What to Know about Sensory Processing Disorder and Sleep

by Alescia Ford-Lanza MS OTR/L, ATP January 17, 2018

What to Know about Sensory Processing Disorder and Sleep


Sleep is a critical activity that promotes self-regulation. Without a good night’s sleep, it’s likely that you’ll be irritable, inattentive, disorganized, and a bit more dysregulated the next day.

Whether it’s a recurring problem or not, these symptoms of sleep deprivation can often mimic and compound the behavioral observations of children with attention deficit disorder, autism, and sensory processing disorder. For more information on the relationship between ADHD and sleep, check out our article here.

Sensory Processing Disorder (SPD)

Sensory Integration is the process your central nervous system goes through when it takes information in from your body’s 8 senses (auditory, visual, tactile, olfactory, vestibular, proprioceptive, interoception, and gustatory), processes that information, and then responds accordingly.

When one’s central nervous system has difficulty processing any of this sensory information, the body’s responses are atypical and can be observed in motor, language, or behavioral skill difficulties. Occupational therapists diagnose these atypicalities as Sensory Processing Disorder or SPD. For more information on the types of sensory processing disorder, check out our Guide to SPD here.

When a child has difficulty processing and responding appropriately to the world around him, he may experience dysregulation, or sensory overstimulation/overload. A child with SPD may have difficulty self-soothing or calming down, something that is critical to falling asleep.

Sleep Cycles, Sleep Problems, and the Neurochemicals of Sleep

Sleep is a complex process of activating and inhibiting certain parts of your brain -- it seems like a simple necessity until the process doesn’t happen as it should and you’re suffering from insomnia! Only then do you realize the complexity of the process and all that happens while you’re trying to snooze. For the sake of oversimplifying a complex process, we’re going to focus on two main neurochemicals or hormones as they relate to sleep and sensory processing:melatonin andcortisol.

Each of our bodies has a 24-hour sleep-wake pattern called acircadian rhythm. These circadian rhythms are controlled by thehypothalamus of your brain and are essential to falling asleep and waking in a regular timeframe.  The hypothalamus controls the brain’s release ofmelatonin, a neurochemical which helps your body become tired. If you read our Guide to Melatonin, you have a better understanding of the important role melatonin plays in regulating the sleep cycle.

Any inconsistencies with melatonin levels can contribute to a disruption of the body’s circadian rhythm, meaning parents would have to work extra hard to make a non-drowsy child ready for bed! This is often the case when a child presents with dysregulation associated with sensory processing disorder - instead of having low levels of melatonin during the day and high levels at night (to trigger drowsiness), the opposite can happen and cause a disruption in the sleep cycle.

Another neurochemical that plays a role in sleep cycles iscortisol. Cortisol is the major stress hormone that is produced when children are anxious, stressed, overstimulated, and/or in sensory overload. Typically, cortisol levels should be higher in the morning (to wake up the body and brain) but gradually decrease over the course of the day, until eventually being at a low point when it is time to sleep. Again, the opposite can happen if the child is in a constant dysregulated state due to sensory processing issues.

Sensory Processing Disorders and Sleep Problems

Essentially, sleep is a neurochemical process that acts to restore our bodies and brains for a new day of learning and functioning. When the neurochemicals are not interacting appropriately to regulate your sleep-wake cycle or sleep patterns (REM, non-REM), sleep issues exist and daily functioning is impacted.

We know that children with sensory processing disorder experience high levels of cortisol and low levels of melatonin, the opposite of what is typical (and recommended) to support sleep cycles.Research indicates that behavioral and physiological measures are able to predict good sleepers versus poor sleepers with 85.7% accuracy, suggesting that atypical sensory behaviors are important to consider in relation to sleep deficits in children.

In fact, much of the focus of sensory integration therapy is to elicit the production of neurochemicals to counterbalance one another to support regulation and arousal, including the process of sleep.

How to Help

If your child is having difficulty sleeping due to a sensory processing disorder, consult his occupational therapist for a sensory diet that is specifically designed to support his bedtime routine in a calming way.

  • Activities that increase melatonin levels involve the proprioceptive sense, so deep pressure, weighted blankets, and firm massage may be helpful additions to your bedtime routine.
  • The production of melatonin is limited by light, so reduce exposure to TVs, iPads, or general bright lights/screens for at least an hour before bedtime. In our article about sensory lighting, we talked about considering how your child’s bedroom is lit and whether those light sources foster good sleep habits (or not!). Be sure to check that article out for more great ideas on night-time lighting that doesn’t interfere with the circadian rhythm.
  • Talk to your child’s physician about whether or not Melatonin supplements would be appropriate to try with your child. For more information on Melatonin and Autism, be sure to read  Harkla’s article here.
  • Aromatherapy & essential oils like lavender, vanilla, chamomile can be used in bedtime sprays, lotions, and essential oil baths to promote calm and reduce feelings of stress or anxiety (thereby decreasing cortisol levels).This aromatherapy article outlines some popular insomnia solutions.

Tips and Takeaways

For children with sensory processing disorder, sleep issues can further compound difficulties with self-regulation. Be sure to support sleep habits by establishing a consistent bedtime routine that has a basis in sensory supports to those very important neurochemicals involved in sleep.

Harkla’s blog has some great sleep-related resources that you may want to read for additional information on:

Alescia Ford-Lanza MS OTR/L, ATP
Alescia Ford-Lanza MS OTR/L, ATP

Alescia Ford-Lanza MS OTR/L, ATP is an Occupational Therapist and Assistive Technology Practitioner with over 15 years of pediatric experience. She specializes in educationally-relevant interventions with a focus on sensory integration and assistive technology supports to learning. Alescia strives to help children by fostering a love of learning and supports families with her parent-friendly, informative blog posts. Alescia founded Adapt & Learn, LLC on the mission that children of all abilities can play, learn, adapt, and develop with the right therapeutic, family, and educational supports. You can get more information on Alescia and her practice at www.adaptandlearn.com

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