Autism and Sleep: Understanding the relationship between sleep issues and Autism

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As a child, I had terrible night terrors that would wake me up screaming, or I’d be out about the house adventuring on a sleepwalking outing. ⁠

After the birth of my children, I had terrible insomnia & despite whatever I tried I couldn't “sleep when the baby slept”. Then my Neurodivergent children kept me awake for 5 years 🤣 My relationship with sleep, and daytime fatigue has been a lifelong struggle. It never occurred to me that this may be related to my neurotype. Turns out that with my Autism-ADHD discovery, my sleep mysteries are solved 🤷🏼‍♀️⁠

Here are some facts about Autistic sleep (spoiler it’s gloom)⁠

💚 Sleep problems are one of the most common co-occurring conditions for Autists ⁠

💚 50-80% of autistic children experience sleep disorders (compared to 9-50% of NT children)⁠

💚 Autistics are more likely to have a circadian rhythm sleep-wake disorder (CRSWDs). Many Autists have a mutation within the CLOCK gene which impacts circadian rhythm. ⁠

💚 Autistics are more likely to have a mutation in genes regulating melatonin resulting in a “flat melatonin curve”. Thus our bodies often do not feel tired or send the same level of tired cues at night, & we may feel sleepier during portions of the day/upon waking⁠

💚 Up to 80% of Autistics will have a sleep disorder within their lifetime⁠

💚 Insomnia difficulties include: Difficulty falling asleep, night wakings, and early morning rising with the inability to fall back to sleep⁠

💚 Autistics more likely to experience parasomnias-these include sleep paralysis (waking but not being able to move), sleepwalking, and night terrors/sleep terrors⁠

💚 On average Autistics get 15% REM sleep (NTs on average get 25%). REM sleep is where we consolidate learning & memory & is important for a host of physical & mental health things⁠

💚 Repetitive behaviors & hyperactivity increase w/ poor sleep (which then makes sleep more difficult and it can become a vicious cycle)⁠


Dr. Neff⁠
@neurodivergent_insights⁠



#Autismawareness #Autisticsleep #insomnia #mentalhealth #sleepapneaawareness #actuallyautistic #restlesslegs #autismsleeplessnights #sleepparalysis #autismawareness
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