Kenneth Aitken
Sleep Well on the Autism Spectrum
How to Recognise Common Sleep Difficulties, Choose the Right Treatment, and Get You or Your Child Sleeping Soundly
Kenneth Aitken
Sleep Well on the Autism Spectrum
How to Recognise Common Sleep Difficulties, Choose the Right Treatment, and Get You or Your Child Sleeping Soundly
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Full of helpful information and practical advice, this comprehensive guide introduces the most common sleep issues in children with ASDs, describing both mainstream and complementary options for treatment, what is involved and the outcomes that can be expected.
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Full of helpful information and practical advice, this comprehensive guide introduces the most common sleep issues in children with ASDs, describing both mainstream and complementary options for treatment, what is involved and the outcomes that can be expected.
Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Hinweis: Dieser Artikel kann nur an eine deutsche Lieferadresse ausgeliefert werden.
Produktdetails
- Produktdetails
- Verlag: Jessica Kingsley Publishers
- Seitenzahl: 304
- Erscheinungstermin: 21. Februar 2014
- Englisch
- Abmessung: 226mm x 151mm x 22mm
- Gewicht: 446g
- ISBN-13: 9781849053334
- ISBN-10: 1849053332
- Artikelnr.: 39630873
- Verlag: Jessica Kingsley Publishers
- Seitenzahl: 304
- Erscheinungstermin: 21. Februar 2014
- Englisch
- Abmessung: 226mm x 151mm x 22mm
- Gewicht: 446g
- ISBN-13: 9781849053334
- ISBN-10: 1849053332
- Artikelnr.: 39630873
Kenneth J. Aitken is a practising clinical psychologist based in Edinburgh, Scotland. He is active among many charitable organisations and research initiatives dedicated to building a better understanding of autism spectrum disorders and related conditions.
Introduction. Section A: You Think There is a Problem, so What Can You Do
About It? 1. Sleep Problems. 2. What Sorts of Sleep Problems Are There? 3.
How Common Are They? 4. How You Can Work Out What Might Help. Being 'a bit
of a Sherlock Holmes' - the art and science of problem solving. So, what is
the problem you need to try and sort? Looking through your evidence. What
sorts of things might make sleep problems more common in ASD? 5. Finding
Out About Your Problem. Getting a baseline. If you think: 'This feels too
much like schoolwork, maybe I'll just skip it'. Looking through your
Evidence. Trying to understand the problem. i) Finding out what else is
going on. ii) Describing the sleep problem. Finding a Pattern. Why it can
be so difficult to do what would work. What if there is a problem but you
are still strugging to see a pattern? In a nutshell. 6. Ways to Sort Out
Sleep Problems. Doing a basic sleep clean-up. Basic 'sleep hygiene' -
getting a good nighttime routine. What you should aim for: In children. In
adolescents. Using Social Stories to encourage a good nighttime routine.
Deciding on a plan. In a nutshell. 7. Why Are Sleep Problems More Common in
ASDs? How common are sleep problems in ASD? Do you really need to do
anything about them? Sleep problems are more common in ASDs - do we know
why? Section B: Specific Sleep Difficulties - The Different Sleep Problems,
What They Are, and What Can Help. The most common sleep difficulties in
ASDs. How sleep problems are classified. 5.1-5.4. Difficulty Getting to
Sleep, Staying Asleep and Problems with Excessive Tiredness. 5.1 Insomnia.
Peter can't seem to get to sleep - we hear him up at all hours.' What is
it? How common is it? Does insomnia tend to get better with time? What can
be done to treat it? How likely is Insomnia to respond to treatment? In a
nutshell. 5.2 Difficulties with Settling to Sleep and Frequent
Night-Waking. 'He never goes down to bed and he's up and down like a yo-yo
all night long.' What is 'difficulty settling to sleep'? What is 'frequent
night-waking'? Do these two problems tend to go together? How common are
they? Do settling and night-waking tend to get better anyway? So what can
be done to treat them? How well do they to respond to treatment? In a
nutshell. 5.3. Restless Sleepers. 5.3.i. Restless Legs Syndrome. 'Fidgity
Philip - he never seems to stop' What is it? How common is it? Does it tend
to get better over time anyway? What can be done to treat it? How likely is
it to respond to treatment? In a nutshell. 5.3.ii. Nocturnal Seizures. 'He
gets hot and sweaty, shakes in his sleep and usually wets his bed. We can
always tell when one is coming.' What are they? How common are they? Do
they tend to get better anyway? What can be done to treat them? How likely
are they to respond to treatment? In a nutshell. 5.3.iii. Sleep-Related
Rhythmic Movement Disorder / Periodic Limb. Movements in Sleep. 'Why on
earth does he keep doing that?' What is it? How common is it? Does it tend
to get better in any event? What can be done to treat it? How likely is it
to respond to treatment? In a nutshell. 5.3.iv. REM Sleep Behaviour
Disorder. 'The boy who fought with his dreams.' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is it to respond to treatment? In a nutshell. 5.4. Short Nighttime
Sleep ('Hyposomnia'). 'Why doesn't she sleep?' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is hyposomnia to respond to treatment? In a nutshell. 5.5-5.9.
Problems During Sleep: The "common PARASOMNIAS of ASD". 5.5. Nightmares.
'Exit, pursued by a bear.' What are nightmares? How common are they? Do
they tend to get better anyway? What can be done to treat nightmares? How
likely are nightmares to respond to treatment? In a nutshell. 5.6. 'Night
Terrors'. 'He just seems to wakes up and scream and scream- nobody knows
why.' What are night terrors? How common are they? Do they tend to get
better anyway? What can be done to treat them? How likely are they to
respond to treatment? In a nutshell. 5.7. Bedwetting (Nighttime enuresis).
'His bed is always saturated and he refuses to wear anything at night.
We're sure he does it just to annoy us.' What is it? How common is it? Does
it tend to get better in any event? What can be done to treat nighttime
eneuresis? i) Behavioural Interventions. ii) Medications. iii) Alternative
and Complementary Treatments. How likely is nighttime enuresis to respond
to treatment? In a nutshell. 5.8. Sleepwalking (Somnambulism)/ Sleeptalking
(Somnliloquy) / Sleep groaning (Catathrenia). 'We often pass him in the
hall on our way to bed, walking around the house but fas asleep and
oblivious to anything we say.' What are sleepwalking, sleep talking and
sleep groaning? How common are they? Do they tend to improve without
treatment? What can be done to treat them? How likely are they to respond
to treatment? In a nutshell. 5.9. Excessive Daytime Sleepiness/Tiredness
(EDS/'Hypersomnia'). 'He seems to be tired all the time no matter what we
do.' What is it? How common is EDS? Does it tend to get better anyway? What
can be done to treat it? How likely is EDS to respond to treatment? In a
nutshell. 5.10-5.14. Other, less common sleep issues seen in ASDs. 5.10.
Excessive Nighttime Sleep. 'Sometimes we start to think he'll never wake
up.' What is it? How common is Excessive Sleep? Does it tend to get better
anyway? What can be done to treat it? How likely is it to respond to
treatment? 5.11. Night-time Eating Disorders. 'It's as if he can't stop
eating and he just ignores us when we ask him why.' What are Night-time
Eating Disorders? How common are they? Do they tend to get better anyway?
What can be done to treat them? How likely are they to respond to
treatment? 5.12. Sleep Bruxism (Tooth-grinding while asleep). 'We can hear
her through the whole house, it feels like someone is using a drill in the
house next door.' What is it? How common is it? Does bruxism tend to get
better anyway? What can be done to treat bruxism? How likely is bruxism to
respond to treatment? In a nutshell. 5.13. Obstructive Sleep Apnea (OSA).
'He could snore for us in the Olympics.' What is OSA? How common is OSA?
Does it tend to get better in any event? What can be done to treat OSA? How
likely is OSA to respond to treatment? In a nutshell. 5.14. Narcolepsy.
'Everything is going along fine, then sometyhing happens like a balloon
popping or a car backfiring and we find him collapsed in a heap on the
floor.' What is it? How common is it? Does it tend to get better in any
event? What can be done to treat it? How likely is it to respond to
treatment? In a nutshell. How to decide if all your hard work has been
worthwhile. Maintaining improvements. Section CL Sleep: What Is It and What
Do We Know About It? What is sleep? Why do we sleep? Do we know why we
dream? What happens to us while we sleep. Electrical brain activity.
Changes in body chemistry that happen while we sleep. Why good sleep is
important for you and your brain. How our sleep-wake patterns change as we
get older. The Brain at Rest. Sleep and diet. Alcohol consumption. Diet,
Genetics and Brain Development. Social Interaction and Sleep. Why mum's
laughter is probably one of the best medicines for the growing baby.
Mother-Infant Co-sleeping. How babies calm themselves. Other factors that
can affect sleep. How much sleep is normal? Do we need to sleep at all?
What is a normal sleep pattern for a child? What is typical night's sleep?
Section D: Some of the Reasons Sleep Problems Can Happen. Sleep and mum's
mood. The biology of sleep. Differences in the chemical that triggers
tiredness. Visual impairments and their link to poor sleep. Oxytocin. Why
you yawn. Diet, Sleep and ASD. Physical factors that can affect sleep.
Other Factors that can Influence Sleep. Sleep deprivation and brain growth.
Brain injuries. Attention-Deficit Hyperactivity Disorder. Physical growth
and sleep. Obesity. Genetic Conditions with high rates of sleep problems.
'Clock Genes'. Conclusion. Glossary of Terms. References. Further
Suggestions for Reading. Appendix 1: Enuresis alarms and Epilepsy Sensors.
Appendix 2: The Main Medications used in sleep disorders. Appendix 3:
Complementary and Alternative Treatments. Appendix 4: Western Herbs used in
sleep disorders. Appendix 5: Chinese Herbs used in sleep disorders.
Appendix 6: Assessment Tools for Sleep Problems. Appendix 7: Preparing for
Medical Procedures. Appendix 8: Troubleshooting. Appendix 9: Further
Suggestions for Reading.
About It? 1. Sleep Problems. 2. What Sorts of Sleep Problems Are There? 3.
How Common Are They? 4. How You Can Work Out What Might Help. Being 'a bit
of a Sherlock Holmes' - the art and science of problem solving. So, what is
the problem you need to try and sort? Looking through your evidence. What
sorts of things might make sleep problems more common in ASD? 5. Finding
Out About Your Problem. Getting a baseline. If you think: 'This feels too
much like schoolwork, maybe I'll just skip it'. Looking through your
Evidence. Trying to understand the problem. i) Finding out what else is
going on. ii) Describing the sleep problem. Finding a Pattern. Why it can
be so difficult to do what would work. What if there is a problem but you
are still strugging to see a pattern? In a nutshell. 6. Ways to Sort Out
Sleep Problems. Doing a basic sleep clean-up. Basic 'sleep hygiene' -
getting a good nighttime routine. What you should aim for: In children. In
adolescents. Using Social Stories to encourage a good nighttime routine.
Deciding on a plan. In a nutshell. 7. Why Are Sleep Problems More Common in
ASDs? How common are sleep problems in ASD? Do you really need to do
anything about them? Sleep problems are more common in ASDs - do we know
why? Section B: Specific Sleep Difficulties - The Different Sleep Problems,
What They Are, and What Can Help. The most common sleep difficulties in
ASDs. How sleep problems are classified. 5.1-5.4. Difficulty Getting to
Sleep, Staying Asleep and Problems with Excessive Tiredness. 5.1 Insomnia.
Peter can't seem to get to sleep - we hear him up at all hours.' What is
it? How common is it? Does insomnia tend to get better with time? What can
be done to treat it? How likely is Insomnia to respond to treatment? In a
nutshell. 5.2 Difficulties with Settling to Sleep and Frequent
Night-Waking. 'He never goes down to bed and he's up and down like a yo-yo
all night long.' What is 'difficulty settling to sleep'? What is 'frequent
night-waking'? Do these two problems tend to go together? How common are
they? Do settling and night-waking tend to get better anyway? So what can
be done to treat them? How well do they to respond to treatment? In a
nutshell. 5.3. Restless Sleepers. 5.3.i. Restless Legs Syndrome. 'Fidgity
Philip - he never seems to stop' What is it? How common is it? Does it tend
to get better over time anyway? What can be done to treat it? How likely is
it to respond to treatment? In a nutshell. 5.3.ii. Nocturnal Seizures. 'He
gets hot and sweaty, shakes in his sleep and usually wets his bed. We can
always tell when one is coming.' What are they? How common are they? Do
they tend to get better anyway? What can be done to treat them? How likely
are they to respond to treatment? In a nutshell. 5.3.iii. Sleep-Related
Rhythmic Movement Disorder / Periodic Limb. Movements in Sleep. 'Why on
earth does he keep doing that?' What is it? How common is it? Does it tend
to get better in any event? What can be done to treat it? How likely is it
to respond to treatment? In a nutshell. 5.3.iv. REM Sleep Behaviour
Disorder. 'The boy who fought with his dreams.' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is it to respond to treatment? In a nutshell. 5.4. Short Nighttime
Sleep ('Hyposomnia'). 'Why doesn't she sleep?' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is hyposomnia to respond to treatment? In a nutshell. 5.5-5.9.
Problems During Sleep: The "common PARASOMNIAS of ASD". 5.5. Nightmares.
'Exit, pursued by a bear.' What are nightmares? How common are they? Do
they tend to get better anyway? What can be done to treat nightmares? How
likely are nightmares to respond to treatment? In a nutshell. 5.6. 'Night
Terrors'. 'He just seems to wakes up and scream and scream- nobody knows
why.' What are night terrors? How common are they? Do they tend to get
better anyway? What can be done to treat them? How likely are they to
respond to treatment? In a nutshell. 5.7. Bedwetting (Nighttime enuresis).
'His bed is always saturated and he refuses to wear anything at night.
We're sure he does it just to annoy us.' What is it? How common is it? Does
it tend to get better in any event? What can be done to treat nighttime
eneuresis? i) Behavioural Interventions. ii) Medications. iii) Alternative
and Complementary Treatments. How likely is nighttime enuresis to respond
to treatment? In a nutshell. 5.8. Sleepwalking (Somnambulism)/ Sleeptalking
(Somnliloquy) / Sleep groaning (Catathrenia). 'We often pass him in the
hall on our way to bed, walking around the house but fas asleep and
oblivious to anything we say.' What are sleepwalking, sleep talking and
sleep groaning? How common are they? Do they tend to improve without
treatment? What can be done to treat them? How likely are they to respond
to treatment? In a nutshell. 5.9. Excessive Daytime Sleepiness/Tiredness
(EDS/'Hypersomnia'). 'He seems to be tired all the time no matter what we
do.' What is it? How common is EDS? Does it tend to get better anyway? What
can be done to treat it? How likely is EDS to respond to treatment? In a
nutshell. 5.10-5.14. Other, less common sleep issues seen in ASDs. 5.10.
Excessive Nighttime Sleep. 'Sometimes we start to think he'll never wake
up.' What is it? How common is Excessive Sleep? Does it tend to get better
anyway? What can be done to treat it? How likely is it to respond to
treatment? 5.11. Night-time Eating Disorders. 'It's as if he can't stop
eating and he just ignores us when we ask him why.' What are Night-time
Eating Disorders? How common are they? Do they tend to get better anyway?
What can be done to treat them? How likely are they to respond to
treatment? 5.12. Sleep Bruxism (Tooth-grinding while asleep). 'We can hear
her through the whole house, it feels like someone is using a drill in the
house next door.' What is it? How common is it? Does bruxism tend to get
better anyway? What can be done to treat bruxism? How likely is bruxism to
respond to treatment? In a nutshell. 5.13. Obstructive Sleep Apnea (OSA).
'He could snore for us in the Olympics.' What is OSA? How common is OSA?
Does it tend to get better in any event? What can be done to treat OSA? How
likely is OSA to respond to treatment? In a nutshell. 5.14. Narcolepsy.
'Everything is going along fine, then sometyhing happens like a balloon
popping or a car backfiring and we find him collapsed in a heap on the
floor.' What is it? How common is it? Does it tend to get better in any
event? What can be done to treat it? How likely is it to respond to
treatment? In a nutshell. How to decide if all your hard work has been
worthwhile. Maintaining improvements. Section CL Sleep: What Is It and What
Do We Know About It? What is sleep? Why do we sleep? Do we know why we
dream? What happens to us while we sleep. Electrical brain activity.
Changes in body chemistry that happen while we sleep. Why good sleep is
important for you and your brain. How our sleep-wake patterns change as we
get older. The Brain at Rest. Sleep and diet. Alcohol consumption. Diet,
Genetics and Brain Development. Social Interaction and Sleep. Why mum's
laughter is probably one of the best medicines for the growing baby.
Mother-Infant Co-sleeping. How babies calm themselves. Other factors that
can affect sleep. How much sleep is normal? Do we need to sleep at all?
What is a normal sleep pattern for a child? What is typical night's sleep?
Section D: Some of the Reasons Sleep Problems Can Happen. Sleep and mum's
mood. The biology of sleep. Differences in the chemical that triggers
tiredness. Visual impairments and their link to poor sleep. Oxytocin. Why
you yawn. Diet, Sleep and ASD. Physical factors that can affect sleep.
Other Factors that can Influence Sleep. Sleep deprivation and brain growth.
Brain injuries. Attention-Deficit Hyperactivity Disorder. Physical growth
and sleep. Obesity. Genetic Conditions with high rates of sleep problems.
'Clock Genes'. Conclusion. Glossary of Terms. References. Further
Suggestions for Reading. Appendix 1: Enuresis alarms and Epilepsy Sensors.
Appendix 2: The Main Medications used in sleep disorders. Appendix 3:
Complementary and Alternative Treatments. Appendix 4: Western Herbs used in
sleep disorders. Appendix 5: Chinese Herbs used in sleep disorders.
Appendix 6: Assessment Tools for Sleep Problems. Appendix 7: Preparing for
Medical Procedures. Appendix 8: Troubleshooting. Appendix 9: Further
Suggestions for Reading.
Introduction. Section A: You Think There is a Problem, so What Can You Do
About It? 1. Sleep Problems. 2. What Sorts of Sleep Problems Are There? 3.
How Common Are They? 4. How You Can Work Out What Might Help. Being 'a bit
of a Sherlock Holmes' - the art and science of problem solving. So, what is
the problem you need to try and sort? Looking through your evidence. What
sorts of things might make sleep problems more common in ASD? 5. Finding
Out About Your Problem. Getting a baseline. If you think: 'This feels too
much like schoolwork, maybe I'll just skip it'. Looking through your
Evidence. Trying to understand the problem. i) Finding out what else is
going on. ii) Describing the sleep problem. Finding a Pattern. Why it can
be so difficult to do what would work. What if there is a problem but you
are still strugging to see a pattern? In a nutshell. 6. Ways to Sort Out
Sleep Problems. Doing a basic sleep clean-up. Basic 'sleep hygiene' -
getting a good nighttime routine. What you should aim for: In children. In
adolescents. Using Social Stories to encourage a good nighttime routine.
Deciding on a plan. In a nutshell. 7. Why Are Sleep Problems More Common in
ASDs? How common are sleep problems in ASD? Do you really need to do
anything about them? Sleep problems are more common in ASDs - do we know
why? Section B: Specific Sleep Difficulties - The Different Sleep Problems,
What They Are, and What Can Help. The most common sleep difficulties in
ASDs. How sleep problems are classified. 5.1-5.4. Difficulty Getting to
Sleep, Staying Asleep and Problems with Excessive Tiredness. 5.1 Insomnia.
Peter can't seem to get to sleep - we hear him up at all hours.' What is
it? How common is it? Does insomnia tend to get better with time? What can
be done to treat it? How likely is Insomnia to respond to treatment? In a
nutshell. 5.2 Difficulties with Settling to Sleep and Frequent
Night-Waking. 'He never goes down to bed and he's up and down like a yo-yo
all night long.' What is 'difficulty settling to sleep'? What is 'frequent
night-waking'? Do these two problems tend to go together? How common are
they? Do settling and night-waking tend to get better anyway? So what can
be done to treat them? How well do they to respond to treatment? In a
nutshell. 5.3. Restless Sleepers. 5.3.i. Restless Legs Syndrome. 'Fidgity
Philip - he never seems to stop' What is it? How common is it? Does it tend
to get better over time anyway? What can be done to treat it? How likely is
it to respond to treatment? In a nutshell. 5.3.ii. Nocturnal Seizures. 'He
gets hot and sweaty, shakes in his sleep and usually wets his bed. We can
always tell when one is coming.' What are they? How common are they? Do
they tend to get better anyway? What can be done to treat them? How likely
are they to respond to treatment? In a nutshell. 5.3.iii. Sleep-Related
Rhythmic Movement Disorder / Periodic Limb. Movements in Sleep. 'Why on
earth does he keep doing that?' What is it? How common is it? Does it tend
to get better in any event? What can be done to treat it? How likely is it
to respond to treatment? In a nutshell. 5.3.iv. REM Sleep Behaviour
Disorder. 'The boy who fought with his dreams.' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is it to respond to treatment? In a nutshell. 5.4. Short Nighttime
Sleep ('Hyposomnia'). 'Why doesn't she sleep?' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is hyposomnia to respond to treatment? In a nutshell. 5.5-5.9.
Problems During Sleep: The "common PARASOMNIAS of ASD". 5.5. Nightmares.
'Exit, pursued by a bear.' What are nightmares? How common are they? Do
they tend to get better anyway? What can be done to treat nightmares? How
likely are nightmares to respond to treatment? In a nutshell. 5.6. 'Night
Terrors'. 'He just seems to wakes up and scream and scream- nobody knows
why.' What are night terrors? How common are they? Do they tend to get
better anyway? What can be done to treat them? How likely are they to
respond to treatment? In a nutshell. 5.7. Bedwetting (Nighttime enuresis).
'His bed is always saturated and he refuses to wear anything at night.
We're sure he does it just to annoy us.' What is it? How common is it? Does
it tend to get better in any event? What can be done to treat nighttime
eneuresis? i) Behavioural Interventions. ii) Medications. iii) Alternative
and Complementary Treatments. How likely is nighttime enuresis to respond
to treatment? In a nutshell. 5.8. Sleepwalking (Somnambulism)/ Sleeptalking
(Somnliloquy) / Sleep groaning (Catathrenia). 'We often pass him in the
hall on our way to bed, walking around the house but fas asleep and
oblivious to anything we say.' What are sleepwalking, sleep talking and
sleep groaning? How common are they? Do they tend to improve without
treatment? What can be done to treat them? How likely are they to respond
to treatment? In a nutshell. 5.9. Excessive Daytime Sleepiness/Tiredness
(EDS/'Hypersomnia'). 'He seems to be tired all the time no matter what we
do.' What is it? How common is EDS? Does it tend to get better anyway? What
can be done to treat it? How likely is EDS to respond to treatment? In a
nutshell. 5.10-5.14. Other, less common sleep issues seen in ASDs. 5.10.
Excessive Nighttime Sleep. 'Sometimes we start to think he'll never wake
up.' What is it? How common is Excessive Sleep? Does it tend to get better
anyway? What can be done to treat it? How likely is it to respond to
treatment? 5.11. Night-time Eating Disorders. 'It's as if he can't stop
eating and he just ignores us when we ask him why.' What are Night-time
Eating Disorders? How common are they? Do they tend to get better anyway?
What can be done to treat them? How likely are they to respond to
treatment? 5.12. Sleep Bruxism (Tooth-grinding while asleep). 'We can hear
her through the whole house, it feels like someone is using a drill in the
house next door.' What is it? How common is it? Does bruxism tend to get
better anyway? What can be done to treat bruxism? How likely is bruxism to
respond to treatment? In a nutshell. 5.13. Obstructive Sleep Apnea (OSA).
'He could snore for us in the Olympics.' What is OSA? How common is OSA?
Does it tend to get better in any event? What can be done to treat OSA? How
likely is OSA to respond to treatment? In a nutshell. 5.14. Narcolepsy.
'Everything is going along fine, then sometyhing happens like a balloon
popping or a car backfiring and we find him collapsed in a heap on the
floor.' What is it? How common is it? Does it tend to get better in any
event? What can be done to treat it? How likely is it to respond to
treatment? In a nutshell. How to decide if all your hard work has been
worthwhile. Maintaining improvements. Section CL Sleep: What Is It and What
Do We Know About It? What is sleep? Why do we sleep? Do we know why we
dream? What happens to us while we sleep. Electrical brain activity.
Changes in body chemistry that happen while we sleep. Why good sleep is
important for you and your brain. How our sleep-wake patterns change as we
get older. The Brain at Rest. Sleep and diet. Alcohol consumption. Diet,
Genetics and Brain Development. Social Interaction and Sleep. Why mum's
laughter is probably one of the best medicines for the growing baby.
Mother-Infant Co-sleeping. How babies calm themselves. Other factors that
can affect sleep. How much sleep is normal? Do we need to sleep at all?
What is a normal sleep pattern for a child? What is typical night's sleep?
Section D: Some of the Reasons Sleep Problems Can Happen. Sleep and mum's
mood. The biology of sleep. Differences in the chemical that triggers
tiredness. Visual impairments and their link to poor sleep. Oxytocin. Why
you yawn. Diet, Sleep and ASD. Physical factors that can affect sleep.
Other Factors that can Influence Sleep. Sleep deprivation and brain growth.
Brain injuries. Attention-Deficit Hyperactivity Disorder. Physical growth
and sleep. Obesity. Genetic Conditions with high rates of sleep problems.
'Clock Genes'. Conclusion. Glossary of Terms. References. Further
Suggestions for Reading. Appendix 1: Enuresis alarms and Epilepsy Sensors.
Appendix 2: The Main Medications used in sleep disorders. Appendix 3:
Complementary and Alternative Treatments. Appendix 4: Western Herbs used in
sleep disorders. Appendix 5: Chinese Herbs used in sleep disorders.
Appendix 6: Assessment Tools for Sleep Problems. Appendix 7: Preparing for
Medical Procedures. Appendix 8: Troubleshooting. Appendix 9: Further
Suggestions for Reading.
About It? 1. Sleep Problems. 2. What Sorts of Sleep Problems Are There? 3.
How Common Are They? 4. How You Can Work Out What Might Help. Being 'a bit
of a Sherlock Holmes' - the art and science of problem solving. So, what is
the problem you need to try and sort? Looking through your evidence. What
sorts of things might make sleep problems more common in ASD? 5. Finding
Out About Your Problem. Getting a baseline. If you think: 'This feels too
much like schoolwork, maybe I'll just skip it'. Looking through your
Evidence. Trying to understand the problem. i) Finding out what else is
going on. ii) Describing the sleep problem. Finding a Pattern. Why it can
be so difficult to do what would work. What if there is a problem but you
are still strugging to see a pattern? In a nutshell. 6. Ways to Sort Out
Sleep Problems. Doing a basic sleep clean-up. Basic 'sleep hygiene' -
getting a good nighttime routine. What you should aim for: In children. In
adolescents. Using Social Stories to encourage a good nighttime routine.
Deciding on a plan. In a nutshell. 7. Why Are Sleep Problems More Common in
ASDs? How common are sleep problems in ASD? Do you really need to do
anything about them? Sleep problems are more common in ASDs - do we know
why? Section B: Specific Sleep Difficulties - The Different Sleep Problems,
What They Are, and What Can Help. The most common sleep difficulties in
ASDs. How sleep problems are classified. 5.1-5.4. Difficulty Getting to
Sleep, Staying Asleep and Problems with Excessive Tiredness. 5.1 Insomnia.
Peter can't seem to get to sleep - we hear him up at all hours.' What is
it? How common is it? Does insomnia tend to get better with time? What can
be done to treat it? How likely is Insomnia to respond to treatment? In a
nutshell. 5.2 Difficulties with Settling to Sleep and Frequent
Night-Waking. 'He never goes down to bed and he's up and down like a yo-yo
all night long.' What is 'difficulty settling to sleep'? What is 'frequent
night-waking'? Do these two problems tend to go together? How common are
they? Do settling and night-waking tend to get better anyway? So what can
be done to treat them? How well do they to respond to treatment? In a
nutshell. 5.3. Restless Sleepers. 5.3.i. Restless Legs Syndrome. 'Fidgity
Philip - he never seems to stop' What is it? How common is it? Does it tend
to get better over time anyway? What can be done to treat it? How likely is
it to respond to treatment? In a nutshell. 5.3.ii. Nocturnal Seizures. 'He
gets hot and sweaty, shakes in his sleep and usually wets his bed. We can
always tell when one is coming.' What are they? How common are they? Do
they tend to get better anyway? What can be done to treat them? How likely
are they to respond to treatment? In a nutshell. 5.3.iii. Sleep-Related
Rhythmic Movement Disorder / Periodic Limb. Movements in Sleep. 'Why on
earth does he keep doing that?' What is it? How common is it? Does it tend
to get better in any event? What can be done to treat it? How likely is it
to respond to treatment? In a nutshell. 5.3.iv. REM Sleep Behaviour
Disorder. 'The boy who fought with his dreams.' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is it to respond to treatment? In a nutshell. 5.4. Short Nighttime
Sleep ('Hyposomnia'). 'Why doesn't she sleep?' What is it? How common is
it? Does it tend to get better anyway? What can be done to treat it? How
likely is hyposomnia to respond to treatment? In a nutshell. 5.5-5.9.
Problems During Sleep: The "common PARASOMNIAS of ASD". 5.5. Nightmares.
'Exit, pursued by a bear.' What are nightmares? How common are they? Do
they tend to get better anyway? What can be done to treat nightmares? How
likely are nightmares to respond to treatment? In a nutshell. 5.6. 'Night
Terrors'. 'He just seems to wakes up and scream and scream- nobody knows
why.' What are night terrors? How common are they? Do they tend to get
better anyway? What can be done to treat them? How likely are they to
respond to treatment? In a nutshell. 5.7. Bedwetting (Nighttime enuresis).
'His bed is always saturated and he refuses to wear anything at night.
We're sure he does it just to annoy us.' What is it? How common is it? Does
it tend to get better in any event? What can be done to treat nighttime
eneuresis? i) Behavioural Interventions. ii) Medications. iii) Alternative
and Complementary Treatments. How likely is nighttime enuresis to respond
to treatment? In a nutshell. 5.8. Sleepwalking (Somnambulism)/ Sleeptalking
(Somnliloquy) / Sleep groaning (Catathrenia). 'We often pass him in the
hall on our way to bed, walking around the house but fas asleep and
oblivious to anything we say.' What are sleepwalking, sleep talking and
sleep groaning? How common are they? Do they tend to improve without
treatment? What can be done to treat them? How likely are they to respond
to treatment? In a nutshell. 5.9. Excessive Daytime Sleepiness/Tiredness
(EDS/'Hypersomnia'). 'He seems to be tired all the time no matter what we
do.' What is it? How common is EDS? Does it tend to get better anyway? What
can be done to treat it? How likely is EDS to respond to treatment? In a
nutshell. 5.10-5.14. Other, less common sleep issues seen in ASDs. 5.10.
Excessive Nighttime Sleep. 'Sometimes we start to think he'll never wake
up.' What is it? How common is Excessive Sleep? Does it tend to get better
anyway? What can be done to treat it? How likely is it to respond to
treatment? 5.11. Night-time Eating Disorders. 'It's as if he can't stop
eating and he just ignores us when we ask him why.' What are Night-time
Eating Disorders? How common are they? Do they tend to get better anyway?
What can be done to treat them? How likely are they to respond to
treatment? 5.12. Sleep Bruxism (Tooth-grinding while asleep). 'We can hear
her through the whole house, it feels like someone is using a drill in the
house next door.' What is it? How common is it? Does bruxism tend to get
better anyway? What can be done to treat bruxism? How likely is bruxism to
respond to treatment? In a nutshell. 5.13. Obstructive Sleep Apnea (OSA).
'He could snore for us in the Olympics.' What is OSA? How common is OSA?
Does it tend to get better in any event? What can be done to treat OSA? How
likely is OSA to respond to treatment? In a nutshell. 5.14. Narcolepsy.
'Everything is going along fine, then sometyhing happens like a balloon
popping or a car backfiring and we find him collapsed in a heap on the
floor.' What is it? How common is it? Does it tend to get better in any
event? What can be done to treat it? How likely is it to respond to
treatment? In a nutshell. How to decide if all your hard work has been
worthwhile. Maintaining improvements. Section CL Sleep: What Is It and What
Do We Know About It? What is sleep? Why do we sleep? Do we know why we
dream? What happens to us while we sleep. Electrical brain activity.
Changes in body chemistry that happen while we sleep. Why good sleep is
important for you and your brain. How our sleep-wake patterns change as we
get older. The Brain at Rest. Sleep and diet. Alcohol consumption. Diet,
Genetics and Brain Development. Social Interaction and Sleep. Why mum's
laughter is probably one of the best medicines for the growing baby.
Mother-Infant Co-sleeping. How babies calm themselves. Other factors that
can affect sleep. How much sleep is normal? Do we need to sleep at all?
What is a normal sleep pattern for a child? What is typical night's sleep?
Section D: Some of the Reasons Sleep Problems Can Happen. Sleep and mum's
mood. The biology of sleep. Differences in the chemical that triggers
tiredness. Visual impairments and their link to poor sleep. Oxytocin. Why
you yawn. Diet, Sleep and ASD. Physical factors that can affect sleep.
Other Factors that can Influence Sleep. Sleep deprivation and brain growth.
Brain injuries. Attention-Deficit Hyperactivity Disorder. Physical growth
and sleep. Obesity. Genetic Conditions with high rates of sleep problems.
'Clock Genes'. Conclusion. Glossary of Terms. References. Further
Suggestions for Reading. Appendix 1: Enuresis alarms and Epilepsy Sensors.
Appendix 2: The Main Medications used in sleep disorders. Appendix 3:
Complementary and Alternative Treatments. Appendix 4: Western Herbs used in
sleep disorders. Appendix 5: Chinese Herbs used in sleep disorders.
Appendix 6: Assessment Tools for Sleep Problems. Appendix 7: Preparing for
Medical Procedures. Appendix 8: Troubleshooting. Appendix 9: Further
Suggestions for Reading.