Understanding and Helping Your 18-Month-Old Who Wakes Up Screaming at Night
Few things are as unsettling for parents as hearing their toddler wake up in the middle of the night screaming. At 18 months old, children are navigating rapid physical, emotional, and cognitive changes, which can sometimes disrupt their sleep. While this phase can feel exhausting and worrisome, it’s often a normal part of development. Let’s explore why this happens and how you can support your little one (and yourself) through it.
—
Why Do 18-Month-Olds Wake Up Screaming?
1. Developmental Leaps and Sleep Regression
At 18 months, toddlers are mastering new skills—like walking, talking, and asserting independence—which can overwhelm their developing brains. Sleep regressions often coincide with these milestones. Imagine their minds working like tiny computers processing a software update overnight. This mental “overload” can lead to fragmented sleep or sudden awakenings where they feel disoriented or upset.
2. Separation Anxiety
Separation anxiety peaks around this age. Your toddler now understands object permanence (knowing you exist even when out of sight) but hasn’t fully grasped the concept of time. When they wake alone in the dark, fear of being separated from you can trigger panic. Screaming becomes their way of calling for reassurance.
3. Nightmares vs. Night Terrors
While nightmares are rare in toddlers under 2, night terrors (also called sleep terrors) are more common. Unlike nightmares, which occur during REM sleep and involve vivid memories, night terrors happen during non-REM sleep. Your child may scream, thrash, or seem inconsolable for 10–30 minutes but won’t recall the episode. These episodes often occur in the first half of the night and are linked to overtiredness or irregular sleep schedules.
4. Physical Discomfort
Teething pain, ear infections, or growth spurts can also disrupt sleep. At 18 months, molars are often emerging, which can be particularly uncomfortable. Additionally, toddlers might experience gas, hunger, or even an urge to use the potty (if they’re early trainers).
5. Environmental Factors
Changes in routine, noise, temperature, or even a too-bright nightlight can affect sleep. Toddlers thrive on consistency, so disruptions like travel, moving to a toddler bed, or a new sibling can leave them feeling unsettled.
—
How to Respond Calmly and Effectively
1. Rule Out Medical Issues First
If screaming episodes are frequent or accompanied by symptoms like fever, tugging at ears, or breathing difficulties, consult a pediatrician to rule out infections or other health concerns.
2. Create a Soothing Bedtime Routine
A predictable wind-down routine signals to your toddler that sleep is coming. Include calming activities like:
– A warm bath
– Gentle massage
– Reading a favorite book
– Soft lullabies or white noise
Avoid screens for at least an hour before bed, as blue light can interfere with melatonin production.
3. Address Separation Anxiety
Help your child feel secure by:
– Practicing short separations during the day (e.g., playing peek-a-boo).
– Using a comfort object, like a stuffed animal or blanket.
– Reassuring them with phrases like, “Mommy/Daddy is right here if you need me.”
If they wake up crying, wait a moment before rushing in. Sometimes, toddlers self-soothe within minutes. When you enter the room, keep interactions calm and boring—avoid turning on lights or offering snacks.
4. Tackle Night Terrors
During a night terror, your child isn’t fully awake and won’t recognize your attempts to comfort them. Instead:
– Ensure their safety (guide them away from crib rails).
– Speak softly and stay nearby.
– Avoid shaking or startling them awake.
Since night terrors often occur around the same time nightly, try gently rousing your child 15–30 minutes before the expected episode for a few days. This can disrupt the sleep cycle and reset their pattern.
5. Adjust the Sleep Environment
– Temperature: Aim for 68–72°F (20–22°C).
– Darkness: Use blackout curtains or a dim red/orange nightlight.
– Noise: A white noise machine can mask household sounds.
6. Monitor Daytime Habits
– Naps: Ensure they’re not napping too late or too long. Most 18-month-olds need 1–2 hours of daytime sleep.
– Diet: Avoid sugary snacks before bed. Offer a light protein-rich snack (e.g., yogurt) if hunger is a concern.
– Activity: Provide plenty of outdoor play and physical exercise to burn energy.
—
What Not to Do
– Don’t Punish or Shame: Your toddler isn’t waking up to manipulate you. Reacting with frustration may escalate their fear.
– Avoid Reinventing the Wheel: If your child was previously sleeping well, stick to your usual methods. Inconsistency can prolong the phase.
– Skip Sleep Training Debates: Whether you prefer co-sleeping, cry-it-out, or gradual methods, focus on what aligns with your family’s values and your child’s temperament.
—
When to Seek Help
Most nighttime waking phases resolve within a few weeks. However, reach out to a pediatric sleep specialist if:
– The screaming persists beyond a month.
– Your child shows signs of daytime sleepiness or behavioral changes.
– You suspect sleep apnea (snoring, gasping for air).
—
Final Thoughts
Remember, this phase is temporary. Your toddler’s brain is growing at lightning speed, and nighttime disruptions are often a side effect of incredible developmental progress. By staying patient and consistent, you’ll help them build healthy sleep habits that last a lifetime. And don’t forget to prioritize your own rest—taking shifts with a partner or asking for support can make all the difference.
You’ve got this! 💤
Please indicate: Thinking In Educating » Understanding and Helping Your 18-Month-Old Who Wakes Up Screaming at Night