
Sleep issues are a frequent problem among individuals living with autism. They can lead to anxiety and alter an individual’s overall state of mind.
Alongside developing an effective bedtime routine, there are various tools that can assist autistic individuals in sleeping better at night. A weighted blanket may help relax them while melatonin supplements can regulate their sleeping cycles.
Lack of melatonin
Many children with autism struggle with sleeping, often not being able to fall asleep until nightfall. This is not due to them being bad kids or their parents failing them; the issue often lies within melatonin levels. Melatonin is a natural hormone produced in the brain from tryptophan and rises at night and falls during the day for optimal restful restful slumber; research has demonstrated that those diagnosed with autism tend to produce lower amounts of it than their peers without this condition.
One theory holds that genetic mutations associated with autism, like Fragile X Syndrome (FXS), interfere with melatonin synthesis and circadian rhythms; additionally, this chemical plays an essential role in neural plasticity and regulation of neural plasticity processes. Other theories speculate that low melatonin levels might result from abnormal immune system responses leading to chronic inflammation and poor sleep patterns resulting in poor melatonin levels and associated sleep issues.
Studies have shown that taking melatonin supplements may help people with autism and other mental disabilities sleep more soundly, however long-term use should be avoided and possible side effects should be discussed with your healthcare provider before beginning this regimen. It would be prudent to speak to someone before taking melatonin.
Melatonin can be used to treat many different conditions, from jet lag and shift work disorder, to sleeping disorders in general. It’s particularly effective in helping those experiencing trouble with their circadian rhythms as it resets these. Melatonin comes in pill form or can be dissolved into liquid such as water or juice and is widely available over-the-counter in most countries.
Melatonin can pose some risks, including blood clotting and other side effects; however, short-term use is generally safe. Individuals taking melatonin should refrain from activities that require alertness such as driving or operating machinery after taking it; also be wary if taking anticonvulsants or antidepressants with it as it could increase its sedative effects; those with high blood pressure should not take melatonin, as it might worsen their condition; alcohol or other sedatives should not be combined with it either.
Sensory issues
Many children with autism suffer from sensory issues that lead to sleep disruptions. Sensory issues can hinder the body’s ability to self-regulate, making it harder for a child to get enough restful slumber at night and have negative repercussions for mood and behavior during the daytime.
Sensory issues can have an adverse impact on both sleep and learning for children with SPD. Therefore, it’s crucial that parents address sensory issues before they become problematic, seeking professional assistance if you need it. If your child easily stimulates or has difficulty controlling sensations then they could be experiencing hypersensitivity – this may contribute to sleep disturbances and should be discussed with an occupational therapist as soon as possible.
Researchers still are unsure why autism and sleep issues are linked, but what they do know is that autistic people typically have difficulty falling asleep quickly and staying asleep through the night; additionally they tend to spend less time in rapid eye movement (REM) stages of sleep than neurotypical people do.
Melatonin, which is released during sleep to regulate the cycle and help keep individuals sleeping, could also be affected in those diagnosed with autism. Studies have demonstrated that some children with autism tend to have lower melatonin levels than their peers – something which could prevent an individual from sleeping soundly as its levels must fluctuate before and during a night’s rest in order to function optimally.
There are various strategies available to children with autism and sensory issues to help improve sleep, including creating a bedtime routine, turning off television, using white noise before sleep time, exercising prior to sleep (which releases endorphins that promote happiness) or listening to soothing music or taking a relaxing bath before sleep time.
Recent scoping reviews identified high incidences of sleep challenges among autism population and found sensory integration/processing differences were often linked with these difficulties. Tactile sensitivity and sensation seeking were significant predictors for sleep issues among this subpopulation.
Anxiety
Sleep issues are frequently linked with anxiety and autism spectrum disorder (ASD) symptoms; many people on the spectrum have both conditions. Individuals on the ASD spectrum may experience anxiety due to changes in daily routine, heightened sensory stimulation in their environments, misunderstanding of social cues or other factors relating to daily life or stress caused by changes.
Anxiety can often progress to depression, impacting both sleeping patterns and motivation for daily tasks – both of which further contribute to insomnia and worsen anxiety levels.
Anxiety may be challenging to diagnose for autistic individuals because its symptoms are similar to autism itself. A trained healthcare provider can assist in distinguishing anxiety from autism by asking a series of questions regarding feelings and triggers for anxiety, as well as providing services like ABA therapy, mindfulness training or cognitive behavioral therapy (CBT) as coping mechanisms and services that will manage anxiety better and allow the individual better sleep.
Positive news is that improved sleep can result in decreased issues with anxiety and mood. Healthy diet, exercise, relaxation techniques, medication can all play an integral role in helping those living with autism to cope with anxiety and improve sleep.
Some children with autism remain awake because of medical conditions like gastrointestinal or sleep apnea that need treating, such as obstructive sleep apnea. A general practitioner (GP) should be seen immediately as medications may also cause side effects that interfere with sleeping patterns and should therefore be addressed appropriately to treat these disorders effectively.
Simple measures may help alleviate sleep difficulties in children with autism, including using a weighted blanket to promote calmness, sleeping on dark carpeting or window blinds and taking showers before bedtime to reduce sensory disturbances. Psychotherapies such as CBT and ABA therapy may also provide assistance for anxiety that interferes with restful slumber; for adults seeking support there may also be psychologists available who offer various coping strategies along with treatments like acupuncture, acupressure or meditation to relax before sleeping.
Toilet training
Toilet training can be a major milestone for children and caregivers alike. For many it means freedom from diapers and reduced risk of bedwetting; however, for children with autism this process may prove more complex as autistic people often lack the ability to recognize their own bladder and bowel movements, leading them to either urinate during sleep or misinterpret the signs that indicate they need the bathroom.
Children with autism may have difficulty sleeping due to sensory differences. They may have difficulty blocking out outside stimuli like light, noise, fabrics and textures – and may struggle to focus on activities that help them get to sleep, like reading or listening to soothing music.
There are steps that can be taken to help children with autism sleep more soundly, such as creating a consistent bedtime routine and making sure the sleeping environment is conducive. Also important: encouraging them to consume healthy diets and drink enough water.
Parents should work closely with healthcare professionals in addressing behavioral issues that disrupt sleep as well as other potential causes. Medication may impede restful slumber; one study revealed that mood stabilizers led to greater restful nights whereas sedatives and ADHD medications caused decreased rest.
Finally, when it comes to toilet training children with autism should be allowed the freedom to respond independently to their bodily needs rather than resorting to negative language or showing disappointment at setbacks. They should have as much autonomy during this process as throughout their day.
Overall, parents must remember the connection between autism and sleep. From difficulty getting to bed to sudden awakenings throughout the night, autism can wreak havoc with how well people rest and their energy throughout their days. With proper strategies in place both children and adults with autism can learn how to fall asleep quickly, stay asleep through the night, and wake up feeling rejuvenated and ready to face another day!