Sleep Problems
Your toddler also may begin waking up at night, for several reasons. Sometimes it's discomfort, such as teething pain or illness. Sometimes it's mild separation anxiety: "Where's Mommy? Where's Daddy?" Dreams and nightmares can begin to affect toddlers, who have a difficult time distinguishing these from reality. Be mindful of any videos or books he or she sees just before bedtime, and keep the content mild.
Look around for an environmental cause for your toddler's nighttime awakenings. Toddlers are notorious for not staying covered at night, so in the colder months you might want to dress your child in heavy pajamas for warmth.
Is there too much noise coming from an adjoining room? Toddlers will learn to sleep with some noise, but a loud TV or too much conversation close by can be disrupting.
Check out your child's room from your perspective. Make it someplace you would sleep soundly and chances are you'll make it more comfortable for your toddler.
Helping Your Child Sleep
By now you've probably found the right combination — like a warm bath and a bedtime story — that helps relax your child. Stay with it and don't let it get overly long. The backrub that seems like a treat now may not be so appealing when it's demanded night after night for longer and longer periods. Decide how many drinks of water you'll allow and how many times you'll retrieve the toy that's thrown out of the crib in defiance of bedtime.
Get used to setting the rules and sticking to them. This not only helps your child get more sleep now, but also helps you later if other, more serious discipline problems arise.
If your toddler awakens in the middle of the night, just as when he or she was younger, you'll want to quietly and quickly provide reassurance that everything is OK and you are close by. But too much interaction can backfire, so keep your nighttime "visits" brief and boring for your toddler.
If you have an early riser, you can help keep sunlight from waking your toddler by keeping curtains or blinds closed. Also try putting a few safe toys in the crib — they may keep your child busy in the morning.
When to Call the Doctor
Sleep problems that seem severe to you, such as recurring nightmares, should be discussed with your doctor.
Reviewed by: Steven Dowshen, MD
Date reviewed: September 2011