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Expert Q&A:
How can we comfort our 17-month-old, who wakes up terrified and won't go back to sleep?

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Loraine Stern
Answered by Loraine Stern M.D.
"I adore children and being a pediatrician because of all the hugging and laughing that we do," say Loraine Stern, M.D. 

Loraine Stern, M.D., clinical professor of pediatrics at U.C.L.A., has been in private pediatric practice for 35 years. Dr. Stern wrote for Woman's Day magazine from 1986 to 2005. She is a former editor of and contributor to Healthy Kids magazine. She has published two books on child care and has edited a book about pediatric nutrition for the American Academy of Pediatrics. A spokesperson for children and families, Dr. Stern has appeared on national networks and programs such as CNN, The Today Show, and Good Morning America.

Dr. Stern has two stepchildren but no animals or even green plants.


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Question


How can we comfort our 17-month-old, who wakes up terrified and won't go back to sleep?

Answer


This behavior is not unusual for a child who is going through a period of separation anxiety. Sometimes this begins after your child has awakened to a babysitter or grandparent that they did not know or forgot was going to be there instead of a parent. Periods of separation anxiety coincide with periods of increased mobility and developmental leaps. Because of nighttime fears generated by this new freedom, children need to seek out a loved one that is out of sight to make sure he or she hasn't disappeared.

You are right to respond to this need but you can help him learn to sleep alone again by gradually doing less and less over a period of two to three weeks. Let him have an object such as a stuffed animal or a soft "blankie" to hold while you comfort him and sleep with him in his room. Then, each night, move slightly farther from his side until he settles with a minimum of fuss, perhaps with you merely in the room. Soon he will need only reassurance and his "blankie" to go back to sleep.
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