Archive for the ‘Babies’ Category:
A Toddler Sleep Dilemma Solved
Hi Dr. Heather,
I have a sleep question regarding my 11-month-old. Since he was 5 months, he successfully fell asleep in his crib after our nightly routine, and woke 2 or fewer times to nurse. Similarly with naps. We do not use any type of music or white noise when putting him to sleep.
We have always had a music box in his crib. We usually turn this on when we put him in the crib for “safe keeping” while we wash our hands after a diaper change. We do not use it for sleep.
In the last 2 weeks or so, we have noticed he frequently uses the music box. Now when we put him down, he will get up less than a minute later and turn on the music box. Sometimes he will play with it for a few minutes (turning it off and on) – but eventually he will usually lay down and fall asleep. We have noticed him using it in the middle of the night as well – sometimes letting it play out then turning it back on again. (Usually this is after I have gone in due to his crying and put him back down again).
Putting him down for naps has been a struggle this past 6 weeks or so, and the last 2 weeks he has been playing with the music box during naps, sometimes falling asleep, sometimes crying after he is done playing and defiantly not going to fall asleep anytime soon. (about 60/40).
Okay, so all that to ask: Is this okay? I do not want my baby dependent on a lighted music box to fall asleep, and I do not want him playing in the middle of the night. But, if this is how he “self-soothes” . . . Will this become a dependency problem or will he grow to not need the music box? Should we let this continue as he chooses or should we turn off the music box or do we need to remove it from his crib? What do you think?
Thank You,
Angie
Dear Angie,
Thanks for your question! You’re not the only one to wonder about this; our 3rd baby used to do the same thing, with a very similar music box. We’d be asleep late at night, then all of a sudden we’d hear that familiar tune coming from his room. What the heck? We’d wonder. Our little guy was in there, happily rolling around, very pleased that he’d turned on the music all by himself.
At first we worried that we’d have to take out the music box, since we didn’t want him to be up and playing, late at night. Then I realized…Hey, instead of crying for me at midnight, he’s entertaining himself. This is a good thing, right? I left him alone in there and sure enough, he’d fall asleep on his own after awhile.
Because the overall drift of our parenting goals is to support them in being independent, as soon as they are ready. And babies and toddlers DO normally still frequently waken at night, it’s just an issue for us when we have to get up too to help them get back to sleep. But if they’re handling it on their own? That’s a good thing. I also recall that the late-night-music-party was a short phase. The excitement ran out after awhile and then we were on to the next dilemma.
And now that your little guy is approaching toddlerhood, you’re going to get a lot more testing along these lines. The nap issue is always going to be there, in one form or another, through toddlerhood. The music-box thing is only his first effort to avoid naps. Most toddlers go through phases where they’re really good at napping, and then take a stab at trying to stay awake. Let your expectations be known, urge him to nap, but don’t get too worked up about it. He’ll make up for any lost sleep at night, or when he’s done testing you with that particular phase.
But I also hear that you’re concerned about being consistent as a parent, and not wanting to send him mixed messages. Listen: Don’t worry. It sounds to me as if you’re trying to be very consistent, and all you can really do is send a general message of what you expect from him. There is a lot of parenting advice out there that says you need to be consistent to a fault. I don’t agree with that. These are people we’re talking about! And rigidity is never a good approach in dealing with people, large or small. We have to be flexible as well as consistent, as our kids think up all sorts of new wrinkles to throw at us.
I, too, used to over-worry about the importance of being perfectly consistent, until my mentor suggested that I lighten up. “A habit isn’t a habit until it IS a habit,” she told me. In other words, you’re trying to be consistent in order to instill a sense of structure, predictability, and behavioral expectations. But you can do that by being generally consistent; it doesn’t have to be a 100% effort. I promise: You’re allowed to be flexible — I even strongly SUGGEST that you’re flexible. It offers a good model to our kids that we can consider new situations and not be rigid about them. Consider every new situation afresh, THEN make your decision.
So next time you hear that familiar music drifting out of your son’s room late at night, try to let the music calm YOU back to sleep too. Your baby is getting bigger, and soon he’ll be getting into bis “big boy bed”, and then you’ll have reason to worry about new things…wandering in the night, monsters, and everything that goes along with THAT phase. So enjoy this time when he’s still captive in his crib!
Aloha,
Dr. Heather
The BabyShrink
Aloha, Honolulu Advertiser Readers!
Can I brag for a minute, folks? I’m being featured in today’s Honolulu Advertiser, in the Family Section. Zenaida Serrano was kind enough to use BabyShrink in her story about “Playing with Newborns”. Our good friend and nanny Keri Duke is a professional artist and photographer (and my own professional lifesaver), and took this photo of our new baby and I having a fun time together.

If you’re new to BabyShrink, welcome! I’m a Maui mom of four young children, and a licensed psychologist specializing in babies and young children. I’ve been answering reader questions here for two years now, so take a look around the site, and hit “Ask Dr. Heather” if you can’t find an answer to your parenting dilemma. I’m happy to help!
And for those of you not lucky enough to live in Hawaii, here’s a link to the Advertiser story.
Much mahalos, Zenaida!
Aloha,
Dr. Heather
The BabyShrink
Got a New Baby? How to Survive the Sleep Deprivation
Boy, am I tired.
You’d think I’d get used to the lack of sleep by now — this is our fourth child, after all. But the crushing effects of sleep deprivation continue to be the hardest part of parenting, for me. I could change diapers and nurse and even chase toddlers all day long, if I could just GET SOME SLEEP. But this baby is just like her siblings, and she sleeps sporadically at best. At 4 months of age, she sometimes awakens once or twice at night — but more often three or four times — to nurse and be comforted. I’ve got 3 other kids, a day job, and you, dear reader, to keep me more than busy. I’m tired.

When I had our first child, I had secret visions of the wonderful sleep-inducer that I’d be. “Babies need sleep, and so do parents. I’ll get the baby to sleep.” Somehow, I thought I could use my super-shrink powers to calm, soothe, or hypnotize her to sleep.
I was wrong. Our first didn’t sleep reliably through the night until she was four. FOUR!
Since psych grad school, oddly, is completely unhelpful in the preparation for parenthood, I sought out and read every single “Baby Sleep” book out there. All the major titles. I tried everything, religiously. Didn’t work.
And in the process, I got more and more sleep deprived myself.
There’s not much recognition out there that parents’ sleep deprivation often goes on for a really long time, and despite how difficult that is, it’s actually quite normal and typical for a baby to be up a lot at night for several months, and even beyond. I was doing some research for this post and I found something really annoying — most articles only address the FIRST MONTH of how to survive with a newborn. The implication is that things really improve in the sleep department after that first month of your baby’s life. AS IF! In the first month, you’re getting by on adrenaline, grandma’s help, and that extra sympathy and interest everyone still has in the new baby. It actually gets WORSE after that first month; you lose most of those extra perks, the baby STILL doesn’t sleep very well, and you’re slowly but surely losing your mind from the accumulated lack of sleep.
And of course there ARE some babies who sleep beautifully from very early on. (But parents of THOSE babies aren’t reading this post, are they?) It makes those of us with crummy sleepers feel there must be something wrong with my baby; or, there must be something wrong with my parenting. The urge to compare our babies to other babies is just too tempting. Not recommended, but hard to avoid.
When Your Baby Starts to Sleep Better…and then Regresses
It’s also easy to worry that “something is wrong” when your baby seems to be sleeping better….then all of a sudden is back to waking several times a night. Please know that regression is normal in many developmental areas, especially in early childhood. Sleep is no exception. My second-born slept a good NINE hour stretch from the age of 9 weeks until the age of five months. Then he started trying to roll over, and he roused himself several times a night with his new-found pursuit. After prematurely congratulating myself that we finally had a decent little sleeper, I just about lost it when he regressed back to waking several times each night again. Just as you get used to being up all night with a newborn, you also quickly get used to regular sleep again. And when your baby regresses and you have to go BACK AGAIN to being up and down all night, it somehow feels WORSE than when you were used to it before.
“Of Course, MY Baby Sleeps Through the Night!”
Another thing that happens is that we compare our experiences to other parents’. That’s a mistake, because PARENTS LIE. Not all parents, but enough of them DO get caught up in the game of comparing kids that you end up getting some pretty skewed information. And for some reason, the misinformation also comes from other parenting “resources”, which are often misleading. Even most pediatricians have little sympathy for our sleep deprivation. After all, most of these doctors take overnight call and had to be awake for their residency training for a couple of days at a time for years, so sleep deprivation is a relative term for them. And when your pediatrician says you can expect your baby to “sleep through the night” at 12 weeks of age, guess what she means? Sleeping a 6-hour stretch (sometimes, at least), is considered “normal”. But in my book, that’s not sleeping through the night, especially when most babies that age want to go down for the night at around 7 or 8 pm. By the time YOU get to bed, the nighttime rounds are just beginning.
The WORST advice you get is to “sleep when the baby sleeps”. Well, DUH. But it’s not that easy, is it? Babies’ sleep cycles can sometimes be so unpredictable that they have their best stretch of sleep smack in the middle of the day, when you need to shop, cook, do stuff with your other kids, and otherwise live your life. Waking up every hour or two in the middle of the night is often more the reality for many young babies.
And I don’t know about you, but it’s impossible for me to sleep “on command”. OK, baby’s asleep now, ready, get set…SLEEP! It doesn’t happen that way, does it? There are biochemical reasons for that. Once we’re awake for far too long, or we’re awakened one too many times at night, our bodies start to produce hormones to keep us awake. That’s when you get that hyper, wired, “I-know-I-should-be-sleepy-but-I’m-wide-awake!” feeling at 3 am.
You might think that I’m going to give you some fabulous secrets for getting your baby to sleep. Sorry, folks — sleep is one of the things you can’t “make” your child do — along with other bodily functions like eating and pooping. And if I had found the holy grail of making a baby sleep through the night, I would be a very rich Baby Shrink indeed. The truth is, nobody’s done that. But I have come up with some tips, over the years, from both my experience as a shrink and as a mom, for how to SURVIVE the sleep deprivation that most of us experience with babies:
How to Survive Baby-Induced Sleep-Deprivation
In order to be safe behind the wheel of a car and to keep your body (and mind) relatively healthy, you MUST get at least adequate sleep a couple of times a week. Consider this a Doctor’s Order: GET HELP so that you can at least 1) sleep in at least 2 mornings a week, complete with eye shade and ear plugs so that you don’t feel like you’re “listening” for the baby, and 2) get at least a 90 minute break most afternoons when you can lie down and rest (and hopefully sleep). If you’re a first-timer, it might not be easy to trust anybody to care for your Babe, even if you’re eyes are crossing from lack of sleep. But you MUST force yourself allow a trusted person to help you. Not easy to arrange? I know. Essential for your health and well-being? YES.
Get some exercise — preferably outside — for at least a few minutes each day. I know it feels impossible when you’re wiped out, but there really is a magical effect in taking even a few minutes’ brisk walk. Getting outside in the sun will also help to re-set your circadian rhythms, which are being hammered by your 24/7 schedule. I promise, you’ll feel better. You might also be able to sleep better when you get an opportunity later on.
Learn meditation and breathing techniques to calm the stress hormones that keep you awake when you should be sleeping. Any “mindfulness”, prayer, yoga, or other meditative technique that focuses on breathing will work. If you feel hyper and over-tired, even TEN SECONDS of mindful breathing will help you slow down and feel better. But do strive for 15 minutes a day in order to get your stress hormones under control. This will help you to sleep better when you DO have a chance.
Don’t obsess over how little sleep you’re getting. Believe me, I’ve been there — staring at the digital numbers on my bedside clock, getting madder by the minute about yet another night of lousy sleep, up and down with the baby. The less sleep you get, the more upset you become, and a vicious cycle begins. Don’t obsess about it. Let it go. Tell yourself: Oh well, another late night. This is something I can look back on later in life and laugh about. I know I feel beyond exhausted right now, but this too will pass. And if you can’t sleep, then read or watch TV. Just give yourself a break about it.
Don’t compare the amount of sleep you’re getting now to how much sleep you USED to get or need. I know you used to sleep in until noon, and you couldn’t function with less than 8 hours before this, yadda yadda. But your body has changed — you’re a parent now, and things ARE different. Yes, your body needs sleep, but you’re also pretty good at adapting to less sleep — at least for the short term. It feels impossible to “roll with it”, but that’s what you’ve got to do.
Don’t be afraid of the “Cry It Out” method for your baby — once she’s old enough. I think you can safely start that at about 9 months of age for most babies — after they have sufficiently developed the memory skills to remember that you’ll be coming back eventually, despite being left to cry (and sleep). Before then, you can (of course, with your pediatrician’s blessing), allow baby to fuss, grunt and make noise before rushing to get her; many babies are NOISY sleepers (another reason for them to sleep in their own rooms), and don’t actually need to be picked up. Try to learn the difference between “grunty-noisy-baby-sleep” noises and actual “come feed or comfort me” noises.
And finally, try to adopt a bit of a Zen attitude about all of this. Because your crushing sense of exhaustion will quickly dissipate one day, sooner or later, as your baby naturally develops a better capacity to sleep at night. Then you’ll be on to the next parenting challenge. So pace yourself. Our oldest is almost 9 and I still almost cry in relief as I check in on her, in a deep sleep, late at night. How can they grow this fast? (Cue the music to “Sunrise, Sunset”.) Is this the baby that so challenged my sense of order in the world, simply because she wasn’t a great sleeper for the first few years of her life? And here she is, a beautiful, intelligent, happy third grader, reliably sleeping from 8 pm to 7 am every day. Development is a magical thing, people. We parents can only provide love, structure, safety, support and guidance to shape these fabulous creatures that are our children, while the amazing processes of “growing up” happen before our (sleep deprived) eyes. We can’t “make” them sleep, but we can’t “make” them roll over, sit, stand, speak, and run, either. So step back for a minute to bask in the miraculous glow of your child’s growth and development. It’s a beautiful thing!
I hope this helped. And now, please excuse me while I try to get some sleep!
Aloha,
Dr. Heather
The BabyShrink
Here’s another post on babies and the normal range of their sleep patterns.




