Poor quality of sleep can lead to daytime fatigue, attention problems, irritability, behavior concerns, and impairment in academic, social, and home functioning. Sleep troubles are often exacerbated by poor sleep hygiene, negative sleep onset associations, nighttime worries or fears, or sleep environment. It is important to first consult with a medical provider to rule out any medical concerns that may be contributing to sleep difficulties. Listed below are some common bedtime problems that I treat:


  • Difficulties falling asleep at night

  • Inability to fall asleep independently without parent presence

  • Bedtime stalling and protests

  • Frequent calling out or coming out of room before bed

  • Nighttime fears/anxiety

  • Frequent night wakings

  • Noncompliance with bedtime routine

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