This part 3 episode is about interventions used in addressing
the bedtime problems from negative sleep-onset association, fear of the dark, separation anxiety, defiant behavior etc. In the previous episode we discussed identifying the problem, getting started on establishing a bedtime routine and starting to give positive reinforcement when we observe desired behavior.
Interventions include extinction and gradual extinction methods to address negative sleep-association, as well as Interventions regarding fear of the dark, separation anxiety, recurrent nightmares based on exposure, anxiety management and positive reinforcement.
Sleep onset association
https://www.thoracic.org/patients/patient-resources/resources/behavioral-insomnia-childhood.pdf
Behavior chart for bedtime routine
https://cms-tc.pbskids.org/global/Bedtime-Routine-Chart_Rosies-Rules.pdf
Bedtime Fading
https://www.apa.org/pubs/books/supplemental/pediatric-sleep-problems/Bedtime_Fading.pdf
Extinction and Gradual Extinction plan that’s premade. This is a great working example with many alternatives
https://ogradywellbeing.com/services/child-sleep/
Book that I used for learning the interventions and providing a solid foundation for starting to work with kids with bedtime sleep challenges.
Meltzer, L. J., & Crabtree, V. M. (2015). Pediatric sleep problems: A clinician’s guide to behavioral interventions. American Psychological Association.
Intro music by: Drew Anderson
