How do you most effectively dose melatonin for children with insomnia?

As is the answer for most questions - it depends on the variables.

First, I trial "chronobiologic dosing" (0.3-0.5 mg) about 3-4 hours before bedtime. I find this most helpful for delayed sleep phase, but not so much for maintenance.

If they need a little more help with falling asleep, I will add ...

1.) CBTI coach for parents. (cognitive behavioral therapy for insomnia coach... Free app) and also for those under age 5 or so..."Solve Your Child's Sleep Problems" (Richard Ferber, MD), these are bedrocks after a standard evaluation, diagnosis, and comprehensive treatment plan.

This is in order to ...