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Insomnia

Treatment of Children’s Insomnia with Hypnosis

Imagery can help overcome nighttime fears.

Key points

  • Insomnia can cause difficulties with falling asleep, frequent awakenings during the night, and waking up too early in the morning.
  • Potential triggers of insomnia include drinking caffeinated beverages, exercising or using electronics close to bedtime, or sleeping with pets.
  • Imagery that can help with insomnia includes imagining falling asleep in a hammock, drinking a sleeping draught, or using a sleep dial.
  • To help deal with nighttime fears, young children can be taught to imagine having one of their favorite superheroes guarding them at bedtime.

Insomnia affects nearly a quarter of children. Insomnia can cause difficulties with falling asleep, frequent awakenings during the night, and waking up too early in the morning. As a result of insomnia, children can be tired, irritable, become more anxious, have difficulty at school, and even develop stomachaches (Anbar & Slothower, 2006).

Rodnae Productions/Pexels
Source: Rodnae Productions/Pexels

Sometimes, when children have difficulty falling asleep, one of their parents may lie down with them at night until they fall asleep. When such a pattern is established, often the child comes to depend on the parent to help them fall asleep—and if the child awakens at night, he or she may awaken the parent to again help them fall back asleep. This often leads the parents to develop sleep-related problems of their own!

There are many reasons that cause children to have difficulty falling asleep. In some instances, children can become anxious about whether they are going to fall asleep quickly and this leads to further difficulty in falling asleep. Some children are unable to fall asleep because of anxious thoughts—perhaps about school, or about scary characters they might have seen in movies. Others are afraid of falling asleep because they might have nightmares. Less common are children who do not want to fall asleep for fear of missing out on fun nighttime activities.

Children sometimes wake up in the middle of the night because of bathroom needs, nightmares, noises in the house, and even uncomfortable room temperature. Some children then experience difficulties falling back asleep.

Treatment of Insomnia

As with many conditions, before the employment of hypnosis to facilitate treatment, it is important to reduce potential triggers of insomnia. For example, children who deal with insomnia should avoid drinking caffeinated beverages, exercising or using electronics close to bedtime, or sleeping with pets. Their bedroom should have a comfortable temperature. Children should avoid studying or playing on their beds, so that their bodies learn to associate lying in bed with going to sleep.

Nandhu Kumar/Pexels
Source: Nandhu Kumar/Pexels

Dream catchers can help address children’s fears of nightmares. Also, the use of a baby monitor, in which the camera is placed in the parents’ bedroom at appropriate times, and the monitor is placed in the children’s room, can help the children feel safe if they awaken at night by checking on their parents remotely.

The use of medications such as melatonin should be reserved for children whose insomnia persists despite the use of hypnosis.

Hypnotic Imagery

To help themselves fall asleep, children can be taught how to use self-hypnosis to imagine themselves falling asleep in a gently rocking hammock, drinking a sleeping draught (such as Professor Snape’s, for children who enjoy the Harry Potter series), or manipulating a sleep dial. With the latter technique, children can be taught to imagine a control room in their brain in which they can turn a dial one way to become drowsier and sleepier and the other way to become wide awake and alert. (In my office, we always complete the sleep dial exercise by turning it to the alert setting!)

To help deal with nighttime fears, young children can be taught to imagine having one of their favorite superheroes guarding them at bedtime, or even having a forcefield around their bed. The superheroes can also help combat scary nightmares.

Sometimes, interactions with the subconscious can help resolve insomnia. For one 10-year-old, his subconscious said that the computer should be removed from his room as a way to solve his insomnia. It turned out that the boy was sneaking out of bed to use the computer once the lights were out!

Take-Home Message

Hypnotic imagery can help treat insomnia by addressing many of the reasons that kids cannot fall asleep easily or wake up in the middle of the night.

Copyright Ran D. Anbar

References

Anbar, Ran D., and Molly P. Slothower. 2006. “Hypnosis for treatment of insomnia in school-age children: a retrospective chart review.” BMC Pediatrics. 6:23.

More information about hypnosis and how it can be used to help with insomnia and nightmares is available in my 2021 book, "Changing Children’s Lives with Hypnosis: A Journey to the Center." Lanham, MD: Rowman & Littlefield.

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