Sleep Better! A Guide to Improving Sleep for Children with Special Needs (Durand)

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Table of Contents

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Related Titles:

When Your Child Has a Disability: The Complete Sourcebook of Daily and Medical Care, Revised Edition

Steps to Independence: Teaching Everyday Skills to Children with Special Needs, Fourth Edition

Sleep Better!
A Guide to Improving Sleep for Children with Special Needs
By

V. Mark Durand, Ph.D.

"It is about time parents had some help with one of the most troublesome challenges of raising a special child. . . . The book is great — easy to read, comprehensive, and offers some real hope." —The Family Connection

"An extremely valuable resource. It is comprehensive and readable. Assessments and interventions are detailed in a step-by-step fashion, so they can be easily grasped by even the sleepless parent or careprovider." —JASH

When children have recurrent sleep problems, they and their families must deal with negative effects on behavior, mood, social interactions, physical stamina, and performance at school or work. This book offers step-by-step, "how to" instructions for helping children with disabilities get the rest they need. For problems ranging from bedtime tantrums to night waking, parents and caregivers will find a variety of widely tested and easy-to-implement techniques that have already helped hundreds of children with special needs — especially children with autism, Tourette syndrome, and cerebral palsy.

Written by a psychologist who was inspired by many sleepless nights with his own child, this book delivers proven techniques from the author's clinical and personal experience, making it a one-of-a-kind resource for families and professionals.

ORDERING INFO
ISBN 1-55766-315-7
Paperback
288 pages / 6 x 9
1998 / $24.95
Stock# 3157

Table of Contents

About the Author
Preface
Acknowledgments

I. The Nature and Problems of Sleep

1. An Overview of Sleep

How Much Sleep Do We Need?
When Are Owls and Larks Not Birds?
What Is Sleep?
What Is Our Biological Clock?
How Does Our Temperature Affect Sleep?
Conclusion

2. Sleep Problems

How Common Are Sleep Problems?
How Serious Are Sleep Problems?
When Does Sleep Become a Problem?
Common Sleep Problems
- Insomnia
- Hypersomnia and Narcolepsy
- Breathing-Related Sleep Problems
- Sleep Schedule Problems
- Nightmares
- Sleep Terrors
- Sleepwalking and Sleeptalking
- Periodic Limb Movements
- Bedwetting
- Tooth-Grinding
- Rhythmic Movement Problems
Conclusion

II. Assessing Sleep Problems

3. Identifying the Sleep Problem

Steps to Understanding the Problem
Sleep Diary
Behavior Log
Sleep Interview
- Sleep Habits
- Bedtime and Night Waking
- Sleep Schedules
- Nightmares
- Sleep Terrors
- Hypersomnia and Narcolepsy
- Breathing-Related Difficulties
- Sleepwalking and Sleeptalking
- Limb Movement and Rhythmic Movement
- Bedwetting
- Tooth-Grinding
- Anxiety and Depression
- Daytime Behavior Problems
- Other Causes
Conclusion

III. Strategies for Change

4. Good Sleep Habits

The Good Sleep Habits Checklist
Bedtime Routines
- The "Out of Control" Child
- Bedtime Routines for Children with Autism
- Bedtime Routines for Children with Attention-Deficit/Hyperactivity Disorder
Regular Sleep Times
Caffeine
Alcohol and Tobacco
Sleep and Your Diet
Exercise and Activity and Their Effect on Sleep
The Bed and the Bedroom
Conclusion

5. Help for Bedtime Problems

Graduated Extinction
Bedtime Fading
Comparing Graduated Extinction and Bedtime Fading
Combining Plans with Medication
When Sleep Problems Rear Their Ugly Heads…Again
Begin at Bedtime
Conclusion

6. Sleeping Through the Night

Causes of Night Waking
Waking without Disruption
- Sleep Restriction for Nondisruptive Waking
- Dangerous Behavior at Night
Disruptive Night Waking
- Graduated Extinction
- Sleep Restriction
- Scheduled Awakening
Conclusion

7. Sleeping at the Wrong Times

Delayed Sleep Phase Syndrome
- Chronotherapy
- Bright Light Therapy
Non-24-Hour Sleep-Wake Cycles
Napping and Poor Sleep Habits
Conclusion

8. Nightmares, Sleep Terrors, and Related Sleep Problems

Nightmares
- Using "Magic"
- Teaching Relaxation
Sleep Terrors
- Sleep Longer
- Scheduled Awakening
Sleepwalking and Sleeptalking
Sleep Eating
Conclusion

9. Excessive Sleepiness

Hypersomnia
Narcolepsy
Breathing Problems
Sudden Infant Death Syndrome
Movement-Related Sleep Problems
- Periodic Limb Movements
- Restless Legs Syndrome
- Rhythmic Movement Disorder
Conclusion

10. Other Nighttime Difficulties

Bedwetting
- The Bell and Pad
- Dry Bed Training
- Full Spectrum Home Training
- Medical Treatments for Bedwetting
Problems with Anxiety
- Paradoxical Intention
- Other Helpful Hints for Children with Anxiety
Problems with Depression
Sleep-Related Headaches
Nighttime Tooth-Grinding
Conclusion

11. Daytime Behavior Problems

Why Do Children Have Behavior Problems?
- Rule Out Medical Problems
- Impulsivity
- Attention Difficulties
What Is Your Child Trying to Tell You?
How Do You Know What Your Child Is Trying to Tell You?
The Seven "C's" for Changing Behavior
- Calm Yourself
- Communication
- Choices
- Change Preparation
- Consequences
- Constructive Feedback
- Consider the Next Time
Conclusion

12. Sleep and Medications

Barbiturates
Benzodiazepines
- Halcion
- Restoril
- ProSom
- Doral
- Dalmane
Antihistamines
Other Sleep-Inducing Medications
- Ambien
- Melatonin
Antidepressants
Stimulants
Other Sleep-Related Medications
Conclusion

13. Preventing Sleep Problems

Developmental Changes and Sleep
Prevention Strategies
- From Birth: Establishing Good Sleep Habits
- At 3 Months: Fading Nighttime Feedings
- At 6 Months: Sleeping Through the Night
- The Preschool Years: Reducing Naps
Conclusion

Appendix A. Support Groups and Associations
Appendix B. Sleep Pages on the World Wide Web
Appendix C. Accredited Sleep Disorders Centers
Appenidx D. Sleep Diary and Behavior Log
Appendix E. Albany Sleep Problems Scale

Endnotes
References
Additional Readings
Index