Healthy Sleep Habits, Happy Child
59
The Weissbluth Method: Q and A (2 of 2)
December 27, 2021

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Healthy Sleep Habits, Happy Child

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Healthy Sleep Habits, Happy Child

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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 59The Weissbluth Method: Q and A (2 of 2)

The Weissbluth Method: Q and A

(Continued.)

Q: What is your top tip for how to get a baby to sleep?

A: The single most important word is timing. You are using your child’s natural sleep rhythm as an aid to help her sleep well. You watch for drowsy signs and when they appear, you begin your soothing to sleep efforts and bedtime routines. Good timing prevents a second wind. What happens when you skip a nap or the interval between naps is too long or the bedtime is too late?

When you are short on sleep, your body reacts in a predictable way. You get keyed up because your body produces stimulating chemicals such as cortisol, adrenaline, and noradrenaline to fight the fatigue. This results in a burst of energy commonly known as a second wind. When you catch your second wind, you are in a state of higher neurological arousal. You might feel more wired, turned on, or full of nervous energy. The higher state of neurological arousal makes it more difficult to fall asleep or stay asleep or both. Understanding how sleep deprivation causes a second wind that makes it more difficult to easily fall asleep and stay asleep also leads to a deeper appreciation of the opposite situation: being well-rested allows your child to more easily fall asleep and stay asleep.

It’s a virtuous circle: sleep begets sleep. It’s also a vicious circle: sleeplessness begets sleeplessness.

Q: At what age should you start the Weissbluth Method?

A: It is never too early to start to help your child sleep better. Start with your newborn, or as early as possible to help your child sleep well because:

  1. Keeping the intervals of wakefulness between naps brief and protecting early bedtimes avoids the overtired state which makes it easier for your child to fall asleep and stay asleep. Your soothing efforts and bedtime routines help your baby transition from wakefulness to sleep. As time passes, because your child is well-rested, your child is more able to learn self-soothing and develop healthy sleep habits. Learning good habits early is easier than breaking bad habits later. The benefits of healthy sleep accrue and sleep problems are prevented.
  2. Healthy sleep may enhance neurodevelopment of the brain just as healthy foods build strong bones. Brain development is extremely rapid during infancy and the first few years of life. Starting early with healthy sleep optimizes healthy brain development and may prevent adverse outcomes.

It is never too late to start to help your child sleep better because:

  1. Brain development continues during the first two decades.
  2. A small number of extra minutes of sleep, even only 10-20 minutes, over time, make a big difference. Perhaps, just move the bedtime a little earlier.

Q: How does daytime sleep differ from night sleep?

A: Naps are not little bits of night sleep randomly intruding upon children’s waking hours. Naps have their own rhythms and specific purposes.

Why Naps are Beneficial:

  1. Naps reduce stress: During a nap, levels of cortisol dramatically decrease.
  2. Naps enhance emotional- and self-regulation: After a nap, children show more joy and pride; less worry/anxiety.
  3. Naps modulate temperament: Napping is associated with more positive mood, more adaptability, and longer persistence.
  4. Naps consolidate memories: Naps following learning enhance the memory of what was learned.
  5. Naps enhance executive function: Naps improve attention in the presence of conflicting information.
  6. Naps contain REM sleep and REM sleep helps direct the course of brain maturation.
  7. Naps and night sleep interact with each other: When children nap well, they remain at a lower level of neurological activation that produces a virtuous circle of healthy sleep during the day and healthy sleep during the night. When children do not nap well, they are at a higher level of neurological arousal resulting in bedtime resistance, night wakings, and short night sleep durations. Subsequently, waking up short of sleep, naps become more problematic: a vicious circle.

Q: Does the Weissbluth Method work for all age groups?

A: Yes.

For children of every age, the brain naturally alternates between wake and sleep outputs. This is an automatic process over which we have no control. If you try to fight this circadian rhythm, you will lose because the ancient and powerful force behind this biological process is the rotation of the earth on its axis creating day and night. As the earth rotates, dawn and dusk separate day and night. Dawn and dusk are twilight, or in-between states. Not fully day and not fully night.

The brain automatically shifts into the drowsy state which is also an in-between state: not fully awake and not fully asleep. As your baby starts to become drowsy, begin to soothe your child to sleep. Healthy sleep occurs when the sleep period is in synchrony with the occurrence of the brain’s output for sleep both during the day and night. When you put your well-rested child to sleep at the beginning of the drowsy period, because the baby’s brain is naturally drifting into a sleep state:

  • It is easier for your baby to fall asleep and stay asleep.
  • No crying occurs before your child falls asleep.

Although some adults have an eveningness preference (owls) while others have a morningness preference (larks), research in children shows that between birth and 8 years of age, evening types (owls) occurs in less than 2 percent of children at every age.  In separate research, using objective measures of sleep and salivary melatonin, at 30-36 months of age, the number of definite evening types was zero. So, the vast majority of babies and young children are larks (become drowsy early in the evening and wake up early in the morning) and thus benefit from early bedtimes.

My name is Marc Weissbluth and I’ve been a pediatrician since 1973. This baby sleep blog will help you create a healthy sleep schedule for your child. My baby sleep advice and sleep training will teach you how to get a baby to sleep through the night. To stay updated with my latest baby and child sleep blog posts, be sure to subscribe today.

Comments

  1. Hello,

    Hoping you might be able to help. I feel quite lost. I have a 5 week old (6weeks per due date). I can’t seem to find a rhythm or get her naps on track. I’m a bit confused by the recommendations.

    She goes to sleep around 7pm “for the night”. I try to wake her for a dream feed around 9:30/10. She’s able to fall asleep quickly by rocking at that time. Then she’s up anywhere from 12-2a. If it’s on the earlier side she goes down easy but then wakes around 3 or 4a to feed again but this time is wide awake and I won’t be able to get her to sleep for an hour, sometimes longer. Then she’ll sleep till 7ish. If she wakes up at 2 am, I can usually get her back to sleep within an hour. Then she’ll wake around 4:30/5 and may go back to sleep after that until 7 or 8. Issue#1 – I’m not sure what to count as her “wake up for the day time”

    Her first nap after waking is easy to catch and usually occurs within an hour or so of waking, but then after that it’s so difficult. I try to feed her upon waking, play for a short amount of time, then put her down she she’s drowsy. I feel like I catch her cues – usually heavy lids, slow blink, and can start to get her drifting off, but the slightest thing can wake her. A creak in the floor boards, stopping patting her back, definitely laying her in her back. The only thing guaranteed to get her napping is nursing her to sleep then keeping her in my arms or wearing her in a wrap carrier.

    Which leads me to issue #2 – I try lying her down “drowsy but awake” but she wakes up completely and then I can’t soothe her to sleep again. She often skips a nap. Yesterday I tried with each nap and she barely napped all day. It’s even difficult if I soothe her to sleep in my arms and then lie her down fully asleep. As soon as she’s flat she wakes right up.

    My third issue is that sometimes after she wakes up and feeds (usually in the morning) she is calm alert and I can play with her and then notice her drowsy cues, however, as the day progresses she sometimes wakes up fussy, fusses on the breast, and then fusses on and off. My instinct is that she’s tired (and I find myself wishing she would have napped successfully earlier) and I start soothing her right away. I find myself fearful and knowing that in her fussy state she won’t go down drowsy but awake and will even wake up if I rock her to sleep and then lay her down (based on experience and fear that it might wake her up and she’ll skip the next nap completely).

    I find myself feeling guilty all the time. I’m always trying/doing something different. I’m afraid if I’m letting her fall asleep on me I’m setting her up for failure, but when I try the 5 S’s and try to put her down drowsy but awake she doesn’t sleep and skips naps.

    Am I putting too much pressure on the situation? Is she still too young to successfully self soothe and this is all just practice or am I doing something wrong? Is it ok to let her fall asleep on me if putting her down drowsy but awake doesn’t work? Should it start to work in time?

    Sincerely,

    Ariana

    1. Peak wakefulness, fussiness, and inability to nap well occurs at 6 weeks of age, so relax. Everything you describe is age-appropriate. Bedtimes drift earlier at 6 weeks of age, so experiment with a super-early bedtime. If she appears drowsy around 5:00-5:30pm soothe her to sleep. This might be a nap or it might be her bedtime. Read, or have your husband read, the age-appropriate sections of my book for an organized discussion of all the issues you describe or read the appropriate Blogs in ‘Blogs by Topic’. Your goal now is to do whatever works to maximize daytime sleep and minimize fussiness/crying during the day. Does this help.

  2. We have an overall great sleeper. Most of the time, he’s been doing 12 hours a night (in the snoo, we’re cheating, I know….) and we follow consistent wake windows, but he HAS to be held for naps! He’s almost 4 months and we’ve read the book and plan to use your method to sleep train soon. Is it possible to just do this for naps? I don’t really want to mess with nighttime since it’s going so well. Or should I just go ahead and rip off the bandaid and transition him to the crib and train for naps at the same time?

    1. How old is he? Perhaps he lacks self-soothing ability (Snoo at night holding for naps). What time does he fall asleep at night? Maybe, for now, follow the ‘Nap Drill’ in my book.

  3. Thanks so much for your reply! He is 15 weeks (16.5 adjusted) and going through major changes- dropped a nap on his own, standing for a minute or two/sitting for longer periods/rolling – all with some assistance- so I definitely believe this is developmental.. You are correct, he definitely lacks self-soothing ability 🙁 He had colic due to extreme gas pains (turns out he was allergic to something in my breast milk, spent 8 weeks with a breastfeeding nutritionist trying to figure out what it was and finally gave up and put him full time on hypoallergenic formula and has done a 180!) so we held him ALL the time to help him through this period of kicking and crying in pain for sometimes 8 hours a day so, it’s true, now he has no ability to self-soothe which is why I think we need to start sleep training. Just not sure if we should go for full sleep training, messing with our (mostly- he has a few bad ones here and there since the regression started) good nights, wait a bit till the regression settles out and just do what we have to do till then with naps so we’re at a better place developmentally, or just nap train now and do nights later? Here is our schedule:
    own during this regression period, so now
    6:30 wake feed
    8:15-9:30 nap
    9:30 feed – play
    11:15-12:30 nap
    12:30 feed – play
    2:15 -4:15 nap
    4:15 feed -play
    6:30 bedtime routine, feed
    9:30 dream feed

    Thank you!!!

    1. Read, and make your husband read, the section on colic, extinction, graduated extinction, and check and console in my book. When you have an agreement and a firm commitment on how to help him, tell me your choice and why you made your choice and I will gladly advise you.
      Gas pains regarding colic and sleep regressions are fake news.

  4. We are both on board to do extinction training as we feel it’s the only way to get a result with him and that it’s the fastest method.

    He is overall a very happy baby and loves going places, but he HATESSSSSS the car seat. He screams almost the entire time he’s in it and absolutely nothing helps distract of comfort him… He will eventually cry himself to sleep after about 30 minutes, so we’ve sort of seen it in action already.

    I’ve tried going in to comfort him with some gentle pats/shushing/reassurance when he wakes and it seems to make him even more upset as he just wants to be held! I don’t believe he’s in the extreme fussiness category, but we still think extinction is the only method that will be effective for his personality.

    I think graduated extinction and check-and-console are really for the parents, not the baby, and we are ok to let cry to get the end result of self-soothing as soon as possible.

    Since we last communicated, our nights have gotten bad again. We had a few really bad nights after Christmas that we had incorrectly attributed to the regression then hunger then teething but he then went back to sleeping relatively well but the last few nights he’s been waking every 30min-1hour starting at 3am and the snoo cannot even comfort him at times. So, I think we are ready to rip the bandaid off and do full sleep training at night as well and get him out of the snoo and into the crib.

    Do you recommend we try to get him to drink the extra ounces we were giving him during the dream feed during the day or should we keep it through the extinction?

    1. Look at Blog Posts 36, 37, and 90A: Dream feeds, regressions, teething, and many other myths will only confuse and distract you from success.
      Implement extinction on a Friday night so both of you are available on the week-end to support each other and do some tag-team parenting and sleeping.
      Do not start unless you can commit to a very early bedtime and a trial of 3-4 nights during which you will be 100% consistent.
      Re-read the section on ‘extinction’ to absorb all the details.
      Keep me posted and Good Luck!

  5. Hi! Just wanted to check back in and let you know he’s doing GREAT in his crib with extinction training!! Only cried 30 minutes the first night, woke up a few times but put himself back to sleep quickly and slept better than he had in weeks! Second night was 15 minutes, last night was 5 and he’s sleeping 6:30-7 like a champ. Naps are a bit harder, but we know that’s totally normal and will take some time. He’s crying about 15 minutes at the start and then taking a long time to re-settle when he wakes up after 30 minutes, but will sleep for another 30 after that.

    I feel like a totally new person and we’re only on Day 3! I have time to shower, eat, workout…. You know, have my basic human needs met instead of holding him in the dark all day and my husband and I both feel like a million bucks getting full nights of sleep again!

    So glad we didn’t wait any longer and did what we needed to do for all of our sake! Thank you so much for your help!!

    1. Congratulations! Would it be possible to write a detailed narrative report describing your actions and your feelings about what you did that I would publish as a ‘Blog Post-Mini Consult’? If so, please include your husband’s role. Also, if so, should it be anonymous?
      Sweet Dreams,
      DrW

  6. Hi!

    We are very happy to share our story! It doesn’t have to be anonymous, we are Yuri and Amira Melnichenko and we are so thankful for your help!

    We did full extinction training starting on a Friday night as recommended so my husband could be there that weekend to help. We put him to bed at the normal time, 6:30, with our normal nighttime routine- feeding about 30 minutes before, then a massage, change clothes/put on sleep sack, song, book, and gave him a big hug and told him that we love him very much and it’s time to learn how go to sleep by himself now.

    Then, we went outside where we can’t hear him and turned the sound off of the monitor and distracted ourselves. We actually had my best friend in town that night, she was leaving the following morning but we all decided to go ahead and do the first night with her here to be able to do it on a Friday (she has small children so she understands) and I’m glad we had the extra person to keep us distracted. He cried for 30 minutes, just like he does in the car, and then fell asleep. We can’t hear him in our room thankfully and we kept the sound off the monitor all night long, but my friend could hear him which made me feel more comfortable and he only woke up twice and cried for about 5 minutes each time. He slept until 7am the next morning!

    The next day I had to leave for a few hours and my husband handled the first two naps. Things were difficult, as expected. He laid him down for his first nap at the normal time (1.5 hours after wake up) and did the routine of a fresh diaper, song, sleep sack, and then just placed him in the crib. He cried for about 15 minutes before falling asleep. He woke up after 30 minutes (what he always does, even with the contact naps) and cried for 30 minutes 🙁 before going back to sleep for another 30 minutes. The same thing happened for the next two naps. Then, bedtime came and he cried for 15 minutes, but slept until 7 again!

    The next day, the same thing happened with the short naps, but he fell asleep within 15 minutes after re-waking from his naps and he fell asleep within 5 minutes at bed time!

    It’s been 9 days now and he’s been doing phenomenally at night. Only crying for about 3 minutes and then waking up a few times with a quick little vocalization and then immediately going back to sleep!

    Naps are still a process, but honestly I’ll take a few minutes of crying vs sitting in the dark in a recliner all day holding him. It was getting very depressing and I have so much freedom now and am really enjoying our time together, compared to when I was rushing to try to get anything done while he’s awake because what should have been my free time was spent nap-trapped!

    He’s usually able to fall asleep within 5-10 minutes and has slept for up to an hour or more in one session a few times, but does often still wake up after about 30 minutes and take 10-15 min to get back to sleep.

    It’s, of course, extremely difficult to hear your baby cry, but I just kept reminding myself, just like in the car when he’s wailing… he is safe, he is full, he is dry, he doesn’t need anything. He’s just not happy right now and that’s ok. This is a skill we are teaching him and crying is his only way to communicate, but it doesn’t mean anything is wrong.

    I was, of course, a little nervous at first and had some anxiety the first day as we were preparing to start the training, but I’m so thankful that we went through with it. He’s shown us that it’s what he needs! He was done with the snoo and done with the transitional swaddles and done being held! He’s a very tall boy – was in 9 month clothes at 3 months- and think he craved the space in addition to the freedom of sleeping without our help as he’s sleeping so much better at night and he sleeps in a T shape now with his arms all the way out wide.

    He wakes up as happy as a clam, smiling ear to ear and cooing- not ever crying- both in the morning and even after a nap where he spent 30 minutes crying in the middle of it, so we know he’s doing great! For those of you that have been debating sleep training, just do it! It’s a gift for your entire family… your baby, your spouse, and yourself!

  7. Hiiii, it’s me again… I can’t thank you enough for your guidance for our sleep training. Nights are going well, but we are still struggling majorly with naps!

    We have been doing extinction training for over 3 weeks now and our naps are still a mess. He’s now 20 weeks and I had hoped he’d start consolidating his naps by now…

    We’ve been practicing crib hour, keeping him in the crib from the beginning of the nap for at least one full hour. He’s usually been going to sleep within a few minutes when we lay him down, but the majority of the time he wakes up after 30 minutes and takes 5-20 minutes of crying to get back to sleep. Sometimes he wakes up happy, sometimes he wakes up screaming, sometimes he’ll sleep for an hour+ after going back to sleep, sometimes he won’t go back to sleep at all after the 30 minutes short nap so he cries for another 30 and I finally get him up, a handful of times he slept for over an hour solid from the start of the nap… We have zero consistency and it’s stressful to not know what will happen each time.

    I’m not really sure what to do here as it’s been many weeks of consistent extinction sleep training… We live in Florida and the weather is great right now so he’s getting lots of exposure to sunlight before his naps, which I know is important.

    I’m assuming we need to alter his schedule to the 7am, 9am, 12pm and then late afternoon nap, but he can’t stay awake that long and he starts melting down… I’ve tried tinkering with the wake windows, extending and shortening by 15 minutes at a time and it doesn’t seem to help. Our day is usually wake up at 6:15/6:30, then 1.5/1.75/2/2.25, but we have been on this schedule for a month now and feel like it’s probably time to alter it. We usually do 3 naps but sometimes go for 4 to get us to bedtime if his naps are extremely short. Bedtime varies from 6something-7something depending on when he wakes up from his last nap, but he wakes up at 6:15/6:30 pretty consistently regardless of when he went to bed.

    I know post-colic babies need a longer wind-down routine but he also has started crying the minute I take him in his room to prepare for naps… We try a calming routine but he starts crying as soon as I pull a book out or even change his diaper as he knows nap time is coming. He gets way over-stimulated by a bath so we only do it in the morning twice a week because he has trouble sleeping after.

    What do you recommend we do? He is doing great with self soothing at night but he just can’t master the naps and it’s been so many weeks of crying at this point :/

    Thank you!!!

    1. I am sorry that naps are still brief and difficult. Here are some gentle suggestions; let me know your thoughts.
      1. For about 4 nights, experiment with an asleep time that is about 20 minutes earlier than has been your custom. If he falls asleep earlier, than you know that he needed an earlier bedtime and if so, try again for an additional 10-20 minutes earlier. If he does not fall asleep earlier, than abandon this trial after 4 nights. Hopefully, he will wake up better rested and maybe begin to nap better.
      2. On the week-end, or at other times, if possible, leave the house at nap times and have your husband soothe to sleep for naps. Perhaps on a week-end, he will do all of the nap duty. By smell, your baby will know you are absent and maybe there will be less day time crying and better napping.

  8. Hi

    We have tried all of your suggestions and nothing seems to help. We moved his bedtime earlier and he just started getting up earlier- he was getting up at 5:30! So we’re back to a 6-6:30 bedtime and a 6-6:30 wake time.

    We have multiple caretakers- our moms visit a lot and we have an babysitter two days per week- and it’s often the same outcome, but is definitely worse when I’m the one that puts him to sleep. It’s so stressful and unpredictable! We are following wake windows of 2 hrs, 2.15, 2.15 and 2.5 and he sometimes totally refuses the afternoon nap! I’ve had to resort to rocking him and holding him to get him sleep at times for the afternoon nap just so we can make it to bedtime.

    I know he needs daytime sleep but he is fighting it SO hard and spends so much time crying :’(

    Not sure how to solve this!!

    1. Does he continue to sleep well at night? How old is he now?
      Please read Blog Post 119 regarding naps and why wake windows are fake.
      Is it possible that multiple caretakers during the day are causing inconsistent nap schedules (sometimes kept up too long) or nap associations (sometimes being held or rocked and sometimes being put down)? If unsure, maybe sit down with each and get a detailed description of how each one handles napping.

  9. Hi Dr. Weissbluth,

    Your book was a big saver. Thanks to you, my little girl has impressed the entire family with her sleep routine.
    However, I’m going to a little regression with naps. When she turned 13 months, we switch to one nap + earlier bedtime (6:00 – 6:30). Everything went smooth as usual with her. Now, she will turn 16 month very soon and since 2 weeks she only does 45 minutes to one hour nap (midday). Not only the midday nap is shorten but she cries to sleep and wakes up crying. Is it normal ? Is is a normal regression ? Apart from continuing the regular routine at same times, should I do something else ?
    Thank you

  10. I think I’ve got my answer here. Bedtime was pushed to 6:30 – 7 pm over the past few weeks. Summer vacations + the later sunset made us forget about our watch. The awakest of the baby with all the activities fool us to think that baby is ok with the later bedtime… and we were wrong. Yesterday, I put baby to sleep at 6:15 and she woke up at 7 being very happy and had a nice 2 hours nap the same day. Thank you once again for this marvellous book you wrote Dr Weissbluth.

  11. Hi Dr. Weissbluth,

    Our daughter is 10 months old and generally has been a good sleeper. Our current issue is early wakeups. For the past few weeks, she wakes at 4 or 5 AM crying. We usually go and put her pacifier back in, and she falls asleep for maybe 20 minutes but then wakes again, and it escalates to high pitched screaming that we have a hard time ignoring.

    She’s clearly exhausted when she wakes up this early, and often falls back asleep at 6 AM.

    Her bedtimes have always been early — usually 6 or 630 PM, sometimes 5:45. She is in daycare and naps 2 or 3x/day (9-10 AM, 12-1:30 PM, sometimes 4:30-5 PM). When we pick her up she’s always yawning and falls asleep right when we get home without eating much.

    Any solutions here? We feel desperate because it’s hard to let her cry it out when it’s high pitched screaming. Should we get rid of pacifier? Let her cry it out at 4 AM despite screaming?

    THANK YOU from two desperate parents.

    1. “When we pick her up she’s always yawning and falls asleep right when we get home without eating much.” indicates that her naps at daycare are insufficient. Is daycare 5 days a week? What time do you arrive at your home after daycare? What’s the proportion of bedtimes between “usually 6 or 6:30” versus 5:45?
      Give me details about week-end naps and bedtimes.

  12. We arrive back from daycare at 6-6:15 (it’s only 3 blocks from our house). She’s there 5 days per week. During the week she almost never goes to bed by 5:45 because we can’t get there in time to pick her up. I would say more bedtimes err towards 6:30, and there have been a few nights recently where she didn’t fall asleep until 7:30 because she started crying when we left the room, so we would take her out of her crib and play for a bit (even though she seemed tired when we first put her down! We should have just let her cry it out but we caved).

    On weekends she takes much better naps – sometimes both the morning and midday naps are 2 hours (at daycare often the morning and afternoon naps are often only 50 min-1 hr). Then a shorter nap at around 4P for 30 minutes. Bed by 6.

    I get so stressed with all the different options and schedule changes — is the answer to our problems to do early bedtime at 5:30 for a week? (we can try to get home from work earlier). Should we get rid of pacifier?

    Thank you so much in advance for your expertise.

    1. Please clarify, if you “arrive back from daycare at 6-6:15”, how “is the answer to our problems to do early bedtime at 5:30 for a week?” possible?

  13. The other thing I should have mentioned: since she is at daycare, she constantly has a cold, so I wonder if coughing is waking her up? (though she sleeps from 6:30-4AM soundly)

    1. Thank you,
      The fundamental problem appears to be insufficient naps at daycare. The typical solution of a regular super-early bedtime seems unavailable to you. Perhaps having her in her bed every night at 5:45 pm (plus great naps and a super early bedtime on weekends) would completely solve all her sleep issues. Maybe try this for 10-14 days and see how she responds. Is this doable?

  14. Thank you Dr. Weissbluth.

    I can’t change her naps at daycare, but we can commit to having her in bed every day at 5:45 PM for 2 weeks if you think this will help! This won’t completely fix the bad daycare naps but hopefully repay some of her sleep debt right?

    1. It is possible that this strict earlier bedtime will reduce her homeostatic pressure for day-time sleep (naps will naturally become shorter) and all the sleep issues will be completely solved! But it might take 7-14 days for this to occur. Please keep me in the loop.
      Good luck!

  15. Hi Dr. Weissbluth,

    I wanted to update you on our progress with the early wake-ups. We did an early bedtime for the past two weeks by 5:30 each night but she continued to wake up at 4:45-5 AM every day. We would try to temporize by putting her paci in or sometimes feeding her a small amount but it made things even worse.

    Finally, we decided to let her cry it out. The first few night she just cried straight from 5-6AM and then we’d get her up and she was tired.

    Last night though she cried intermittently from 5-5:30 but then fell back asleep until 7:30 AM and was super happy and vibrant. We are hopeful again!

    We will continue doing early bedtime with extinction in the morning. Everyone says that cry it out doesn’t work in the early morning but what has your experience been with this?

    1. I think that if the bedtime is early and she has consolidated sleep overnight, than it is more likely that giving her less attention in the early morning will eventually result in eliminating early morning wake-ups. I cannot predict how fast this will occur because of other variables such as how much light or noise (from the street or house) is present in the morning. Ignore other opinions because specific family circumstances might lead to different results.

  16. We keep it dark and silent as possible in the apartment in the morning. Is extinction generally less effective in the mornings because sleep pressure is lower?

    1. Why do you say “extinction generally less effective in the mornings because sleep pressure is lower?” Is there some data that I might look at?

  17. Hello. We are following your method for 3 months now and our 11 month old baby has found a great sleeping rhythm, self-soothingly and sleeps around 12-13 hours through the night.
    Our problem is the nap time. As she grows older and more curious, she is put in her bed, following her sleeping ritual for naps, watching closely her drowsy signs, but still she will fight and move all over for 45-60 minutes before she eventually lays down and falls asleep. It has become quite difficult and we have had to skip naps because she ends up staying fully awake for 60 minutes, so we get her to her next sleeping time.
    Is this normal? That she is fighting so much to sleep even when she is tired, she goes to bed after a short wakeful period and she sleeps so well during the night?
    Could it be that, because she sleeps so much during the night, she doesn’t need naps?
    Thank you for any guidance! Love your book.
    Kind regards

    1. When do you begin a nighttime bedtime routine and when is the most common falling asleep time? Please describe the clock nap time(s).

  18. She goes to bed at 6.30 and wakes up at 7.30, sometimes even 8.00. She sleeps good 12-13 hours (and in random occasions even 14)
    She gets her bottle, a bit of playtime and after 60-80 minutes she begins showing her drowsy signs so we put her to bed between 8.45-9.30.
    This is actually the hardest one and the one we’ve had to skip because she just moves all over hr bed, standing up, sitting down, for a full hour, then we choose to take her out.

    We have a baby monitor so we can see her sitting on her bed, her head falling constantly as she is so sleepy and then she shakes her head to remain awake (quite funny to look at to some extent) and she goes on like that.
    Somtimes she chooses to lay down and finally sleep, others she stands up again and there goes her mid morning nap.

    For the afternoon we put her to bed between 12.45 and 1.30. It is in this range when she begins showing her drowsy signs and she sleeps for 1-2 hours. This afternoon nap is usually not an issue, only if she poops in the middle of it then she wakes up and her nap gets shorter, but we compensate by getting her earlier to bed, which is never a problem. She falls asleep on her own in a matter of 5-10 minutes max.

    What do you think? The mid morning nap ends up being of 30-45 minutes max. She doesn’t sleep longer than that. That’s why I’m thinking about the long night time sleep she has and the probability that she doesn’t need this nap any longer, but she’s very young still.
    Thank you so much for your advice!
    Kind regards, Pam

    1. Please describe in detail her mood and behavior when alone with toys (no screens or parental involvement) between 5;30-6:30pm.

  19. Forgot to mention. Her bedtime routine is short. We start at 6.15 she’s in bed by 6.30 and asleep by 6.40.
    Nap time is also short, very similar timing.
    Hop this helps!

  20. Hi!
    Between 5.30 and 6.30 pm
    she’s playing on her own, entertained with her toys since 5.00, with energy, babbling at her toys, crawling around, smiling, looking at us checking if we saw what she did and she suddenly starts chewing vigorously her toys, which is usually her sign that she’s hungry.
    We give her the last meal around 5.45. On the chair, she eats very well and she then shows a first yawn and suddenly loses all interest in eating, that’s when we know she is now sleepy and that’s when we take her out and start her bedtime routine, which is taking her slowly to her bedroom, changing her diaper, specific steps for turning off the lights, the drapes, and then giving her a bottle while singing or talking to her quietly and then we put her on her crib where she sometimes cries for a minute or two, but sometimes she doesn’t, she just moves around for a few minutes trying to find her position and then off she goes to sleep.

    For napping we don’t do the exact same thing, we just follow the steps to darken her room and give her the bottle. Diaper change is only if needed. Once this is done, she immediately starts rubbing her eyes, which we know might be already over tiredness, but it is a very short period of time between her first yawn or lack of interest in her toys until she is taking her bottle to go to sleep for a nap.

    Let me know if you need any more details. Thank you!!
    Kind regards

    1. Please review the items from the Index, page 774, on the topic “Transition from two naps to one”. Because she “she immediately starts rubbing her eyes” before a nap, please consider, for now, simply shortening the duration of wakefulness before a nap by about 10-20minutes to see if that helps.
      Doing the transition (as described in my book) might not be appropriate now (at 9 months of age, 91% of infants take 2 naps and at 12 months of age, 81%) and you might be more successful when she is older (at 15months of age, its 44%). A trial now for 4-7 days will not cause any harm. The failure to move the bedtime earlier when trying a transition will sabotage your effort. What are your thoughts?

  21. Hi! Thank you so much!
    I fully agree, she’s very young to lose the nap, so I’ll try first the shortening of the wake window and see how that goes. Although that will mean that she will go to bed earlier for her entire day schedule, but it hopefully fixes the duration as well and then we’re back on track.
    The earlier bedtime will not be a problem for us, we’re very adamant in protecting her nap and sleep time.
    I’ll keep you posted, thank you again!

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