Parents arrive having tried what they have tried, and read what they have read. The patterns below are the ones we see most often in independent school children. None of them, on their own, is a diagnosis. All of them, in our experience, are workable.
Sleep-onset anxiety.
The thoughts that arrive the moment the bedroom light goes off. Worries about tomorrow, about friendships, about a teacher's look. Not insomnia in the medical sense, but a child who has lost trust in the moment between awake and asleep.
Night wakings without nightmares.
The child who wakes at 3am and cannot return to sleep. Often a body-led pattern, less about what woke them and more about a nervous system that has not learned how to settle itself back.
The Sunday evening pattern.
The slow ache that arrives at supper, the stomach-aches at bedtime, the long delay before sleep. The body knowing Monday is coming before the mind has named it.
Adolescent sleep slide.
The teenager whose sleep has slid an hour later every few months. Partly biological (real teenage chronotype shift), partly avoidance, partly screens. Worth distinguishing which is which before any rules go on.
Sleep as a place of worry.
Children whose worries come out only at bedtime because bedtime is the only quiet the day has. Often a sign that the worry is bigger than sleep itself, and that the day is too full.