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Saturday, January 2, 2021

Sleep and children with ASD, other disabilities, and difficulties with mental health

 

Children with autism, other disabilities, and difficulties with mental health, need exercise.  If their disability prohibits typical exercise, you can sometimes find special playgrounds with adaptive equipment.  Sometimes you can work with a pediatric physical therapist and perhaps even one who specializes in your child’s disability.  Find ways to help your child get needed healthy exercise.

Another thing all children need is good nutrition.  We often mess up a child’s appetite by feeding them comfort food and conditioning them to dislike and resist healthy food.  One of the worst things that can happen to/for a child with autism is for them to get to the point where they will only eat one or two things and they are both “crap.”  If your child is at that point already, introduce healthier foods and model eating them.  Have them out and around for them to eat when/if they wish.  Put them in front of them on the table.  There are a lot of things you can do to recondition a child to eat healthy foods.  At a minimum, we need 2 servings of grain (rolled oats are gluten free and great, brown rice is great and also gluten free should that be a concern), 2 servings of vegetables, 1 serving of fruit, 1 serving or protein (I prefer a plant based protein, eggs, fish, but not other types of meat), and 1 serving of dairy or a dairy substitute such as a non-dairy milk or leafy green vegetables.  (MyPlate).  For those drinking warm skim milk before bed, dairy milk is recommended.

Another thing all children, all people need, is good sleep, and of course, LOVE, lots of love.

As much as possible create a bedroom environment that is calming, not over stimulating, comfortable and cozy.  Some of the links may give you some ideas, but soft colors, soft lighting, and soft carpet can be helpful.

As you will see in one of the videos below, some children like and do well with pretend caves.  I’ve also done quite a bit with weighted blankets and they can be helpful for some, though the objective research is not sufficient in my mind.  I will add this though, if you use a weighted blanket, please work with, and consult an occupational therapist.  They can possibly be too heavy and used incorrectly.  If you cannot afford a weighted blanket, there are some correction systems that have programs where they are made and donated.  Sometimes they need the material donated in order to make the blankets.

If the child has a hard time sleeping, I do not recommend allowing them to sleep in your bed with you.  If absolutely necessary, you can lie down in their bed with them, but better yet is simply to sit in a chair next to their bed, you may read them a story, or you may just read to yourself.  Use a soft directed light for the book, avoid electronics and just read, hum, or sing.  You want sleep to be associated with their bed, not yours.

If possible, you may have a soft comfort toy you give the child only when s/he is going to sleep and through the night.

In one of the videos below, the mother talks about schedules.  Schedules are a great idea for many reasons and having a schedule for the bedtime routine, for going to sleep, and then waking up and getting up again can be comforting, assuring, and very helpful.  Schedules can be charts, post-it notes, a list, and as this mother does, it can be read at bedtime.  I would recommend asking questions about the day though, to prior to the 90-minute relaxation pre-bed routine.  Massaging can be great and there is a very specific designation called infant-massage and there is specific training for this.

(For some children, a schedule where they move an item to show it has been finished and where they are able to see on the other side of the chart or schedule items still to come.  This could include a chart for just their bedtime routine and an item to move when they get up to show they have that to look forward to after sleeping.  In this scenario, include an item for sleep that they can also move to show as completed when they get up.  For some children a chart/schedule for the entire day or two or three separate charts/schedules for different segments of the day can be helpful.)

A warm bath and shower are very helpful and the mother in the video adds something specific to the bath and another mother I have recently communicated with adds lavender to the bath.  I like both ideas if they work for your child and as long as they are healthy and safe.  I’ll talk more about essential oils and smells as well as food on a subsequent page.

This really fits better into the next page, but I want to stress this here.  Many children with autism or other disabilities have co-occurring disabilities and/or health problems.  Melatonin is a key factor in sleep and can be purchased in most grocery stores and pharmacies.  Typically it is safe in small amounts; HOWEVER, for children, children with disabilities, children with autism, please consult their physician before starting them on melatonin.

Click her to continue the series: consulting a physician.






                               The Overlooked Connection Between ADHD and Sleep











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