Abstract
Behavioral sleep problems affect approximately 20–40% of children, impair daytime functioning, and typically do not resolve without treatment. This chapter will outline the conceptualization and treatment of behavioral sleep difficulties including behavioral insomnia of childhood (e.g., difficulties with sleep initiation or maintenance, bedtime noncompliance) and delayed sleep–wake phase disorder. Behavioral and cognitive-behavioral treatment components and approaches will be discussed. Behavioral treatment components that may be helpful for youth with parasomnias, obstructive sleep apnea, and narcolepsy to optimize the medical treatment and/or improve functional outcomes are also briefly reviewed. A case example will be presented to elucidate the application of behavioral and cognitive-behavioral treatment components for a young child with behavioral sleep difficulties.
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