As occupational therapists, we understand that sleep is not simply a period of rest—it is an essential occupation that supports a child’s development, learning, emotional regulation, sensory processing, and participation in daily life. When children do not get enough sleep, the effects are often felt throughout the entire family. A poor night of sleep can impact attention, behavior, mood, and overall functioning for both children and caregivers. 

When children are running low on sleep, they may appear hyperactive, irritable, anxious, inattentive, or emotionally dysregulated. Improving sleep can often lead to improvements in many areas of daily functioning. 

Many sleep difficulties can be improved through consistent sleep hygiene practices. Sleep hygiene refers to habits, routines, and environmental factors that support healthy, restorative sleep. Below are evidence-informed strategies that parents can use to help their children develop healthier sleep patterns. 

If you're a parent of a child who receives pediatric occupational therapy, chances are you've seen how sensory needs, emotional regulation challenges, or developmental differences can affect your child’s sleep. Bedtime can become a battleground—or a never-ending routine of delays, restlessness, and midnight wake-ups. The good news? There are strategies that can help. Occupational therapy often addresses not only daytime functioning but also nighttime routines, because sleep is foundational to your child's development, behavior, and overall well-being. 

Here are some OT strategies you can try to help your child wind down and stay asleep: