Healthy Sleep Habits, Happy Child
226C
Drowsy But Awake
March 31, 2025

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Healthy Sleep Habits, Happy Child

5th Edition: 
A Step-by-Step Program for a Good Night's Sleep

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Healthy Sleep Habits, Happy Child

5th Edition: 
Chapter 1 (only 16 pages!) outlines everything you need to know about your child's sleep.

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Introduction

A Healthy Child Needs a Healthy Brain, A Healthy Brain Needs Healthy Sleep

If you have not already done so, please read Blog Posts 1 through 5 that describe how sleep is important and beneficial. I will post specific information for parents and children based on my book, “Healthy Sleep Habits, Happy Child.” Please do not be put off by my book’s length. This is a reference book. Read only the topic of interest to you.

Blog 226C Drowsy But Awake

Think of “drowsy but awake” as somewhere between the extremes of fully awake and completely asleep. Please don’t overthink or obsess about the exactitude of what “drowsy but awake” means. 

Just watch your baby for drowsy cues.  Blog Post 83 and the video on Blog Post 115X will help you identify Drowsy Signs.

Here is a report by a parent:

Drowsy in this context doesn’t mean about to fall asleep (half closed eyes, barely able to keep open). When my son was a baby he would become very still about 10 minutes before he fell asleep—-he is a wiggle worm, so it was noticeable. He would also gaze for long periods of time at something. This was the window when he needed to be put down for his nap. If I waited until it passed and he was really tired, he would fight sleep. So when “the stare” appeared, I would check his diaper, swaddle him, and put him down. He would gaze at his mobile for a while and then fall asleep.

During the first several days or few weeks, drowsy signs might not be apparent, so practice brief intervals of wakefulness.

As your baby begins to show signs of becoming drowsy, you should begin a soothing–to–sleep routine in any way that calms him. These signs usually appear after one or two hours of wakefulness.  Your baby may become drowsy after being awake only forty–five minutes; if so, begin your soothing–to–sleep routine then.  If your child often shows signs of fatigue, note how long he has been awake and the next time begin the soothing–to–sleep routine about twenty minutes earlier.  

You might be more successful if you try this within one hour of the baby waking in the morning, because your baby will be best rested from night sleep. That is, do the changing, feeding, a little playing, and soothing all within one hour. Look at the clock when your baby awakens to start the day; this time may vary from day to day. 

On a weekend, have Dad, if available, put him down in a dark and quiet room, drowsy but awake. For these attempts, maybe Mom should leave the house. This often produces more sleep and less crying.

You are using the start of his natural sleep rhythm as a tool to help him sleep better. When you do not let your child become overtired, then easier naps and bedtimes and uninterrupted nighttime sleep occurs. 

Think of surfing: You anticipate the wave, you move as the wave approaches to catch it as it rises, and then you have a long, easy ride. Here the wave is drowsiness, the ride is slumber, and remember, the key to catch the wave is timing. Try to not miss the wave. 

Please be patient; it may take some practice.  Put your baby down, drowsy but still awake, as often as you feel comfortable. You may do this once a week, once a day, or more often. If your baby cries hard after being put down, immediately pick him/her up and resume soothing. Try again some other time, but this time, shorten the interval of wakefulness before the expected sleep period. If your baby quietly whimpers, immediately pick him/her up and resume soothing, or, if you are comfortable with this, wait a very brief moment to see if he/she drifts back to sleep. Or, instead of just waiting, send in Dad for brief and minimal soothing such as gently patting or rubbing the baby, jiggling the crib, or shushing, but not picking up. There is nothing wrong if your newborn sometimes or usually falls asleep at your breast, in your arms, on Dad’s chest, or in the swing, car, or stroller. If he falls asleep during feeding, do not awaken him, just gently put him down.

After you put your baby down, and there is no crying, you may wish to stay in the room awhile, but your baby will learn how to self-­ soothe faster if you leave the room (Blog Post 16).  Put your phone down; watch for drowsy signs. Be emotionally available (Blog Posts 17, 57, and 90 )when soothing to sleep.

Comments

  1. Hi Dr. Marc,

    Laura from Brazil once again. My son is now 1 year and 8 months old. He started daycare two months ago, from 1 to 5 pm, and right from the start he started waking up 1-2x during the night, with loud crying. In the beginning, we just wanted to help him through what we thought was a rough start, and he would often have a very runny nose or a cough, so we always went in to help him back to sleep. One month ago, I started medical residency, so from Monday to Friday his time with me has decreased dramatically (on most days no time at all or just a half hour in the morning). With this change, his sleep seemed to worsen further.
    When he is not at daycare, he stays with his grandma, who is very loving and attentive to him. He takes a long nap at home, around 10am, has lunch after the nap, and then goes to school. He gets home around 5:30pm and immediately starts his bedtime routine, with bedtime around 6pm (but often falling asleep only around 6:30pm). Throughout the whole day he is happy and calm; he loves his daycare; and very much likes being taken care of by his grandma. When he gets home from daycare, he usually wants to play by himself with his toys for a bit before his bath. Despite appearing very well throughout the day, as I mentioned, he has been taking a longer time to fall asleep at bedtime than was his usual, usually 20-30 minutes, and has woken up practically every single night, at first once and now twice per night. I don’t know what to do. Is he too old for extinction? Is he overtired from a slightly late bedtime? We are already trying our best to put him down as soon as possible. I am afraid these wake-ups will not go away on their own, and on the contrary will only worsen with time. We are very tired from working long hours and not getting adequate sleep. My husband thinks nothing is wrong and this will pass, but I strongly disagree. Could you kindly give us some advice?

    Many thanks,
    Laura

    1. How does he nap at day care?
      How does he nap on the weekend?
      What is the role of the father regarding sleep at night and for naps on weekends?
      Have your husband read the section in my book about the benefits of sleep and Blog Post 221.
      Read Blog Posts 62, 84-86, and 204 so you will better appreciate my advice after I receive answers to my questions.

  2. Hi Dr. Marc,

    He doesn’t nap at daycare. He naps at home, in the morning, from around 10am-noon, then has lunch and goes to daycare from 1 to 5 pm. Occasionally he will have lunch before the nap and nap between 11 am and 1 pm.
    On the weekend we have observed he resists his naps: he has trouble falling asleep, and naps for a shorter period of time.
    His father puts him down both for naps and for night sleep whenever he’s home, usually on the weekends. Also, he is frequently the one who goes to him when he wakes up during the night. I think our son cries less when his father puts him down than when I do.
    I think his sleep has gotten worse both because his bedtime is a little too late since he started daycare, and because now that we’re both residents, he sees very little of us during the week and misses us, even though he is being well taken care of by his grandma and at daycare. His bedtime used to be between 5:30 – 6:00pm, and now has been around 6:00 – 6:15pm.

    1. Is his grandma living in your house and caring for your son there?
      What is a common time that he awakens to start the day?
      What is a common time that you leave the house in the morning?
      Have you read the Blog Posts and, if so, what are your thoughts about what is going on and what to do to solve his sleep problems?

    2. When are the common times you and your husband enter the house in the evening?
      What is his typical nap schedule and duration and bedtimes on the week-end?

  3. Thoughts on darkness for sleep / blackout tents?

    Hi Dr. Weissbluth,

    Forgive me that this question is not related to this post, but I couldn’t find a good place for it. What are your thoughts / do you know of any research behind safe blackout crib tents and generally inducing darkness for naps (and bedtime, especially in the summer when it is lighter later)? I have always thought it absurd that parents put their children down to sleep in a perfectly lit room and expect them to sleep. It seems obvious to me based on personal experience that some level of darkness is necessary for good naps.

    When we had trouble with our first baby’s sleep, I followed everything in your book and her sleep issues resolved, in addition to adding a blackout tent over her crib. Perhaps this was overkill, but I am personally pretty sensitive to light peeking through and given so many light sources from neighbors living in a city, the blackout measures seemed to help her sleep.

    Flash forward to our second baby — I started using a 100% blackout tent for her crib when she was about 2 months old and she has used one for all sleep her entire life. She is now almost 21 months old and has always been a great sleeper (with intentional no late bedtimes, paying attention to sleepy cues, etc.) However, she has recently started to protest at bedtime a bit more, and I’m wondering if this may have anything to do with the tent.

    We removed the tent for our older child when she was 2.5 years old, and it wasn’t too bad. But this second child is much more active in general and sensitive to stimuli, so I’m concerned that removing the tent will negatively harm her sleep. But I have the intuition that it has to go soon.

    Any thoughts?

    Thanks very much.

    1. There is no harm in her sleeping in darkness.
      Read Blog Posts 84-86 and Blog Post 159 and tell me if they illuminate (no pun intended) her sleep problem.

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