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URLhttps://www.childrenshospital.org/conditions-treatments/insomnia
Last Crawled2026-04-11 03:34:00 (1 day ago)
First Indexed2025-12-11 03:42:22 (4 months ago)
HTTP Status Code200
Meta TitleInsomnia | Boston Children's Hospital
Meta DescriptionInsomnia is characterized by frequent night wakings, bedtime battles, and difficulty falling and staying asleep. Learn more from Boston Children's.
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Insomnia in children is very common and is characterized by struggles around going to bed, difficulty falling asleep at bedtime or problems staying asleep during the night. Children with insomnia may also wake up very early. Insomnia can occur in children of all ages, from infants to toddlers, preschoolers, school-aged children, and adolescents. Research shows that sleep problems have adverse effects on daytime functioning, including difficulties paying attention, excessive sleepiness and fatigue, behavioral problems such as hyperactivity and poor impulse control, and difficulty regulating emotions. Children's insomnia can also deprive caregivers of sleep, causing stress and disruptions in family life.
Markdown
[Skip to main content](https://www.childrenshospital.org/conditions-treatments/insomnia#main-content) ##### Recall Alert There are recalls of ibuprofen and eye drops. [Learn more \>\>](https://www.childrenshospital.org/recalls) [![Home](https://www.childrenshospital.org/themes/custom/bch/images/logo.svg) ![Home](https://www.childrenshospital.org/themes/custom/bch/images/logo-mobile.svg) ![Home](https://www.childrenshospital.org/themes/custom/bch/images/logo-white.svg) ![Home](https://www.childrenshospital.org/themes/custom/bch/images/logo-mobile-white.svg)](https://www.childrenshospital.org/ "Home") ##### Top Links - [MyChildren's Patient Portal](https://mychart.childrenshospital.org/MyChart/Authentication/Login "(opens in a new window)") - [International](https://international.childrenshospital.org/ "(opens in a new window)") - I Want To... - [Make an Appointment](https://www.childrenshospital.org/request-appointment) - [Pay My Bill](https://www.childrenshospital.org/patients-families/about-boston-childrens/financial-billing-matters/pay-your-bill-online) - [Find a Doctor](https://www.childrenshospital.org/find-a-doctor) - [Find a Location](https://www.childrenshospital.org/find-a-location) - [Get a Second Opinion](https://www.childrenshospital.org/patients-families/about-boston-childrens/second-opinion-program) - [Work Here](https://jobs.bostonchildrens.org/ "(opens in a new window)") - [Donate](https://secure.childrenshospital.org/site/Donation2?df_id=6865&mfc_pref=T&6865.donation=form1 "(opens in a new window)") Menu ##### Sub Menu - [Conditions & Treatments](https://www.childrenshospital.org/conditions-treatments) - [Programs & Services](https://www.childrenshospital.org/services) - [Patients & Families](https://www.childrenshospital.org/patients-families) - [Healthcare Professionals](https://www.childrenshospital.org/healthcare-professionals) - [Research](https://research.childrenshospital.org/ "(opens in a new window)") [Search](https://www.childrenshospital.org/search) ![](https://www.childrenshospital.org/themes/custom/bch/images/icon-search.png) Popular Search Terms [Healthcare](https://www.childrenshospital.org/search?keywords=Healthcare) [Cold](https://www.childrenshospital.org/search?keywords=Cold) [Cough](https://www.childrenshospital.org/search?keywords=Cough) [Ear Infection](https://www.childrenshospital.org/search?keywords=Ear%20Infection) [Chronic Pain](https://www.childrenshospital.org/search?keywords=Chronic%20Pain) [Cancer](https://www.childrenshospital.org/search?keywords=Cancer) - [MyChildren's Patient Portal](https://mychart.childrenshospital.org/MyChart/Authentication/Login "(opens in a new window)") - [International](https://international.childrenshospital.org/ "(opens in a new window)") - I Want To... - [Make an Appointment](https://www.childrenshospital.org/request-appointment) - [Pay My Bill](https://www.childrenshospital.org/patients-families/about-boston-childrens/financial-billing-matters/pay-your-bill-online) - [Find a Doctor](https://www.childrenshospital.org/find-a-doctor) - [Find a Location](https://www.childrenshospital.org/find-a-location) - [Get a Second Opinion](https://www.childrenshospital.org/patients-families/about-boston-childrens/second-opinion-program) - [Work Here](https://jobs.bostonchildrens.org/ "(opens in a new window)") - [Donate](https://secure.childrenshospital.org/site/Donation2?df_id=6865&mfc_pref=T&6865.donation=form1 "(opens in a new window)") - [Conditions & Treatments](https://www.childrenshospital.org/conditions-treatments) - [Programs & Services](https://www.childrenshospital.org/services) - [Patients & Families](https://www.childrenshospital.org/patients-families) - [Healthcare Professionals](https://www.childrenshospital.org/healthcare-professionals) - [Research](https://research.childrenshospital.org/ "(opens in a new window)") [Search](https://www.childrenshospital.org/search) ![](https://www.childrenshospital.org/themes/custom/bch/images/icon-search.png) # Insomnia [Request an Appointment](https://www.childrenshospital.org/request-appointment) [Call 781-216-2570](tel:781-216-2570) Fax 781-216-2518 [International 1-617-355-5209](tel:1-617-355-5209) [Get a Second Opinion](https://www.childrenshospital.org/patients-families/about-boston-childrens/second-opinion-program) ## Breadcrumb 1. [Home](https://www.childrenshospital.org/) 2. [Conditions & Treatments](https://www.childrenshospital.org/conditions-treatments) 3. Insomnia Share: \| \| \| [Overview](https://www.childrenshospital.org/conditions-treatments/insomnia#condition-mobile) [Overview](https://www.childrenshospital.org/conditions-treatments/insomnia#overview) [Symptoms & Causes](https://www.childrenshospital.org/conditions-treatments/insomnia#symptoms--causes) [Diagnosis & Treatments](https://www.childrenshospital.org/conditions-treatments/insomnia#diagnosis--treatments) [Related Programs & Services](https://www.childrenshospital.org/conditions-treatments/insomnia#related-programs-amp-services) [Contact Us](https://www.childrenshospital.org/conditions-treatments/insomnia#contact) [Overview](https://www.childrenshospital.org/conditions-treatments/insomnia#overview) [Symptoms & Causes](https://www.childrenshospital.org/conditions-treatments/insomnia#symptoms--causes) [Diagnosis & Treatments](https://www.childrenshospital.org/conditions-treatments/insomnia#diagnosis--treatments) [Related Programs & Services](https://www.childrenshospital.org/conditions-treatments/insomnia#related-programs-amp-services) [Contact Us](https://www.childrenshospital.org/conditions-treatments/insomnia#contact) [Request an Appointment](https://www.childrenshospital.org/request-appointment) [Get a Second Opinion](https://www.childrenshospital.org/patients-families/about-boston-childrens/second-opinion-program) [![Best Children's Hospitals US News & World Report 2025-26](https://www.childrenshospital.org/sites/default/files/styles/news_badge/public/news-badge/2025-11/test.png.webp?itok=7ugGE3h4)](https://health.usnews.com/best-hospitals/area/ma/boston-childrens-hospital-6140270 "(opens in a new window)") [![World's Best Specialized Hospitals Newsweek 2026](https://www.childrenshospital.org/sites/default/files/styles/news_badge/public/news-badge/2025-11/test-2.png.webp?itok=7oYzp_bk)](https://rankings.newsweek.com/worlds-best-specialized-hospitals-2026/pediatrics "(opens in a new window)") [Listen](https://app-na.readspeaker.com/cgi-bin/rsent?customerid=10646&lang=en_us&voice=Alice&readid=block-olivero-content&url=https%3A//www.childrenshospital.org/conditions-treatments/insomnia "Listen to this page using ReadSpeaker (opens in a new window)") ## What is insomnia? Insomnia in children is very common and is characterized by struggles around going to bed, difficulty falling asleep at bedtime or problems staying asleep during the night. Children with insomnia may also wake up very early. Insomnia can occur in children of all ages, from infants to toddlers, preschoolers, school-aged children, and adolescents. Research shows that sleep problems have adverse effects on daytime functioning, including difficulties paying attention, excessive sleepiness and fatigue, behavioral problems such as hyperactivity and poor impulse control, and difficulty regulating emotions. Children's insomnia can also deprive caregivers of sleep, causing stress and disruptions in family life. ## Symptoms & Causes ## What are the symptoms of insomnia in children? Insomnia in children can begin at any time, from infancy through adolescence, and in some cases can develop into a long-term problem. Symptoms can include: - Bedtime refusal and struggles going to bed - Frequent "curtain calls" after lights out (such as requests for drinks, hugs, or stories) - Difficulty falling asleep once in bed - Frequent or prolonged night wakings with difficulty returning to sleep independently - Waking earlier than desired - Resistance to an appropriate sleep schedule - Difficulty napping - Trouble waking in the morning or getting up for school In addition, parents or caregivers of children with insomnia often report that the child suffers during the day. Daytime symptoms can include: - Fatigue, tiredness, sleepiness - Attention, concentration, or memory impairments - Problems with social, family, occupational, or academic performance - Mood disturbances or irritability - Behavioral problems (hyperactivity, aggression, or oppositional behavior) - Reduced motivation - Poor decision-making and impulse control - Low tolerance for frustration ## What causes insomnia in children? Many times insomnia is a symptom that is caused by something else. Possible causes of insomnia can include: - Another sleep disorder (such as restless legs syndrome or [obstructive sleep apnea](https://www.childrenshospital.org/conditions-treatments/obstructive-sleep-apnea-osa)) - [Anxiety](https://www.childrenshospital.org/conditions-treatments/anxiety-disorders) or stress - A medical, mental health or developmental condition such as [asthma](https://www.childrenshospital.org/conditions-treatments/asthma), [depression](https://www.childrenshospital.org/conditions-treatments/depression), [attention deficit hyperactivity disorder (ADHD)](https://www.childrenshospital.org/conditions-treatments/adhd), or [autism](https://www.childrenshospital.org/conditions-treatments/autism-spectrum-disorders) - Certain medications, such as steroids or antidepressants - Caffeine, found in many types of soda and energy drinks ## Diagnosis & Treatments ## How is insomnia diagnosed? If your child seems to be suffering from insomnia, a sleep specialist can evaluate the problem using the following techniques: - Taking a detailed history of your child's symptoms, including any medical, mental health, or developmental issues - Doing a complete physical examination - A [sleep log](https://www.childrenshospital.org/sites/default/files/2026-02/sleep-center-log.pdf "(opens in a new window)") kept by parents, caregivers, or the child (if he or she is old enough) for several weeks. Filling out the log helps track your child's sleep patterns and amounts of sleep over an extended period of time. - Tracking your child's sleep patterns over two to three weeks using a wristwatch-like validated device called an actigraph. - In rare cases, an [**overnight sleep study**](https://www.childrenshospital.org/conditions-treatments/sleep-studies), if the sleep specialist suspects additional problems such as sleep apnea or excessive movements during sleep. (Sleep studies are unnecessary in the vast majority of patients with insomnia.) ## How is insomnia treated? The good news is that insomnia is treatable, especially when it is behavioral in nature. For example, some children have become dependent on special conditions to fall asleep, like being rocked or fed or just having a parent present. When they awaken at night (as all children normally do), a caregiver then has to help them fall back asleep. In other cases, the problem may be bedtime resistance by toddlers testing their limits, lack of a relaxing bedtime routine, or an inappropriate or irregular sleep schedule. Changing these habits and behaviors can lead to better sleep for everyone. A sleep specialist can help. In older children and adolescents with insomnia, behavioral strategies usually include the active involvement of the patient in developing and carrying out the treatment plan. This may include a program developed specifically for insomnia called cognitive behavioral therapy for insomnia or CBT-I. ## Can medications help treat insomnia? On rare occasions, treatment with sleep medications in conjunction with behavioral treatment may be appropriate for children with insomnia. This is more often the case in children who have more complex medical, mental health or developmental issues. Providers at Boston Children's Hospital's [**Sleep Center**](https://www.childrenshospital.org/services/sleep-center) work with families to select the safest and most effective medications in these situations. ## How we care for insomnia [Specialists at Boston Children's Hospital's Sleep Center](https://www.childrenshospital.org/services/sleep-center/meet-our-team) can help parents address these issues, which can make all the difference in getting a good night's sleep. Our team of experts provides specialized care to meet the needs of your child. ### Make an appointment - Call us at 781-216-2570 - International: \+1-617-355-5209 - Request an [appointment online](https://www.childrenshospital.org/request-appointment) ### Related Programs & Services (2) #### [Cardiac Neurodevelopmental Program](https://www.childrenshospital.org/services/cardiac-neurodevelopmental-program) The Cardiac Neurodevelopmental Program uses a compassionate, family-centered approach to diagnose and treat neurodevelopmental disorders. [Request an Appointment ![](https://www.childrenshospital.org/themes/custom/bch/images/right-caret.svg)](https://www.childrenshospital.org/request-appointment) Call [617-355-3401](tel:617-355-3401) #### [Sleep Center](https://www.childrenshospital.org/services/sleep-center) The Sleep Center helps set the standards of care for sleep problems in children of all ages. [Request an Appointment ![](https://www.childrenshospital.org/themes/custom/bch/images/right-caret.svg)](https://www.childrenshospital.org/request-appointment) Call [781-216-2570](tel:781-216-2570) ## Contact Us Sleep Center Call [781-216-2570](tel:781-216-2570) Fax 781-216-2518 International [1-617-355-5209](tel:1-617-355-5209) [Request an Appointment](https://www.childrenshospital.org/request-appointment) [Request a Second Opinion](https://www.childrenshospital.org/patients-families/about-boston-childrens/second-opinion-program) ![](https://www.childrenshospital.org/themes/custom/bch/images/icon-bch-location.png) 300 Longwood Ave Boston, MA 02115 ![](https://www.childrenshospital.org/themes/custom/bch/images/icon-patient-record.png) [MyChildren's Patient Portal](https://mychart.childrenshospital.org/MyChart/Authentication/Login "(opens in a new window)") ![](https://www.childrenshospital.org/themes/custom/bch/images/icon-phone.png) [617\.355.6000](tel:1-617-355-6000) Follow Us [![](https://www.childrenshospital.org/themes/custom/bch/images/icon-facebook.png)](https://www.facebook.com/BostonChildrensHospital/ "(opens in a new window)") [![](https://www.childrenshospital.org/themes/custom/bch/images/icon-instagram.png)](https://www.instagram.com/bostonchildrens/ "(opens in a new window)") [![](https://www.childrenshospital.org/themes/custom/bch/images/icon-linkedin.png)](https://www.linkedin.com/company/bostonchildrenshospital/ "(opens in a new window)") [![](https://www.childrenshospital.org/themes/custom/bch/images/icon-pinterest.png)](https://www.pinterest.com/bostonchildrens/ "(opens in a new window)") [![](https://www.childrenshospital.org/themes/custom/bch/images/icon-youtube.png)](https://www.youtube.com/user/ChildrensHospital "(opens in a new window)") [![Best Children's Hospitals US News & World Report 2025-26](https://www.childrenshospital.org/sites/default/files/inline-images/Badge-ChildrensHospitals-Honor-Roll_Generic-year.png)](https://health.usnews.com/best-hospitals/area/ma/boston-childrens-hospital-6140270 "(opens in a new window)")![World's Best Specialized Hospitals Newsweek 2026](https://www.childrenshospital.org/sites/default/files/inline-images/Newsweek_WBSH2026_Logo_basic.png) ##### Column 2 \[Menu\] - Get Care - [Make an Appointment](https://www.childrenshospital.org/request-appointment) - [MyChildren's Patient Portal](https://mychart.childrenshospital.org/MyChart/Authentication/Login "(opens in a new window)") - [Find a Doctor](https://www.childrenshospital.org/find-a-doctor) - [Locations](https://www.childrenshospital.org/find-a-location) ##### Column 3 \[Menu\] - About & Support - [About Boston Children's](https://www.childrenshospital.org/about-us) - [Career Opportunities](https://jobs.bostonchildrens.org/ "(opens in a new window)") - [Newsroom](https://www.childrenshospital.org/newsroom) - [Ways to Help](https://www.childrenshospital.org/ways-help) - [Contact Us](https://www.childrenshospital.org/about-us/contact-us) ##### Column 4 \[Menu\] - Patient Rights & Policies - [Government Relations](https://www.childrenshospital.org/about-us/get-connected/government-relations) - [HIPAA Notice of Privacy Rights](https://www.childrenshospital.org/legal/notice-privacy-practices) - [Patient & Family Rights](https://www.childrenshospital.org/legal/rights-responsibilities-patients-patient-representatives-families) - [Price Transparency](https://www.childrenshospital.org/patients-families/about-boston-childrens/financial-billing-matters/resources-self-service/charges) - [Quality & Patient Safety](https://www.childrenshospital.org/about-us/patient-experience) - [Compliance](https://www.childrenshospital.org/about-us/working-us/contractors-vendors) © 2005 - 2026 Boston Children’s Hospital. 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Readable Markdown
Insomnia in children is very common and is characterized by struggles around going to bed, difficulty falling asleep at bedtime or problems staying asleep during the night. Children with insomnia may also wake up very early. Insomnia can occur in children of all ages, from infants to toddlers, preschoolers, school-aged children, and adolescents. Research shows that sleep problems have adverse effects on daytime functioning, including difficulties paying attention, excessive sleepiness and fatigue, behavioral problems such as hyperactivity and poor impulse control, and difficulty regulating emotions. Children's insomnia can also deprive caregivers of sleep, causing stress and disruptions in family life.
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