When OCD Affects Sleep: How Families Can Support Children with Additional Needs
When supporting a child with additional needs, sleep disturbances and obsessive-compulsive behaviours can have a huge impact — not only on the child’s well-being but also on the smooth running of daily life.
One young person I worked with had diagnoses of both Down syndrome and Autism Spectrum Disorder (ASD). Through regular reviews with therapists and behavioural specialists under the NDIS system, it became clear that obsessive-compulsive habits were playing a major role in her daily struggles. These patterns often led to frustration, temper outbursts, and difficulties engaging appropriately with the outside world.
A particular challenge was her late-night routine of stacking and sorting toys and books. What at first appeared to be a harmless quirk eventually became a barrier to healthy sleep. Professionals explained that these repetitive behaviours are common in children with Down syndrome and ASD, but that doesn’t mean they should be ignored — especially when they start to affect quality of life and independence.
Strategies That Helped
Working closely with therapists, we trialled and implemented practical strategies to address both OCD habits and sleep challenges:
- Decluttering the environment: We simplified her bedroom to reduce visual stimulation and create a calmer atmosphere.
- Alternative outlets: A toy tub system was introduced in another room, giving her a space to satisfy the need for order without disrupting sleep.
- Technology boundaries: We eliminated iPads and phones before bedtime, which helped reduce stimulation and encourage natural winding down.
- Healthy sleep routines: By setting clear expectations and structured evening routines, we made the transition to sleep more predictable.
Positive Outcomes
With consistent support, the improvements were clear. The child began sleeping through the night more regularly, her mood lifted, and her overall health and daily functioning improved.
Key Takeaway
OCD behaviours in children with developmental disabilities should never be dismissed as “just part of the condition.” With the right support, structure, and guidance from therapists, even challenging habits can be redirected in ways that promote healthier routines and better quality of life.