Attitude devant un jeune enfant qui « ne dort pas »

They are 3 main causes of sleeplessness in early childhood :- sleep association disorder when the child is unable to fall asleep by himself for when waking at night -nocturnal drinking disorder and - limit-setting disorder. These causes are very often complicated by irregular sleep/wake schedule disorders. Organic causes are present in less then 20% of the cases, but they should be excluded. A proper diagnosis is important for a carefully designed intervention. The assessment of a child with sleep disorders should include a detailed history sleep and medical history of the child and his parents, and a sleep log. Treatment should be adapted to the cause. Education of the parents is most important.