At The Children's Naturopath, we frequently see children who struggle to fall asleep, wake repeatedly throughout the night or appear tired despite spending enough hours in bed.
With over 28 years of clinical experience in children's health, we pay particular attention to why a child is struggling to sleep, rather than simply focusing on getting them to bed earlier.
One of the most important distinctions we make is whether a child has difficulty falling asleep, staying asleep or achieving restful sleep. These patterns can have very different contributing factors.
A common concern we hear from parents is that their child appears exhausted in the evening but becomes increasingly active, emotional or restless as bedtime approaches.
Some children become hyperactive, others experience anxiety, and some complain that their legs feel uncomfortable or that they cannot keep still.
In clinic, we explore whether nutritional factors, particularly iron and magnesium intake, may be contributing to these difficulties.
Iron is one of the first things we look at when a child has restless legs or frequent movements during sleep. We also consider iron status where there is a restricted diet, poor appetite or ongoing fatigue.
Magnesium also plays a role in normal nervous system and muscle function, so we consider dietary intake when children experience restlessness or difficulty settling.
Another important observation is that some children sleep for an adequate number of hours but still wake feeling tired.
We ask parents whether their child:
Snores or breathes through their mouth.
Sleeps with their mouth open.
Tosses and turns throughout the night.
Wakes frequently or appears unusually restless.
Wakes tired or struggles with concentration during the day.
Persistent snoring, enlarged tonsils and adenoids, or nasal congestion can interfere with sleep quality.
This is an important distinction, because increasing bedtime hours alone may not address disrupted breathing during sleep.
We also look closely at what children eat throughout the day, particularly their breakfast and evening meals.
Some children consume large amounts of refined carbohydrates and sugary foods but relatively little protein.
We explore whether irregular meals, hunger or fluctuations in energy throughout the day are contributing to evening irritability and difficulty settling.
Parents sometimes notice that improving meal balance and establishing more consistent eating patterns helps their child feel calmer in the evening.
A simple sleep diary can provide valuable information. For one to two weeks, we encourage parents to record:
What time their child goes to bed, and actually falls asleep.
How often they wake during the night.
Whether they snore, mouth breathe or move excessively.
Whether they wake refreshed or tired.
Their energy, concentration and emotional regulation the following day.
Understanding these patterns helps us develop a more individualised approach to supporting the child's sleep, nutrition and overall wellbeing, alongside their existing care.
Royal Children's Hospital Melbourne — Clinical Practice Guidelines: Iron Deficiency
Iron deficiency in children, who is at risk, and how iron status is assessed.
American Academy of Sleep Medicine — Recommended Amount of Sleep for Pediatric Populations
Paruthi S, et al. (2016), Journal of Clinical Sleep Medicine 12(6), 785–786. Consensus sleep duration recommendations by age.
Royal Children's Hospital Melbourne — Obstructive Sleep Apnoea (OSA)
Snoring, breathing difficulties and disrupted sleep in children, and the effects on daytime learning and behaviour.