Many sleep challenges don’t start as a single problem—they can develop into a predictable pattern over time. Bedtime struggles escalate, children come to rely on specific conditions to fall asleep, and parents find themselves stuck in nighttime routines that feel increasingly exhausting and unsustainable. For some families, sleep becomes a source of daily stress, anxiety, and conflict, rather than rest.

Sleep difficulties are common, affecting an estimated 25–40% of children and adolescents, and they can look very different from one child to the next. Challenges may include difficulty falling asleep, frequent nighttime wakings, nightmares, anxiety at bedtime, delayed sleep schedules, or enuresis (bedwetting). While some sleep concerns improve on their own, many persist because well-intentioned responses—such as staying longer at bedtime, repeated reassurance, or adjusting routines night to night—can unintentionally reinforce the problem.

When sleep difficulties continue, they can affect children’s mood, behavior, attention, learning, and emotional regulation. They can also significantly disrupt parental sleep and increase overall stress within the family. These are often signs that support is needed, rather than something families should feel pressured to “wait out.”

Behavioral Treatment for Pediatric Sleep

At Thriving Minds, we treat pediatric sleep concerns using a behavioral sleep medicine framework, grounded in principles of behaviorism and classical conditioning. Rather than focusing on sleep in isolation, treatment examines the patterns, associations, and responses that shape sleep over time and helps families make targeted, sustainable changes.

Behavioral sleep treatment is short-term, solution-focused, and highly structured. Parents are guided through clear, evidence-based strategies designed to reduce sleep-related anxiety, strengthen independent sleep skills, and disrupt cycles that maintain sleep difficulties. Treatment also prioritizes supporting families through the stress that often accompanies making changes to long-standing nighttime routines.

This approach is effective across a range of pediatric sleep concerns and is especially well-suited for children whose sleep challenges overlap with anxiety, mood concerns, or ADHD—areas in which Thriving Minds clinicians have specialized training and experience.

What Does Sleep Treatment Look Like at Thriving Minds?

Unlike traditional weekly therapy, sleep treatment follows a parent-focused, consultation-style model:

  • Parents meet with a Thriving Minds Sleep Specialist every 2–3 weeks

  • Most families attend 6-8 sessions

  • Sessions are primarily parent-only, allowing caregivers to implement clear strategies consistently at home

  • For school-age children and adolescents (often age 10+), clinicians may include one or more direct child sessions when clinically appropriate

Our clinicians provide comprehensive assessment and tailored recommendations, incorporating evidence-based behavioral strategies while considering co-occurring concerns such as anxiety, depression, or ADHD. We collaborate with caregivers of children from birth through adolescence, ensuring personalized and developmentally appropriate care.

Is this treatment covered by my insurance?

Sleep treatment uses the same CPT codes as other therapy services at Thriving Minds. We expect insurance coverage to be similar, though we always encourage families to verify benefits directly with their insurance carrier.

For BCBS PPO, we bill using the following CPT codes: 90791, 90837, 90834, 90832, 90846, 90847, and 90785.

How do we get started?

Getting started is simple:

  1. Call our intake coordinator at 734-433-5100.

  2. You will be scheduled with the Sleep Program Director, Dr. Andrea Roth, for a free 15-minute consultation call.

    • During this call, Dr. Roth determines fit for the program and screens for medical red flags that may require clearance before beginning treatment.

    • She can also answer any questions you may have about sleep treatment.

  3. Based on the information collected during this call, families are scheduled for a 90-minute parent-only intake session to begin treatment.

Dr. Roth’s Sleep Tips

Take proactive steps to address your child's sleep issues by scheduling a parent consultation with Dr. Andrea Roth. Book a 60-minute consultation to receive expert guidance on manage your child’s difficult and disordered sleep. Schedule today.