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The ADHD-Sleep Connection

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If your kid isn't getting enough rest, the effects could be far more reaching than his grades.

sleepy ten year old boy

Dr. Nina Shapiro: Everyone knows that a good night's sleep leads to better performance the next day and all days. We also know, even though we don't get the recommended eight to nine hours that we should each night, our kids need to get their zzz's. Bedtime needs to be consistent, with whatever routines or techniques we've developed to get your kids to sleep. So if a good night's sleep means daytime focus, better behavior, and even better grades, does a bad night's sleep mean lack of focus, poor behavior, poor grades, or even ADHD? Can an ADHD diagnosis be caused by a sleep problem? Well, yes ... and no.

In other words, sleep problems probably don't cause ADHD, but they may exacerbate the symptoms. And in general, kids with ADHD are more likely to have sleep problems than kids who don't.

One of the earliest studies looking at sleep and school performance showed that kids with the lowest grades (these were elementary school students) were more likely to have a sleep problem (specifically, sleep apnea) than kids with higher grades. Half of the kids with poor grades had their tonsils out to reduce their sleep apnea. The kids who had their tonsils out had better grades the following school year than those who did not.

More recently, reversal of sleep apnea has been examined as a possible treatment for ADHD. The reasoning behind this is that maybe these kids can't focus because they are sleep deprived. Unfortunately, no study has been able to prove that ADHD can be cured simply by removing tonsils and reversing sleep apnea. However, many studies have shown that if a child has both ADHD and a sleep problem (with symptoms of loud snoring, gasping for breath, apnea, restlessness, or frequent wakening), curing the sleep problem (tonsil removal, allergy therapy, etc), will reduce ADHD symptoms significantly, sometimes to the point of being able to stop or reduce medications.

While sleep problems aren't a direct cause of ADHD, if ADHD is being considered as a diagnosis for your child, make sure you talk to your doctor about the possibility of a sleep problem. A good night's sleep won't be a cure, but it can help.


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289 comments so far | Post a comment now
PhotoJoe December 12, 2009, 11:19 AM

The symptoms of chronic sleep deprivation overlap with those of ADD.


Suffering from sleep deprivation does not cause ADD nut chronic sleep deprivation can be misdiagnosed as ADD.

Stephen December 14, 2009, 8:39 AM


Connect the DOTs

1 in 3 INFANTs Begin Life Fighting the Lifetime Progression of multiple diseases as a rsult of their Allergy Disease.

Allergy = Poor SLEEP Quality = ADHD-Like Symptom Manifestation.

Sleep Issues ?

ADHD Issues ?

A simple Enviro Blood Test & Immuno-Allergy DROPs = Neutralization of Allergy Disease at the SOURCE.


Nov. 2009: One out of four cases of ADHD eliminated.
Pediatrics suggests it’s possible.
What needs to happen for this to occur? Some new miracle drug or radical kind of psychotherapy? Nope. All it could take is treatment of children’s snoring.
ADHD is defined by a list of symptoms, so if a kid has those symptoms, then he likely has the disorder. But what causes those symptoms may vary from child to child. And sleep disorders could be one of those causes.
Why could this be? As we wrote in NurtureShock, some of the brain’s most important development─including the ability to regulate emotion─is done during slumber. Therefore, chronic sleep problems may be thwarting early brain development, because the children fail to progress through the necessary stages of deep sleep. In addition, disorders such as snoring might prevent sufficient oxygen from getting to a sleeping brain.
Some estimate that up to 16 percent of kids snore. Kids who do so are substantially more likely to have ADHD.

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