Objectives After completing this article, readers should be able to:

Sleep problems are very common during childhood, occurring in 20% to 30% of children. They are often a clue to underlying emotional, interactional, or family problems that deserve attention and may be the aspect of the child’s functioning that the family is most open to addressing. Sleep problems can be a source of stress and sleeplessness for parents and behavioral or learning difficulties for the child, but families may not be aware that the clinician can help. Sleep disturbances generally are resolved easily by the primary care physician in fewer than 3 weeks by using behavioral interventions, but they can persist for more than 3 years if left untreated.

Sleep problems almost always can be diagnosed and treated based solely on a careful history. An algorithm of questions for sorting out sleep problems forms the structure for this article. In...

You do not currently have access to this content.