Understanding Sleep Challenges in Children with Autism

If you’re a parent or professional working with children with autism, you’re likely no stranger to the struggle of sleep. While sleep challenges are common in all children—affecting up to 50% of neurotypical kids—the numbers are even more striking for children with autism. In fact, up to 80% of children with autism experience sleep issues.

That’s not just a statistic—it’s a daily challenge that impacts children, families, and even progress in therapy and learning. In this blog post, we will examine some of the reasons why sleep issues are more prevalent in children with autism as well as discuss strategies for addressing sleep through understanding and collaboration.

Why Are Sleep Issues More Common in Children with Autism?

🧠Unique Sensory Needs: Children with autism often experience heightened sensory sensitivities that can make it especially difficult for them to wind down, fall asleep, or stay asleep. Sensory sensitivities might mean they’re easily disturbed by light, noise, textures, or even internal sensations that others may not notice. Investigating the environment for possible sensory disturbances and engaging in calming activities as appropriate can be helpful in preparing the body for sleep.

⏳Long-Lasting Sleep Problems: Unlike many neurotypical children who may eventually outgrow sleep struggles, sleep issues in children with autism often persist—and can even worsen over time if left unaddressed. Instead of viewing poor sleep as a phase that will pass, families are more likely to find success by recognizing it as an ongoing challenge that requires thoughtful support and intervention.

🔄Restricted, Repetitive Behaviors: With restricted, repetitive patterns of behavior being one of the core identifiers of Autism, these behaviors can also impact sleep. Children may have difficulty transitioning away from preferred activities at bedtime, become stuck on a particular topic, or engage in interfering behaviors if there is a change in routine. Teaching functional communication and replacement behaviors during the day can make a big difference in decreasing these interfering behaviors at night.

💊Medications and Sleep: Children with autism are also more likely to be prescribed medications that can influence sleep quality and duration. While these medications might be essential for managing other health or behavioral needs, they can inadvertently affect sleep patterns—something families should discuss with their pediatrician or qualified health care provider.

What Can We Do?

Whether you’re a parent noticing the toll sleep issues are taking on your child and family, or a professional supporting families through this, here are a few key takeaways:

✔️ Start by Understanding: Recognize that sleep challenges in children with autism are common, complex, and often persistent. It’s not about “fixing” a child—it’s about supporting them in ways that respect their unique needs.

✔️ Look Beyond Behavior: Consider sensory sensitivities, medical factors (including medications), and routines that may be influencing sleep.

✔️ Collaborate: Work with pediatricians, the child's therapy team, and possibly a sleep specialist to create a comprehensive support plan. No one professional has all the answers—but together, we can make a difference.

✔️ Be Patient and Flexible: Progress with sleep may be slow and nonlinear, but small changes (like adjusting routines, creating calming bedtime environments, or addressing sensory needs) can add up over time.

Final Thoughts

If your child—or a client you’re supporting—is struggling with sleep, know that you’re not alone. Sleep challenges in children with autism are common, but they’re also manageable with the right strategies, support, and collaboration. I encourage you to start the conversation with your team, gather information, and don’t hesitate to seek professional guidance when needed.

Would you like a free consult to discuss sleep strategies tailored to your child or clients? Reach out today to book a your free 15-minute chat. https://calendly.com/lindsay-restfulkids/free-15-minute-chat