Maya has always had insomnia and for a diversity of reasons. When she was an infant my husband and I took turns sleeping with her in a recliner at night for six months because she was so uncomfortable laying down in her crib. Now at the age of nine (almost) her sleep patterns have improved greatly from waking multiple times a night for a couple of hours, to mostly sleeping until morning. The difficulty for us now is that she still wakes us a few times a night to help turn her, take her to the bathroom, help her blow her nose etc.. In these cases she often goes back to sleep but we don’t. It’s a routine of sorts that although we are accustomed to, it wears on us as a family more than I realized at times–with me snapping at Maya, my husband and others. Finally this year and after many years of interrupted sleep, Maya’s dad and I agreed to forego some of our privacy and get extra help in the evening (respite care). No, it doesn’t replace sleep but it helps us to have an extra set of hands when our energy is waning at the end of the day.
Insomnia and CP are not uncommon (it’s also not uncommon in the general population) but there can be different reasons associated with waking that are important to pinpoint and potentially address to minimize sleep disturbances. These may include pain, digestion issues, problems related to nighttime routines, epilepsy, lack of exercise, hormonal causes and more. In Maya’s case she has a variety of issues going on and not all of them relate to CP. What’s tough is that these issues tend to rotate which means that it’s rare for her to sleep through the night uninterrupted.
I bring this up because when Maya was an infant I felt very discouraged, almost desperate for sleep and none of the new mothers I spoke to could relate to the intensity and duration of these nighttime problems. She was deemed a colicky baby with no good solutions except time. It wasn’t just about nighttime waking, but that she wasn’t a napper either. As Maya got older I saw on some of the CP social media boards that other parents were regularly posting about having sleep issues with their children and a long list of responses with “have you tried…i.e–light music, essential oils, eliminating sweets, melatonin, sticking to the same nighttime routine, a warm bath, soft music, and on and on”? without success. It was clear that insomnia was a problem many families had faced and some were continuing to face and often without great solutions.
If you are in this boat, it may help you to know that you aren’t alone. I know, it’s not nearly as helpful as a good night’s sleep. If you have been to a sleep specialist/s and have tried this, that, and the other, you may wish to consider respite care sooner than we did. And although overnight care didn’t work for Maya (she was always excited to see the nighttime helpers) it may be a good solution for you. It’s amazing how much more energy that little bit of support can give you and the entire family. We need to keep up our energy for ourselves and our kiddos. If you can’t get a handle on the sleepless nights, don’t be shy about reaching out for support.
5 comments
Kristin says:
Jan 27, 2016
Thank you for this. I see this as an issue for us, but I can see where I would procrastinate on asking for overnight help because some nights are ok with just one or two wake ups. But it all adds up to bad sleep for the family.
cp daily living says:
Jan 29, 2016
You are welcome. Yes, sometimes it’s hard to realize the toll the nighttime waking may be taking on everyone until you have a break or you experience nights without waking. Thank you for following along! -Michele
Judy Edwards says:
Apr 20, 2016
Thanks for sharing. I’m more frustrated with my sons OT because he always asks why has he been up since 2 or 3 in the morning instead of understanding that this is a common problem for folks with cerebral palsy. I’m tired of explaining that it’s not just a behavior issue. There can be different reasons and I’m not able to always pinpoint the reason.
cp daily living says:
Apr 20, 2016
Oh gosh that would be really irritating and I’m sorry that you too are facing this. Actually, during a recent meeting of the leadership for the Cerebral Palsy Research Network (check them out at cpresearch.net) insomnia and constipation were cited as the top two concerns among parents of kids with CP by one of the members. Take it easy and maybe find another OT who knows more about kids with early brain injuries/disturbances. It’s just not motor control issues!! -Michele
judy says:
Apr 21, 2016
Thank you I will check it out. And I like your statement “its just not motor control issues!”. Judy