Autism Therapy: sleep

definition of sleep: Sleep is a natural and recurring altered state of consciousness with relatively little movement or sensory activity. It is a time of growth and rejuvenation of the immune, nervous, skeletal, and muscle systems. Many people with autism have altered sleep patterns whereby they sleep less than the neurotypical population.

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Research in Autism Spectrum Disorders, by Mayes, SD, and Calhoun SL, published in 2009, summarized Sep 16, 2010

Children with autism often have sleep problems, and therapies such as behavior therapy (applied behavior analysis [ABA]) and melatonin may be helpful in treating these sleep problems.

The goals of this study were to see what types of children with autism also have sleep problems and to see how often parents of children with autism reported sleep problems. More than half of children with autism have parents who reported sleep problems. The study showed that many children with autism have sleep problems and that sleep problems are worse in children with more severe autism. Children who were on drugs (melatonin, clonidine, and diphenhydramine) to treat sleep problems had greater sleep problems than children who did not seek treatment. In most cases children with autism slept fewer (not more) hours than children without autism.


Swiss Med Weekly, by Galli-Carminati, G., Deriaz N., and Bertschy G., published in 2009, summarized Aug 5, 2010

Melatonin may be a safe and effective treatment for sleep disorders in adults with autism.

Sleep problems are common during the childhood of people with autism and often persist as the children age into adults. Some research suggests that these sleep problems are the result of people with autism not having enough melatonin in their body. This retrospective study describes the use of melatonin (3-9 mg each evening) to treat sleep problems in six adults with autism. The authors found that melatonin helped to both induce and maintain sleep. The authors did not observe any side effects in their patients.


Child Adolesc Psychiatric Clin N Am., by Johnson, KP, Giannotti F., and Cortesi F., published in 2009, summarized Feb 23, 2010

Behavioral therapy and melatonin may both be helpful children with autism who have sleep problems.

This review article describes the sleep problems that are common in children with autism. The first line treatment in children with autism is to improve sleep hygiene. After that, behavioral treatment such as teaching new sleep behavior in small steps may be helpful. While there are no drugs approved for the treatment of sleep problems in children, the supplement melatonin may be helpful. Some scientists believe that melatonin therapy helps because children with autism do not make enough melatonin on their own.


Journal of Child Neurology, by Reed, HE, McGrew SG, Artibee K., and Surdkya K., published in 2009, summarized Jan 27, 2010

Educating parents about behavioral sleep strategies may improve sleep habits in their children with autism.

This study looked at whether a parent education program about sleep habits might help parents to create better habits at home. Parents of 20 children with autism (3 to 10 years old) participated in the study. Parents attended three 2-hour workshops led by 2 physicians. Parents learned about setting good daytime, bedtime, and nighttime routines. They also learned strategies for dealing with their children if they wake up in the middle of the night. One month after the last seminar, parents reported improvements in 6 out of 10 measures of their child’s sleep habits. Sleep habits improved even for children with low receptive language abilities. The authors said that a few sessions of parent education may be very helpful to parents whose children have sleep problems.


This article highlights two new tools recently provided by Autism Speaks. The Sleep Strategies Guide and the Tool Kit for Dental Professionals can be found on the Tools You Can Use page. The Sleep Strategies guide is organized so that parents can begin simple changes in their child's bedtime routine, in order to make it easier for the child to go to sleep and stay asleep. The Tool Kit for Dental Professionals helps dentists and hygenists learn to understand and work better with the autism population. Both aids are available for free download.

Read original article: Autism Speaks Provides Sleep Strategies and Dental Treatment Toolkits


The Vantage Lite is a communication tool that gives a voice to non-verbal children with autism. For example, a young student was able to use the augmentative communication device to ask for cardboard tubes. The Vine School uses Vantage Lite to help students use more than just colors and shapes – it offers unlimited communication. One example has a child clicking a photo of a bed, not only does the child see and hear “bed”, but also sees words such as sleep, tired, bedspread, and pillow. Meredith Potts, a Vine School speech pathologist says the main goal remains to enable children to learn to speak, although they understand that some will always be dependent on the computer. Another gain offered by Vantage Lite and communication devices is that children may become less frustrated as they are able to make their thoughts and needs known.

Read original article: Computer Technology Gives Voice to Children with Autism


Millpond’s Sleep Clinic, which specializes in children’s sleep disorders recently hired a sleep therapist to work with children with autism. Vicki Dawson, who has worked with special needs kids and authored books, has been a sleep practitioner for the past 5 years. She works with parents and children on behavior management and sleep hygiene. She understands that a well-rested child means well-rested parents and less stress for all.

Read original article: Millpond Launch a New Sleep Service for Children with Autism


A favorite special education teacher of ours, Pam Downing, has written part 1 of a series on purchasing holiday gifts for kids with autism. The types of games she suggests are those that are interactive and can be played with the child and his family. She suggests parents find out what their child likes to do in the classroom and purchase some of those games. In addition, she recommends book/stuffed animal combinations including: Wherever You Are with a dolphin, The Spirit of Christmas with a lion, It’s Time to Sleep, My Love with a panda and On the Night You Were Born with a polar bear. Another tip is to look for sensory toys, these can include inexpensive items that light up or spin. Squishy toys are good and can be found at a low price and a lot of kids love balls. We’ll keep you posted as more suggestions arrive.

Read original article: Christmas Ideas for Children Who Have Autism



Please comment on this autism topic.

Responding to Tenex - Intuniv (guanfacine)

Sep 30, 2011 by Anonymous

We've used Tenex since my son was almost 4 in combination with Abilify (which we recently stopped). He is 8 now and weighs 125 lbs and is almost 5ft tall.. It has been amazing in helping him with the hyperactivity without sedating him or him a zombie. We tried the extended release version (Intuniv) but my son processes things very quickly and it didnt work well for us. We have found that giving him 1mg 2x per day and 2mg at bedtime with Melatonin (5mg) have increased his sleep. One thing to note about Melatonin is that it can cause night terrors so if thats happening you may need to switch to something else. Im not sure that using benadryl long term is good for our kids but you do what works and the dr is ok with. We also keep on hand ativan (he tends to have issues with anxiety ie drs appts, grocery shopping etc.) and clonazepam for long trips and severe aggression. The ativan and clonazepam are used sparingly. My son knows what his meds are, what they are for and can tell us if he needs something (he is rx'ed the tenex for am, lunch and bed but if he doesnt need it then he doesnt take the noon dose). Its been a long road to get him from non-verbal to verbal (still some delays but he can hold a conversation) and is now actaully quite social. His medications help allow him to be who he really is and dont just mask the problems that he has.


Responding to repetitive

Feb 12, 2011 by ricky wilson

Gabapentin help with sleep and repetitive motions on children with austim.


Knowing the financial burden attached to being a caregiver for an Autistic child, we were compelled to build a free web version for users who do not have a smartphone. In our journey with our children we realized that we needed healthcare providers, educators and mentors on board when it comes to improving the quality of care a person receives. The website is ready but is in the testing phase. Here is a link to pictures of what it will look like: http://www.facebook.com/photo.php?fbid=188241727857292&set=a.188241557857309.51353.146190262062439. We encourage people to go to http://bit.ly/eoHQUR to be notified when iBiomed Health Organizer & Network is released to the general public. Please add us as a resource on Healing Thresholds. Thanks again.

iBiomed is a mobile application which was recently featured in the Post and Courier newspaper, in Charleston, SC. and the Wall Street Journal.  It was built by Florence Iwegbue & Kwame Iwegbue who is also a Physician in Charleston, SC. They personally built this software in order to ease the back breaking burden on their family, after their son was diagnosed with Autism and started having unexplained seizures: "We developed the software specifically to manage our son's Autism care, but we now realize that it goes way beyond the world of Autism." They hope to spread the word about this software because they know all to well, the pressures & stress that caregivers and families of children with special needs have to endure.

iBiomed is a free native iPhone/iPad application designed to manage the health and well being of children with Special Needs or individuals with complex, chronic medical illnesses. The App is now available for a free download from the App store. They have left it free because we believe this tool would be of great benefit to many people living with complex medical conditions requiring multiple healthcare providers, medications, tests & rehabilitative therapies. "We cannot articulate why we are so driven by this effort but we believe the medical community has long awaited it. We also believe that as a family it is a calling for us because of the special skills we possess and the circumstance we have found ourselves in. Our son has taken us on an unforgettable journey." Below is a link to watch a demo of iBiomed and a link to our site and Facebook group for pictures of the App in action. They realize that not everyone has an Apple device so we will be making it available for free use online by the end of this month. People can register here to be notified upon it's release: http://bit.ly/eoHQUR.

Click Here: http://bit.ly/iin5H9 for info on how iBiomed can help Health care Providers, Therapists, Nutritionists, Chiropractors, Acupuncturists, Educational Institutions, Vendors and other Holistic Practitioners.

The iBiomed Software allows you to create an Interactive Social Network Bio. If you are a vendor, Holistic practitioner, Healthcare provider, Therapist, Blogger, or mentor, this feature allows an easy one-click access to you, your product and your service.

iBiomed's Features Include:

1. Treatment Log Book:

Keep detailed records on the go and soon online with a mobile logbook for Prescriptions, Supplements, Therapies, Diets, Allergies, and Tests.

2. Add Multiple Time Stamped Notes to each of the above treatment items.

Your Notes are easily search-able.

3. Manage the Treatment of as many people as you'd like; Just as with a portable electronic medical record.

3a. Add as many Supplements, Medications, Tests, Diets and Therapies & Alternative/Holistic Treatments as you’d like.

4. Treatment Journal:

Keep a Journal or Daily diary for each person whose treatment you'll be managing with iBiomed. The Journal entries are time stamped and easily search-able. e.g. foods, behavior logs or side effects and reactions.

5. Treatment History:

Review your treatment history of tests, supplements, diets, therapy notes, behaviors and journals. You can also edit past log entries, including test results. If the test results are numerical, you can easily differentiate between normal and abnormal values.

6. Treatment Reminder:

Treatment alerts to help you remember to administer supplements, medications tests and even Therapy sessions and medical appointments.

7. Share Treatment Information:

Share details of your treatment plan with family, health professionals, therapists or nutritionist by email. iBiomed can automatically generate an email summary of your treatment plan and treatment history by date range.

8. Supply Tracker for Rx & Supplements: Lets you know when you should reorder a prescription or Supplement.

9. Health Forum with "Smart Topic Filter" and Push notification to your mobile device: Now all your forum questions & answers can be accessed on your phone. It is also a so a great platform for parents and healthcare providers to interact.

10. Customizable Graph to track just about anything a person wants to watch closely; from symptoms to behaviors, appetite, sleep, or anything you want to track.

11. Available for online use at biomedprofile.com in January 2010. iBiomed Online Health Organizer will have all the same features of the App and much more. Go to: http://biomedprofile.com/index.php?option=com_content&view=article&id=54&Itemid=61 to Sign up to receive an email notification when the site is ready for online use.


Just around the bend...

Jul 26, 2009 by Anonymous

Summer is half over and as with people nationwide concerns regarding bugdet cuts to services, inavailability of services that are supportive of our children on the spectrum and the dangers in the community that became more apparent as they get older abound. While I am sure parents overall have concerns about their children being at risk in their community this fear is exacerbated greatly when your child is often oblivious to these dangers because of social skill and comprehension deficits. In the past few weeks I have run into two friends whose teenage sons, once a part of a special needs support group which has fallen prey to the budgetary axe, both found themselves under arrest. I could debate the circumstances but suffice it to say that this is every mothers nightmare. So what do we do when the mainstream only hear about early intervention. It is as if by some misfortune parents who have not solved this exhaustive puzzle of advocating and searching for appropriate services and therapies simply no longer exist once their child falls out of that window the public eye envisions of a child on the spectrum. Beautiful doe eyed 2, 3, 4 and 5 year olds. What happens when they become 12, 13,16, 19? when insurance companies want to deem their progress insufficient and therefore not medicallly necessary? When schools have decided thier capabilities long before they max out at age 22? When they have too often become prey for others willing to exploit their disability? I lose sleep over the thought that my son will one day find himself in a compromising situation because of his inabiility to discern dangers around him, or people who would use him, hurt him.... So that is my thought for the week. How do you as educators, clinicians and parents affect change in the lives of our preteens and teens and adults with ASD so that mothers like me will not live this nightmare?



Please comment on sleep or other autism therapy topics.

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