Child & adolescent

Healthy sleep for children: routines that work

How much sleep children need by age, bedtime routines that help, and sleep problems such as night terrors and snoring that need attention.

Dr. Kuldeep Budania, MBBS, MD Psychiatry

Updated 11 October 2026 · 3 min read

Sleep supports growth, learning, mood and behaviour. Poor sleep in children can look like hyperactivity or irritability.

Consistent routines are the most effective tool.

Key concepts

  • Same bedtime and wake time daily
  • Screens off at least an hour before bed
  • Loud snoring may signal enlarged tonsils or adenoids

Symptoms and signs

  • Difficulty falling asleep, frequent waking
  • Night terrors, sleepwalking, nightmares
  • Daytime tiredness, irritability, poor attention

Causes

  • Irregular schedules and late screens
  • Anxiety, ADHD or autism
  • Snoring or breathing problems

Risk factors

  • Caffeine in tea, cola or chocolate
  • Shared bedrooms with late activity
  • Stress at home or school

Evidence-based management

  • Calm 20–30 minute routine: bath, story, lights low
  • Keep the bedroom dark, quiet and screen-free
  • For night terrors: keep the child safe; do not wake them forcefully
  • ENT check for loud snoring with pauses

When to seek professional help

  • Breathing pauses during sleep
  • Sleep problems affecting school or behaviour
  • Parents can book a consultation first to discuss concerns before involving the child

Frequently asked questions

How much sleep does a school-age child need?

Most children aged 6–12 need about 9–12 hours; teenagers about 8–10 hours.

Should children take sleeping medicines?

Rarely, and only on specialist advice; routines and treating causes come first.

Medical references

Guidelines and official sources used for this article.

  1. Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age. World Health Organization, 2019.
Author
Dr. Kuldeep Budania, MBBS, MD Psychiatry
Medical reviewer
Dr. Kuldeep Budania, MD Psychiatry
Last reviewed

This article is for general information and is not a substitute for personal medical advice.

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