Sleep Support for Adolescents - Sleep Scotland
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Contents What is Sleep? 2 Good Bedtime Practice 7 The Body Clock 3 Support 8 What might be stopping your child from sleeping? 5 Registered with the UK Copyright Service | Registration No: 273241 B
What is sleep? Sleep is... What does sleep look like? During non–REM sleep – shown in blue, even though at times we may be in our • A natural behaviour – sleep is part of Sleep patterns are shown as deepest sleep, our bodies will still be everyone’s life. Eventually no matter how hypnograms – a hypnogram shows working hard releasing hormones and hard we fight it we will want to sleep what our sleep looks like and the different renewing and repairing tissues. for at least part of every 24 hours. types of sleep being experienced. The hypnogram below is one for a 14 year old REM sleep – shown in red, happens • A reversible state of reduced needing to sleep 8-10 hours. increasingly through the night. This is awareness – to our environment when we do our memory consolidation and surroundings. It is important to know that our bodies and is often when we dream. and brains are doing very specific things • Dynamic – we do not turn off at different times during the sleep cycle. At various points during the sleep cycle completely during sleep. There are lots Each cycle is comprised of both non–REM we may wake. This may only be for of important processes occurring during and REM sleep. the briefest moment and we may sleep that are vital to our existence. not remember in the morning. All animals sleep in response to natural rhythms. Human beings are 14 year old the only animals that deliberately adolescent change the amount of sleep they have 9 hours sleep and their sleep patterns. Our sleep is getting worse in the 21st century due to our 24/7 lifestyles. 14 year old adolescent 9 hours sleep Registered with the UK Copyright Service | Registration No: 273241 2
The Body Clock Virtually every animal has a body clock Our body clock prompts the release of Cortisol – often called the ’stress that governs their circadian rhythm – Our two hormones which affect our sleep: hormone’ because it wakes us up in the body clocks are affected by external factors morning. Our bodies also create cortisol which, in turn, affect our internal rhythm, Melatonin – often called the ‘sleepy when we are stimulated. This can be from such as light, temperature, meal times and hormone’ because its release is one of stress, anxiety or when we are excited. social activities. These are all important the triggers that tells the body that it is For children, lots of activities can create for keeping our body clock in rhythm and time to prepare for sleep. Melatonin cortisol in the body such a playing with letting our body know when it is time to is released in response to the change friends, watching TV or exercising. If we do different functions such as sleep, eat from light to dark. have too much cortisol in our bodies or be alert and able to concentrate. before bed, it will stop us falling asleep. It is as a result of our circadian rhythm that we are most likely to want to sleep Cortisol Melatonin during the dark hours of the late evening Highest alertness and early morning. Our body clock manages: Release of certain hormones Sleep Best coordination Kidney function Body Temperature 7am 7pm 7am Temperature AWAKE ASLEEP Muscle response More on next page... Registered with the UK Copyright Service | Registration No: 273241 3
The Body Clock (continued) Disruption to the body clock, or the jet Impacts on your sleep Sleep and Wellbeing lag effect, is created when a change occurs to your body’s settling and waking times. • Difficulty falling asleep – by trying As your teen grows and goes through This can often happen at the weekend if to sleep when your body clock is not the stages of development, it is crucial an individual goes to bed much later on expecting to, and it is still set on ‘wake’. they are getting enough sleep to support a Friday and Saturday night and rises This can be especially pronounced on them. Sleep not only refreshes your teen’s much later on a Saturday and Sunday. Sunday night and continue for a few mind and body but also enhances their days until your body clock resets itself. body functions. The result can be equivalent to travelling across a different time zone and forcing • Reduced sleep time – changes in your Benefits of a good night’s your body to wake and sleep at a different body clock can disrupt sleep and lead sleep for your adolescent: time than your body clock expects. to reduced sleep. If it takes you longer This change occurs again come Monday to fall asleep, but you have to wake at Boosts immunity morning when the individual’s waking a set time, it will reduce your sleep time, and settling times are brought forward. leading to sleep deprivation and associated health problems. Improves memory This jet lag effect can make us feel groggy and tired during the day. Mental and • Difficulty waking in the morning – physical performance will also be reduced. if your body clock is set to ‘sleep’ and Assists learning you are forcing it to wake up in order to get ready for school or work, you may feel groggy, have a headache, feel easily Maintains physical and upset or angry, and nauseous. emotional health These effects may last for a few days before your body clock resets itself. If an Helps the body to repair itself individual changes their sleeping and waking times every weekend, it means that they may experience prolonged sleep Promotes growth disruption and sleep deprivation due to constant jet lag effect. This may result in long–term mental and physical health Supports a healthy weight problems. Registered with the UK Copyright Service | Registration No: 273241 4
What might be stopping your teen from sleeping? Their Routine Their Environment Lights & Electronics To make sure their bodies are creating Many teens spend a lot of time in their If your teen is interacting with anything melatonin and reducing cortisol at the bedrooms during the day, but it’s that produces light before bed, this could right times, children need to have a important that bedrooms become quiet, be keeping them awake. While phones, consistent routine which signals to their calm and dark before bedtime. Any TVs or tablets may seem to have a calming body that it’s time to sleep. Changes in stimulation before bed may keep your influence, the blue light emitted by bedtime routine or exciting activities child awake. This could include sleeping screens is likely to prevent their bodies just before bed can stop children from in the same room as siblings, or spending creating melatonin and the interaction sleeping. time on electronic devices before bed. can increase cortisol levels. • Make sure there is time to go outside • Where possible, try to ensure your • Avoid activities which use screens an and be active during the day, ideally teen has a quiet, calm, dark bedroom hour before bed and keep screens before dinner. Getting daylight in the to sleep in. out of their bedroom. This will likely morning is helpful. need some negotiation! • Make sure your teen understands the More on next page... • Try to avoid your teen having a nap importance of switching off electronics after 2pm. This includes falling asleep on in the hour before bed. the bus or in front of the TV. Many teens spend a lot of time in their room, and a falling asleep after school is common. • Avoid stimulating activities which are loud or energetic in the hour before bed. Instead encourage your teen to have wind down activities, such as drwing, reading, or listening to music or audio books. • Ensure your teen understands the importance of going to bed and waking up at the same time every day – even at the weekends! Registered with the UK Copyright Service | Registration No: 273241 5
What might be stopping your teen from sleeping? (continued) Their Diet Anxiety Changes In Their Life Without regular meal times, your teen’s There’s lots of things that may make our This could be things such as leaving body clock can struggle to regulate sleep young people anxious and this creates school, bereavement, or parents consistently. Stimulants such as sugar cortisol in their bodies before bed. separating. Big changes in life and caffeine, especially in the evening will Some are anxious about school, exams, may make it hard for your teen to relax prevent sleep. Snacks less than an hour relationships, and even not being able to before bed or may make their routine before bedtime may also disrupt their fall asleep. Encourage your teen to express inconsistent, which could disrupt sleep. how they are feeling and talk about what their body clock. is making them feel this way. Do this • Avoid any stimulating food or drinks earlier in the day, so they don’t bring those • Do what you can to give your teen including chocolate, coffee, tea, or cola feelings to the bedroom. as much consistency as possible, and in the late afternoon or evening. encourage them to take charge and do • Find ways to relax together using the same. • If they want a snack after dinnertime, try relaxation techniques, yoga or milk, toast or a banana, and have this is mindfulness. • Reassure them that they can talk about at least an hour before bed. their thoughts and feelings during • Try to stay calm around bedtime transitional times. to support your child to feel the same. Registered with the UK Copyright Service | Registration No: 273241 6
Good Bedtime Practice Example of a good bedtime routine for a Average Sleep Needs Before Bed: 14 year old who is getting up around 7am. This can be used as a rough guide, but you • Avoid sleeping after 2pm might want to adjust timings and activities Age Recommended • No TV etc. an hour before bed to suit your family. Create the plan with Early 9 to 11 hours • Quiet, wind down time your teen so they can take charge of their own sleep. Remember that consistency is secondary– • Snack if required, e.g. toast, aged children cereal, milky drink key! 11–13 years • Avoid sweets/ biscuits, fizzy drinks, Teenagers 8 to 10 hours tea, coffee, hot chocolate A Good Bedtime Schedule 14–17 years • An hour before bed, aime to leave the Time Activity Young adults 7 to 9 hours day behind and prepare for sleep onset 18–25 years 4:00pm After school clubs / time Bedtime: with friends Based on recommendations by the National Sleep Foundation. These are • Consistent bedtime and wakening 5:30pm Evening meal guidance, but everyone is different. Use • Carry out steps in same order each night 6:00pm Stimulating activity - a school holiday for your teen to sleep • Have a bath, wind down, chill out exercise, screen time, as long as they need to, to find out how complete homework much sleep they need. • Read, or listen to relaxing music • Try a relaxation technique to help drift off 8pm Snack/supper, if needed • Keep bedroom dark and cool 8:30pm Wind down activity • Use subdued lighting 9:00pm Relaxing bath Crucial elements 9:30pm Read or listen to music or an audio book • Consistency • Exercise 9:45pm Lights out • Timing • Daytime • Diet behaviour Registered with the UK Copyright Service | Registration No: 273241 7
Supporting every child to get a good night's sleep Sleep Scotland Face to Sleep Support Line Get in touch Face Sleep Counselling Our trained sleep counsellors 0131 258 1258 See our website for your local area are available to offer advice enquiries@sleepscotland.org sleep counselling provision. and guidance on your child or teenager’s sleep issues. www.sleepscotland.org 0800 138 6565 Monday to Thursday, 10am to 4pm sleepsupport@sleepscotland.org Registered with the UK Copyright Service | Registration No: 273241 8
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