really good advice. - JR

Ten Things I Wish Someone Told Me About Parenting a Child with Special Needs

By Liane Kupferberg Carter at 9:47 am

Liane and her son.

As part of our month-long series dedicated to Jewish Disability Awareness Month, Liane shares advice for those just starting out on the special needs journey.

I’m a proud member of a tribe. No, not just that tribe. I mean the tribe of special needs parents. There’s no way you’d spot us in a crowd. But even without a secret handshake, special needs parents manage to find each other. Maybe it’s that unmistakable look of exhaustion and resolve many of us wear. Whatever it is, I’ve been part of this particular tribe for 20 years.

Even after all this time, I still sometimes stop myself and ask, “How in the world did I get here?” When my son was initially diagnosed with autism and epilepsy years ago, I didn’t know anyone else with a child like him. That was back in the dark ages, before the internet. There were no websites or blogs to turn to for information and support. There was so much I didn’t know, and so much I was desperate to learn; I could have used advice from a seasoned tribal elder.

Now I’m that mom. The one with some mileage on her. There’s no road map to navigate raising a child with special needs, but here are some pointers I wish I’d had when I first set out on this journey.

1. You are the expert on your child. No one else. Not your child’s doctor, his teacher, his neurologist, and certainly not your Great Aunt Gussie who raised 10 kids of her own. Listen respectfully to them, but remember they are experts in their own spheres, not yours. All of them–therapists, family, friends–go home at the end of the day. You are in it for the long haul, and you know your child better than anyone.

2. You are parenting a person, not “treating” a cluster of “symptoms.” When your child is first diagnosed, you’re going to hear a lot about the deficits–all the things your child isn’t doing. Don’t lose sight of the fact that behind the “special needs” label there is the same wonderful child you had before the diagnosis, who needs your guidance and love. There’s a saying so popular in the autism community that it is practically a cliché: “Once you’ve met one person with autism, you’ve met one person with autism.” Your child is unique. Yes, you will get all caught up in searching out treatments and therapies, but please take the time to enjoy him right now, because he won’t be a child forever. Don’t let your fears of the future rob you of the pleasures of the present.

3. People will stare. This will eat at you in the beginning. It’s natural to feel uncomfortable, resentful, even mortified. It is also a natural instinct for people to look at anything that’s a little out of the ordinary. Your child’s quirky behaviors in public may draw attention, and what if they do? Stop worrying about it so much. Who cares what strangers think? And I can promise you this: you will learn to never, ever judge any other parent whose kid acts up in public. Eventually you will figure out how to handle people’s inappropriate questions. I’ll never forget how taken aback I was at a wedding 15 years ago when my husband’s uncle abruptly asked, “Is there any hope for your son?” Sometimes people may imply that you just aren’t trying hard enough. Or they will offer unsolicited advice, or press the latest miracle cure on you. Worst of all, they will talk about your child right in front of him. Don’t let them. And don’t you do it either. Your child may not be verbal (yet), but his ears are working just fine.

4. Take care of yourself. Really. I’m not talking about a trip to Canyon Ranch. A study released a couple of years ago found that autism moms have stress levels similar to combat soldiers. I know there’s nothing you wouldn’t do for your child, but you count too and you’re no good to anyone if you don’t stay healthy and strong. Physically and mentally. Medication is there for a reason. No, not for your child. For you. Don’t be afraid to ask for help if you need it. Because as all special needs parents know, we need to live forever.

Full article here