SleepSpectrum
Sleep Support for Autistic Children
Practical, evidence-based information to help families understand and manage sleep difficulties in autistic children — from sleep hygiene strategies to melatonin guidance and trusted UK resources.
50–80% of autistic children experience sleep difficulties
Sleep challenges are common and can significantly impact quality of life for the whole family. Understanding the causes and available strategies is the first step towards better nights.
Explore Topics
Practical information to support better sleep
Sleep Strategies
Evidence-based approaches including bedtime routines, visual supports, sensory-friendly environments, and sleep hygiene tips.
Read more →Melatonin Guide
What melatonin is, how it works, UK prescribing rules, tips to make it more effective, and second-line medications.
Read more →Helpful Videos
Curated YouTube videos from paediatricians, NHS Trusts, and autism charities about sleep management.
Watch now →UK Resources
Trusted links to NHS guidance, NICE guidelines, National Autistic Society, Cerebra, and more.
Browse resources →Health Conditions
Underlying conditions that can affect sleep — sleep apnoea, reflux, constipation, dental issues, and more.
Learn more →About the Author
Created by Dr Mark Aszkenasy, Consultant Community Paediatrician at University Hospitals Tees NHS Foundation Trust.
Read more →Medical Disclaimer
This website provides general information only and is not a substitute for professional medical advice. Always consult your GP, paediatrician, or healthcare provider regarding sleep issues and medication management. Melatonin is a prescription medication in the UK for children.
Why Do Autistic Children Struggle with Sleep?
Melatonin Differences
Some autistic children produce less melatonin or produce it at different times, affecting their sleep-wake cycle.
Sensory Sensitivities
Light, sound, texture, and temperature sensitivities can make it difficult to settle and stay asleep.
Anxiety
Heightened anxiety and difficulty with transitions can make bedtime a particularly stressful time.
Co-occurring Conditions
ADHD, epilepsy, GI issues, and other conditions that commonly co-occur with autism can further disrupt sleep.