How do you approach the evaluation and treatment of insomnia in children?

The evaluation and treatment of insomnia in children requires a structured assessment of sleep patterns, contributing medical or behavioral factors, and the implementation of primarily behavioral interventions, with selective use of pharmacologic treatments.

Identify Sleep Complaint: Difficulty fall...

The evaluation of insomnia begins with a comprehensive history, including onset, frequency, duration, and symptom pattern (e.g., bedtime resistance, sleep-onset difficulty, or early morning awakening), as well as variability on weekends. Assessment should also address bedtime routines, pre‑sleep act...