The Sleep Edit – Détails, épisodes et analyse

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The Sleep Edit

Craig Canapari, MD and Arielle Greenleaf

Enfants & Parentalité

Forme & Santé

Fréquence : 1 épisode/24j. Total Éps: 22

Join Dr. Craig Canapari and Arielle Greenleaf as they explore the intricacies of children's sleep issues with clarity and a touch of levity. They'll unpack the science behind sleep and offer evidence-based strategies to improve nighttime routines. As the director of Yale's Pediatric Sleep Center and an accomplished author, Dr. Canapari brings a wealth of knowledge, while Arielle's expertise as a Pediatric Sleep Consultant provides practical insights for parents seeking tranquility at bedtime. Together, they're your guides to better sleep for your little ones—and for you.

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Episode 9: Insomnia in Grown-Ups, with Dr. Shelby Harris

mercredi 28 août 2024 • Durée 40:19

In this episode of the Sleep Edit podcast, we welcome Dr. Shelby Harris, a leading expert in behavioral sleep medicine. Often, parents are struggling even after their kid's sleep problems are addressed. We talk about the common sleep challenges faced by parents focusing on the impact of stress, hormonal changes, and modern technology on sleep quality. Dr. Harris provides insights into the diagnosis and treatment of insomnia, emphasizing cognitive behavioral therapy for insomnia (CBTI) and its effectiveness over medication for long-term improvement. The conversation also explores the practicalities of sleep hygiene, sleep restriction, and the influence of consumer sleep tracking technologies.

Links:

Time stamps:

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Episode 8: Things That Go Bump in the Night with Dr. Sujay Kansagra

lundi 8 juillet 2024 • Durée 56:21

In this episode of the Sleep Edit, Craig and Arielle are thrilled to welcome Dr. Sujay Kansagra of Duke University to discuss the weird and wonderful world of parasomnias, restless leg syndrome, and restless sleep disorder in children. Parasomnias include NREM parasomnias (sleep walking, hypnic jerks, night terrors) and REM parasomnias (sleep paralysis and nightmares).

00:00 Introduction and Disclaimer
01:09 Parenting Anecdotes and Guest Introduction
02:22 Journey into Medical Social Media
05:21 The Importance of Engaging Content
10:50 Understanding Parasomnias
15:25 Non-REM vs REM Parasomnias
24:26 Night Terrors and Sleepwalking
28:17 Fever Dreams and Sleep Disruptions
28:58 Genetic Predispositions and Sleep Studies
29:21 Scheduled Awakenings and Melatonin
30:23 Nightmares vs. Night Terrors
31:39 Sleepwalking Safety Tips
37:43 Understanding Restless Leg Syndrome
48:58 Restless Sleep Disorder
53:38 Final Thoughts and Parenting Advice

Dr. Sujay Kansagra at Duke Health
Sujay’s Instagram profile
Sujay's time zone video
“I am the research”
His excellent sleep book
The rest of his links
Night terrors, sleep walking, and sleep talking in children by Dr. Canapari
Restless leg syndrome in children by Dr. Canapari

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Episode 7: Newborn Sleep Insights

lundi 6 mai 2024 • Durée 01:01:12

Today, Craig and Arielle unpack the often mystifying world of newborn sleep—those crucial first three months. The inspiration for this episode was Craig's new niece, who was 2 weeks old at the time of recording. Whether you're navigating the unpredictable waters of infant sleep or just curious about what's normal, this episode promises to arm you with the insights you need to feel a bit more in control—or at least to understand that sometimes, chaos is just part of the parenting package.

[00:00:00] Introduction and disclaimer
[00:01:09] Welcoming listeners back and introducing the episode's focus on newborn sleep
[00:02:12] Discussion on the erratic nature of newborn sleep
[00:03:22] Personal story about sleep expectations with a newborn
[00:08:21] Explanation of active sleep in newborns and advice for parents
[00:10:41] Impact of external factors like maternity and paternity leave on sleep
[00:14:26] Transition to detailed discussion on sleep cues and signs of tiredness in newborns
[00:21:08] Exploring the science of sleep cycles and the development of circadian rhythms
[00:26:35] Discussion on the "witching hour" and strategies to cope with it
[00:32:23] Month-by-month sleep development and expectations
[00:37:38] Review of sleep tools and technologies affecting newborn sleep
[00:42:35] Closing remarks and where to find more resources

Notable Quotes:

Craig Canapari MD: "Things will get better with time, even if you're really struggling. It's funny, my older son was one of those babies that we took him home from the hospital. My wife had a c-section the first night. And he slept six hours overnight."
Arielle Greenleaf: "I think one of the biggest things I wish I had known back in the day was I didn't know really about active sleep. And so I think when she was coming, she's going through that, what did you call it?"
Arielle Greenleaf: "I always tell newborn parents, don't rush. They will tell you if they need you. They will, they have lungs and they can scream."
Craig Canapari MD: "A newborn, that could be anywhere from 13 to 14 hours per or 20 hours within a 24 hour period. So if you have a baby who's natural sleep needs at that point is 20 hours a day, you are gonna feel like a parenting genius."

Ask us anything #1 (Ep 6)

mardi 2 avril 2024 • Durée 01:01:38

In our first mailbag episode, Arielle and I take a deep dive into your most pressing sleep-related questions, from the perfect setup for your toddler's room to managing sleep challenges in children with autism. We took YOUR questions from email and Instagram.

Timestamps:

[00:02:00] "What should the light setup be in a toddler's room?"
[00:03:23] "Can you immediately stop using a pacifier when sleep training?"
[00:05:39] "How to introduce room sharing?"
[00:08:31] "Tips for jet lag when flying overseas with kids?"
[00:11:30] "How much movement during sleep is typical in an elementary schooler?"
[00:15:05] "Is it okay to use melatonin for sleep issues in kids?"
[00:22:44] "How to manage bedtime for children with autism?"
[00:28:47] "Dealing with night nursing and weaning issues."
[00:36:00] "How do we break the cycle of bottle feeding and rocking to sleep for a 2-year-old?"
[00:39:00] "Will removing a nighttime sleep crutch result in split nights?"
[00:51:27] "Should weekend naps match daycare schedule for a 6-month-old?"
[00:53:10] "Recommendations for a 3-year-old inconsistent in taking naps."
[00:55:00] "How to handle a baby's strong preference for one parent at bedtime."
[00:57:16] "Helping a 6-year-old with congenital heart disease to sleep better."

Notable Quotes from the Episode:

"It should be dark enough in your kid's room that you can't read a book by the light." - Dr. Craig Canapari
"The sooner you can eliminate the pacifier, the better." - Arielle Greenleaf
"Kids adjust more quickly to new time zones than adults do." - Dr. Craig Canapari
"Melatonin is not a magic bullet. It's part of a broader strategy." - Dr. Craig Canapari
"Natural light is very helpful for adjusting to new time zones." - Arielle Greenleaf
"Being a little bit careful with screens before bedtime can help with jet lag." - Dr. Craig Canapari
"Restless leg syndrome in kids is typically associated with both sensory and sleep issues." - Dr. Craig Canapari
"Swap your child's fear of not having the pacifier with germophobia and you're all set." - Dr. Craig Canapari, humorously suggesting a strategy for weaning off pacifiers.

Links Got sleep questions?

Tackling Anxiety and Sleep Issues in Children: A Psychologist’s Perspective

lundi 18 mars 2024 • Durée 01:01:30

In this episode, Dr. Canapari and Arielle welcome their first guest, pediatric psychologist Dr. Danielle Garay from the Yale Pediatric Sleep Program to discuss the role of psychology in treating children's sleep difficulties, focusing on anxiety, nighttime fears, tantrums, and separation anxiety.

Important Sections:

[00:03:09] The role of a psychologist in the care of children with sleep difficulties
[00:07:47] Discussion on temperament and its relevance to sleep difficulties
[00:10:12] Advice for dealing with nighttime fears in children
[00:17:56] Managing nighttime tantrums in toddlers and preschoolers
[00:39:49] Explanation of separation anxiety and its manifestation at night
[00:44:58] Understanding accommodations and their role in managing anxiety
[00:52:55] Using reward structures and incentives for behavior change in children

Highlighted Quotes:

"It is such a powerful intervention to be able to help people with their sleep." - Dr. Danielle Garay

"Tantrum has such a negative connotation, and it's not like a child is choosing to have a tantrum, and I feel like sometimes parents see it as the child choosing to have that tantrum and cause chaos at bedtime. And it's really just not the case." - Arielle Greenleaf

"True boundaries should require the other person to do nothing. It's you setting the boundary for yourself." - Dr. Danielle Garay

"Small changes in parental behavior can lead to significant improvements in a child's sleep." – Dr. Craig Canapari

Links

How to stop cosleeping including an evidence based plan for children with separation anxiety
Huggy puppy treatment for night time fears
How to help an anxious child sleep better
By Eli Lebowitz PhD

Have questions?

Busting Sleep Myths: From Wake Windows to Sleepy Teens (Ep. 4)

lundi 4 mars 2024 • Durée 48:14

Today, we're cutting through the noise to bring clarity to some common pediatric sleep myths that frequently confuse tired parents. Dr. Canapari and Arielle are tackling:

Wake windows
Sleep regressions
Nap strikes
Whether you should or should not wake a sleeping baby
Teenage sleep myths

Notable Quotes:

"Children are as unique in their sleep needs as they are in their personalities. It's our job to guide, not dictate, their path to better sleep." - Dr. Craig Canapari
"The concept of wake windows has become a maze for parents. Let's simplify and tailor sleep strategies to fit the child, not the other way around." - Ariel Greenleaf
"Initiating a bedtime routine early is key, but adjusting strategies as your child grows is equally important." - Dr. Craig Canapari on establishing and evolving sleep routines.
"Addressing sleep is not just about tonight's rest; it's about setting a foundation for healthy sleep habits that last a lifetime." - Arielle Greenleaf

Time Stamps:

00:00 Introduction and Discussion on Naps
00:15 Debunking Sleep Myths and Discussing Wake Windows
08:44 Understanding Sleep Regressions
17:17 The Controversy of Nap Strikes
23:05 The Impact of Napping on Nighttime Sleep
23:39 The Role of Daycare in Children's Sleep Patterns
25:35 Debunking Sleep Myths: Late Bedtimes and Desired Wake Times
38:22 The Controversy of Sleep Training
42:38 The Struggle of Teenagers with Early School Start Times
45:33 Closing Thoughts and Future Advocacy

Show notes

To CIO and Beyond! Making good decisions about extinction sleep training

mercredi 7 février 2024 • Durée 52:18

In this episode, we talk about the controversial method of 'Cry It Out' (CIO) or Extinction Sleep Training. This approach, often misunderstood and feared, can be a quick and efficient method to improve a child's sleep. We go deep on the criteria for its successful implementation, discussing age-appropriateness, parental consistency, and prioritizing safety and health. We also cover that the method is not suitable for all children or families, and alternative methods like bedtime fading and pick up/put down are also considered. Finally, we cover importance of sleep training for both children and parents to improve the overall family dynamic. (Full transcript and a video are available here).

Here are the three key take-aways from the episode:

Be open to trying different sleep training methods - What works well for one child's temperament may not work for another. Give a new method 3-5 nights before deciding if it's effective.

"Gentle" is not always better - Sitting in the room while ignoring crying (camping out) can actually prolong upset in some young babies. More separation may help them learn to self-soothe faster.

Cry it out is generally safe when done responsively - Research shows no long term emotional harm. But if excessive crying persists beyond expectations, reevaluate and adjust. Be responsive to your baby's needs.

00:00 Introduction to the Sleep Edit
00:03 Discussing Cry It Out (CIO) Method
00:09 Introducing Arielle Greenleaf
01:08 The Controversy Around Sleep Training
02:56 Understanding Different Sleep Training Techniques
03:43 The Importance of Sleep for Children and Parents
04:02 Defining Sleep Training Terms
09:21 The Impact of Parenting Styles on Sleep Training
09:27 The Role of Attachment Theory in Sleep Training
17:03 The Effectiveness of Extinction Sleep Training
24:46 Sleep Training in the Era of Room Sharing
28:14 The Power of Parental Presence
29:12 Understanding the Importance of Age-Appropriate Schedules
29:56 The Role of Routine in Sleep Training

Links: Questions or feedback? We are collecting questions for future Q&A shows!

Ep 2: Sleeping through the night (part 2)

mardi 6 février 2024 • Durée 39:54

In part two of our discussion on helping kids sleep through the night, pediatric sleep expert Dr. Craig Canapari and sleep consultant Arielle Greenleaf tackle night wakings and feedings. (You can find part 1 here, including a video of both episodes). They provide guidance on when night feeds may or may not be necessary, how to handle night nursing for comfort vs nutrition, and tips for transitioning toddlers away from nighttime calories.

Key Takeaways:

- Only a small percentage of sleep issues are caused by medical problems. Most kids need some type of sleep training or behavioral intervention.

- Check with your pediatrician before dropping night feeds - make sure your child is getting enough calories during the day first.

- Night nursing is about more than nutrition - it also provides comfort. Wean slowly if desired.

- Toddlers generally don't need extra calories at night. But there is little guidance given on transitioning from milk feeds to solids at this age.

Notable Quotes:

"I always like to say I am not, if a sleep consultant starts working with someone and says, without any digging, we're going to eliminate all feedings overnight really fast, we're just gonna take 'em all away, run for your life." - Arielle Greenleaf

"Honestly, a normally growing child over a year of age doesn't really need those calories at night. And if you find that you are meaning to give milk or anything else during the night you, I give you permission to cut it out and you may want to wean it slowly." - Dr. Craig Canapari

Subscribe & Follow:

Don't forget to subscribe to "The Sleep Edit" podcast and follow Dr. Canapari and Arielle Greenleaf on social media for more great sleep advice!

00:02 Introduction and Disclaimer
01:18 Understanding Sleep Disorders in Children
02:03 Medical Problems and Behavioral Interventions

Questions or feedback? We are collecting questions for future Q&A shows! Links:

Ep 1: Sleeping Through The Night (part 1)

mercredi 24 janvier 2024 • Durée 44:22

Night time awakenings are THE most common reason that parents bring their child to a sleep physician or consultant. Dr. Craig Canapari and expert sleep consultant Arielle Greenleaf join forces to give advice on the most common reasons that kids wake up at night. The first step to getting your child to sleep through the night is understanding why they are waking up. They address the concept of sleep regressions, the impact of medical conditions such as asthma, acid reflux, and ear infections on sleep, and the importance of consulting a professional when these issues arise. Greenleaf discusses her own journey from a sleep-deprived mother to a pediatric sleep consultant, highlighting the valuable role of sleep consultants in helping families achieve better sleep. Canapari reminds listeners that the goal isn’t about achieving “perfect” sleep but about achieving sleep that enables everyone in the family to feel good and function well in the morning. (Note that this is such a big topic we split it in two-- here is part 2).

00:00 Introduction and Disclaimer
01:06 Meet the Host and Guest
01:41 Arielle's Journey into Sleep Consultancy
03:15 The Impact of Nighttime Awakenings
05:37 Defining 'Sleeping Through the Night'
09:34 Understanding Nighttime Awakenings
09:49 Addressing Early Evening Awakenings
16:06 Understanding Sleep Cycles and Stages
18:35 The Importance of Independent Sleep
24:07 Understanding Your Child's Sleep Patterns
24:27 The Role of Sleep Consultants and Pediatricians
25:04 The Importance of Independent Sleep
26:21 The Misconceptions Around Sleep Training
28:06 The Impact of Developmental Milestones on Sleep
30:19 The Effects of Travel and Illness on Sleep
31:35 Addressing Nighttime Awakenings
37:11 The Role of Medical Issues in Sleep Disruptions
40:34 The Importance of Addressing Health Before Behavior
42:35 Preview of the Next Episode
43:18 Closing Remarks and Contact Information

Links: Questions or feedback? We are collecting questions for future Q&A shows!

“The Sleep Edit” Trailer

mercredi 24 janvier 2024 • Durée 01:28

Parenting is hard-- especially when your child isn't sleeping well. Because that means you aren't sleeping well. I'm excited to launch a new podcast tackling the most common sleep issues that parents are facing these days. Why does my child wake up every night? How do I get him out of my bed? Is melatonin safe. Join us twice a month as Dr Craig Canapari (author, sleep expert, and director of the Yale Pediatric Sleep Center) and Arielle Greenleaf (noted sleep consultant) give you the best, evidence based information you need so EVERYONE in your home can sleep better.

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