多动症儿童和青少年的睡眠问题是常见的。Sometimes thestimulant medicationaffects sleep.Other times the restlessness that accompanies ADHD causes difficulty falling asleep.Either way,your son or daughter is likely to experience challenges related to sleep deprivation,which can include lack of focus and mood issues.In the long run,children and teens who are sleep deprived may"crash,"requiring very long periods of sleep in order to catch up on the rest they need.
What's the key to helping your child to sleep?Your challenge is to find a happy medium between 1) when your child's medication has completely worn off (making him too restless for sleep) and 2) when your child's medication is in effect but still too stimulating for sleep.This process may take some trial and error,but with your doctor's help and your child's involvement,you canresolve the problem.
Sleep Deprivation and Teens
研究表明，青少年每晚需要8.5到9.25小时的睡眠，but our teenagers often get considerably less.Helene A.Emsellem,MD,is the director of The Center for Sleep & Wake Disorders in Chevy Chase,Maryland.She is also the author ofSnooze…or Lose!Ten ‘No-War' Ways to Improve Your Teen's Sleep Habits."The restriction in total sleep time experienced by teens worsens as they progress throughhigh school,"notes Dr.Emsellem,"with 12th graders significantly more sleep restricted than 7th graders.‘Crashes' are inevitable and may occur far more frequently than every four months.""
Sleep and ADHD
Dr.Emsellem说，重要的是要意识到ADD/ADHD和睡眠限制之间的症状重叠。"Difficulty with attention,focus and concentration are key symptoms of both sleepiness and ADD/ADHD.睡眠限制的存在会加重增加/多动症症状。如果用更高的药物剂量而不是急需的睡眠来治疗恶化的症状，那么症状可能会雪上加霜。”"
How to Help Your Child Sleep
Be sure to talk with your child's doctor about your concerns.It may be that he or she can adjust the dosage and timing of the medication.This is particularly important"to avoid the spill-over effects in the evening hours which may make it difficult for your teen to wind down and fall asleep,"notes Dr.Emsellem."It may be a challenge to adjust for adequate dosage to allow for evening studying,yet not interfere with sleep onset."These are all issues you will want to discuss with the doctor.