Sleep Medicine

Sleep medicine is the diagnosis and treatment of sleep-related conditions and sleep disorders, including problems falling asleep or staying asleep, and problems breathing while sleeping (sleep apnea). Sleep problems can affect your child's ability to get the sleep needed for good growth, development and overall health. Sometimes, problems with sleeping contribute to learning, mood and behavior troubles during the day.

Why choose Seattle Children’s Sleep Medicine program?

Sleep conditions and disorders can vary significantly from patient to patient. Our multidisciplinary team and subspecialized care providers work together to ensure each patient and family receive the ideal care based on their own unique needs.

As the only exclusively pediatric-focused sleep center in the region, we provide comprehensive, compassionate and patient-centered care tailored to this unique population.

  • At Seattle Children’s, your family has a full team behind you, from diagnosis through treatment and follow-up. From our appointment schedulers to our pediatric nurses, our team is specially trained to work with children and their families. Our facilities and equipment also reflect this kid-friendly, family-centered approach.

    At our Sleep Disorders Center located at Seattle Children's at Overlake Medical Tower, we have designed our sleep lab so you or another adult family member has a place to stay with your child during the overnight sleep test.

  • Our team of experts focuses on how today’s treatments will affect your child as they develop and become adults. We base treatment plans on years of experience and the newest research on what works best — and most safely — for children, teens and young adults. This experience helps us monitor your child’s condition and work with you to decide on the best treatment.

    Seattle Children’s offers the only sleep center in the region exclusively dedicated to caring for babies, children and teens. Our sleep program is accredited by the American Academy of Sleep Medicine.

  • Our team is involved in research that is transforming the diagnosis, treatment and care of conditions affecting children, teens and young adults.

Conditions We Treat

We see children with a broad range of sleep disorders, including:

  • Sleep apnea refers to short pauses in breathing. Usually, these pauses are normal, but they can cause problems when they occur often.

    • Obstructive sleep apnea occurs when your child's airway closes partway or all the way during sleep. This blocks air from getting in. The brain recognizes a breathing problem, and this can disrupt sleep. In children without other medical conditions, enlarged tonsils or adenoids may cause the blockage. The problem is most likely to happen during sleep when the throat muscles and tongue are most relaxed. Read more (PDF) (Spanish) (Vietnamese).
    • In children with central sleep apnea, the part of the brain that controls breathing doesn't start or maintain the breathing process as it should. This condition can affect babies, especially those who are born early (premature), because the breathing control center in the brain is not fully developed.
  • Parasomnias are disruptions in your child's sleep. These include sleep terrors and sleepwalking.

    • Sleep terrors (night terrors) may seem like nightmares, but they are far more intense. During a night terror, you may not be able to comfort your child. Signs of a night terror are sitting up in bed, shouting or screaming. Learn more (PDF) (Spanish). While scary for parents, sleep terrors usually do not harm children.
    • During sleepwalking, your child may seem confused or partly awake. They may either stay in bed or walk around without seeming to be aware of their surroundings. Learn more (PDF) (Spanish).

    Children will often not remember either sleep terrors or sleepwalking the next day. In some cases, these conditions may be a sign that your child has another sleep disorder. Learn more about parasomnias (PDF) (Spanish).

  • Young people with excessive sleepiness are often very sleepy during the daytime or sleep for very long periods at night. These disorders, sometimes called hypersomnia, are different than sometimes feeling tired after not getting enough sleep at night. Signs of this condition often appear during the teen years or early adulthood. Your child may nap a lot during the day, fall asleep at odd times or find it very hard to wake up after a long sleep. Excessive sleepiness may be caused by other sleep disorders, such as narcolepsy (PDF) (Spanish) or sleep apnea.

  • Insomnias are disorders that make it very hard to fall asleep or stay asleep. Most people have trouble sleeping once in a while. Babies and young children often wake up naturally during the night. When children have trouble falling asleep or staying asleep and the problem lasts a long time, it can be caused by an underlying sleep disorder. Learn more (PDF) (Spanish).

  • Narcolepsy causes sleepiness that can't be controlled. People with narcolepsy, including children and teens, have "sleep attacks." Even if they have had a normal night's sleep, they may fall asleep without any warning during the day. These sleep attacks last from several seconds to a half-hour or more. Signs of narcolepsy often appear during the teen years. Learn more (PDF) (Spanish).

  • Circadian rhythm disorders are disruptions in your child's regular daily cycles, including sleeping and waking. Most circadian rhythms are controlled by the "clock" in the brain that runs the body. Circadian rhythm disorders may be caused by a mismatch between the internal body clock's setting and conditions in the outside world. A common example is jet leg. They may also be a sign of a problem within the clock itself.

  • Circadian rhythm disorders are disruptions in your child's regular daily cycles, including sleeping and waking. Most circadian rhythms are controlled by the "clock" in the brain that runs the body. Circadian rhythm disorders may be caused by a mismatch between the internal body clock's setting and conditions in the outside world - a common example is jet leg. They may also be a sign of a problem within the clock itself.

  • Sleep-related movement disorders involve simple movements that can disrupt sleep. Some examples include:

    • Growing pains (benign nocturnal limb pain of children)
    • Headbanging and bodyrocking are rhythmic movement disorders that usually involve some type of rocking, rolling or headbanging. Learn more (PDF) (Spanish).
    • Periodic limb movement disorder (PLMD) is a sleep disorder that consists of repetitive leg movements that occur during sleep that interfere with sleep and cause daytime symptoms. Periodic limb movements in sleep (PLMS) are brief jerks of the foot or leg that typically happen every 20 to 40 seconds. Children with PLMS can have restless leg syndrome. Children with PLMS and daytime symptoms of fatigue, sleepiness or behavioral problems may have PLMD, which is diagnosed with a sleep study. Learn more (PDF) (Spanish).
    • Children with restless legs syndrome (RLS) may feel the need to move their legs but may also have uncomfortable sensations in their legs that are often difficult to explain. The uncomfortable sensation or urge to move the legs is worse in the evening and during periods of rest or while lying down. Walking or moving the legs may relieve the symptoms. RLS is diagnosed by your doctor. Learn more (PDF) (Spanish).
    • Restless sleep disorder is characterized by frequent movements and repositioning during sleep that interferes with good sleep quality and causes daytime symptoms. RSD is diagnosed with a sleep study.

    While the causes of these disorders are different, they all make it hard for your child to sleep.

Services We Provide

We offer testing (sleep studies), treatment and consultation for sleep disorders that affect babies, children and young people up to age 21. These services include:

  • Doctors use polysomnography (sleep study) to identify sleep problems. During sleep, the body acts differently than while awake. A sleep study monitors your child's body functions during sleep, including sleep stages, eye movements, brain waves, muscle activity, breathing, body positions and heartbeat. Learn more (PDF) (Spanish) (Vietnamese).

  • Children usually have sleep studies with continuous positive airway pressure (CPAP) or bilevel positive airway pressure (Bi-PAP) after they have been diagnosed with obstructive sleep apnea or another breathing disorder during sleep. We offer overnight sleep studies at our Seattle Children’s at Overlake Medical Tower location in Bellevue only.

    During these tests, your child sleeps wearing a facemask hooked to a special CPAP or Bi-PAP machine that records the right amount of air pressure for your child. The results give us the correct air pressure setting for you to set up a CPAP or Bi-PAP machine in your home. A sleep study may also be done with extra oxygen to help your child's breathing.

  • A multiple sleep latency test (MSLT) is a daytime nap study that gathers information about your child's body functions and sleepiness during the day. The test is usually done right after a polysomnography (PSG or sleep study). During the MSLT, your child will take a series of naps every 2 hours throughout the day. We offer the MSLT at our Seattle Children’s at Overlake Medical Tower location in Bellevue only.

Scheduling an Appointment with Sleep Medicine

  • If you would like a referral to Sleep Medicine, talk to your primary care provider. If you already have a referral, please call 206-987-5072 to schedule an appointment.
  • If you already have an appointment, learn more about what to expect and how to prepare.
  • Learn about Sleep Medicine resources such as useful links, videos and recommended reading for you and your family.

Contact Us

For more information, contact Sleep Medicine at 206-987-5072. If you would like an appointment, ask your child’s primary care provider for a referral.

Providers, see how to refer a patient.

Paying for Care

Learn about paying for care at Seattle Children’s, including insurance coverage, billing and financial assistance.