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Tips to help your teen get more sleep

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From the time they hit puberty until the age of 22, adolescents need about 9 hours of sleep a night to function optimally-to be physically, mentally and cognitively healthy. Tell this to nine out of ten teenagers (or their parents for that matter) and they will laugh. What teenager has time to sleep for 9 hours a night during the school year?

Very few. In fact only about 8 percent of American teenagers get the sleep they need, according to a recent study in the Journal of Adolescent Health. The rest live with chronic sleep deprivation -some mild to moderate, but more than half (59%) with severe sleep deprivation, meaning they sleep on average six hours or less most school nights.

Related: Why Are Teenagers So Sleep-Deprived?

In fact the nation's pediatricians have declared insufficient sleep for adolescents "an important public health issue." In a report, the American Academy of Pediatrics noted that lack of sleep not only undermines our teenagers' safety and their academic performance, but puts them at higher risk for depression and obesity. The AAP report supports later start times for high schools and middle schools.

Sweeping policy changes may eventually help our kids stay awake in geometry-and behind the wheel on the way to school-but in the short term we need to do as much as we can to get our kids to build more sleep into their lives.

There are lifestyle changes that middle- and high-schoolers can make, and even several small changes can have a big effect on their well-being. We asked some experts for their advice on how to combat sleep deprivation and win back a couple of precious hours a night. Here's what they said:

It takes commitment

It's one thing to enforce bedtime for a younger child-though that can be a tough and prolonged battle, too. But when it comes to adolescents, it's trickier. Teens aren't likely to change their sleep habits unless they recognize that more sleep will make them feel better and improve their performance in school. And both teens and parents have to be willing to put in the effort. It's hard, but parents need to show that it's important, and talk it out.

Parents are important, no matter what kids say

"There's pretty good evidence that parental help with limit-setting around bedtimes and study times and media is helpful," says Dr. Mary Carskadon, a professor of psychiatry at Brown University and director of chronobiology and sleep research at Bradley Hospital in Providence, Rhode Island. "It's hard to jump in with teens if you haven't started when the child is younger," she adds, but despite adolescents' expectations of autonomy, parental influence and expectations really do help kids make better decisions about managing their time.

Be consistent with teenage sleeping habits

"Consistency is really, really crucial in terms of building healthy sleep habits," says Dr. Alison Baker, a child and adolescent psychiatrist at the Child Mind Institute. That means it's important for your teen to go to bed as close as possible to the same time every night, and get as close to 8 hours of sleep as possible. But it's also important for him to stick to the same schedule-within reason-on the weekends.

If a kid's sleep schedule shifts dramatically on the weekends-staying up most of the night and sleeping until midafternoon Saturday and Sunday-the chances of getting back to normal Sunday night are slim. It's not easy for kids to resist-no one wants to be the first to leave the party-but the academic, athletic, and social demands of the week have no time for the weekend.

Screens off an hour before bed

Most clinicians, and everyone we talked to, emphasize the importance of turning off all electronic devices a minimum of an hour before the time young people are trying to go to sleep. And it's more than just excitement. Electronic screens emit a glow called "blue light" at a particular frequency that sends "a signal to the brain which suppresses the production of melatonin and keeps kids from feeling tired," says Dr. Max Van Gilder, a pediatrician in practice for 40 years. He suggests planning ahead so that homework that needs to be done on a screen is completed by early evening and "off-screen" work is saved for later at night. That also means no "unwinding" by going on Facebook or YouTube.

What's more, social media is a great place to find new sources of anxiety. Good luck getting to sleep if you've just read something socially stressful from your best frenemy.

Dr. Van Gilder also recommends f.lux, a free app that automatically adjusts the light on your computer screen to coincide with the time of day. F.lux automatically removes the stimulating blue light from your computer screen at night so that you're able to sleep better even if you've been up late working on a paper.

And the family can help, too, by altering the home environment. It can be useful to start gradually dimming lights around the house to signal when it's time to quiet down and start moving towards sleep.

Watch the snacking

Adolescents, many of whom control over their diet for the first time, are prone to eating and drinking on an ersatz schedule, as a means to self-regulate, or to stay awake, or just because they can. But the bag of chips, or the cookies at 1am, or caffeine any time after dinner-whether or not they help get the essay written-can postpone sleep, and harmfully.

Boost the biological clock

One of the most significant physiological changes to occur in adolescence is a shift in the production of melatonin, the sleep hormone. Effectively, teens are living in a different time zone than the rest of us. But "that is the normal circadian rhythm for 15-22 year-olds, " says Dr. Van Gilder. He frequently recommends that teens who have trouble sleeping try taking a low dose (2-3 mg) of melatonin (a non-prescription vitamin which can be purchased at the drugstore) one to two hours before it's time to go to bed to help jumpstart melatonin production.

Simplify

"Overscheduling" and the pressure to build a college resume have pushed many teens beyond what they can reasonably accomplish in the space of a day or a week. "We need to get colleges to revise the message they're sending," Dr. Carskadon says. "But the family really is the core. You have to help your child understand that they can't do a hundred percent of everything." Kids need you to help them set realistic expectations for their time, and your support and acceptance when approaching the college process.

Set a good example

"Parents need to model good sleep habits for their teens," Dr. Baker says. "Staying up all night with your kid to edit his paper or pulling an all-nighter for work yourself isn't really sending the right message." Parents who make sleep a priority for themselves show their kids that it's part of living a healthy lifestyle-like eating right and exercising regularly.

Streamline mornings

While there's not much you can do about your school's start time, Dr. Van Gilder says teens should organize their mornings so that they can sleep in "as long as is humanly possible." Consider showering, picking out clothes and packing up books before bed so you don't have to spend time doing it in the morning. "Ask mom or dad to make you an egg sandwich to eat on the bus. Whatever it takes to squeeze in as much sleep as possible and arrive one minute before school starts."

Pump up productivity

For the first two years of high school Gabriel Levine, now 19, bought into the pervasive attitude at Hunter College High School that he describes as " basically, it's cool to do really well on as little sleep as possible." Then at the beginning of junior year he got very interested in the topic of productivity and started reading a lot of studies. "I discovered that a lot of my academic performance could be better by sleeping a full 8 hours than by staying up all night studying. Cognitive functioning is just better with sleep and without it, you sacrifice that."

Since then Levine, who just finished his first year at the University of Chicago, has been committed to getting a minimum of 7-8 hours of sleep every night. He managed this in high school, he says, by using the odd bits of time during the day he'd been inclined to blow off as too short to be fruitful. "I'd even work during rehearsals when I wasn't needed on stage," he says.

Levine also found that he worked most productively in 45-minute blocks separated by 10-minute breaks to clear his head. "If you break it down into to bite-size pieces and use the time you have during the day, you can get a lot done and be a lot more relaxed about the whole thing."

The bed is for sleep

Experts agree that it's easier to fall asleep and stay asleep if you associate the bed with sleeping. That means working in another room you associate with getting work done might get you to the finish line faster, as well as allowing you to shift gears when it's time for sleep. "Once a place has been unproductive for me, it's tainted," says Levine, who doesn't study in any room that has a bed. "If I've gotten really good work done somewhere then I keep going back and the association reinforces the reality."

Cutting down on distractions also gets one closer to potential sleep time. Kids shouldn't be logged onto Gchat while they do their chemistry homework. Amazingly, the phone might be a better way to collaborate on homework projects-more direct, less time to dither and chat, more time to get things done.

Final advice on teens and sleep

Check in with your teen and ask (not nag, but ask), "what can I do to help keep you on track?" If your teen can be consistent about making even a few of the changes suggested above, you might both be surprised at how quickly you can all reap the rewards of (more) sleep.

Read More:
What Happens When Teenagers Don't Get Enough Sleep
Teenage Depression and the Immune System

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From the time they hit puberty until the age of 22, adolescents need about 9 hours of sleep a night to function optimally-to be physically, mentally and cognitively healthy. Tell this to nine out of ten teenagers (or their parents for that matter) and they will laugh.

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"A lack of good sleep habits result in much more than a tired body and mind. It can have profound and lasting effects on teenagers and could contribute to everything from juvenile delinquency to depression, obesity, high blood pressure, and cardiovascular disease" (P.96).

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Average teenager requires 9.35 hours of sleep.

Sleep strengthens learning, and memories,

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Help your teen get organized by:

*Giving written and oral instructions.

*Give them calendars and suggest they use them daily.

*Set limits with everything

By doing these on a regular basis it helps train their own brain.

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"Memories are easier to make and last longer when acquired in teen years compared with adult years. This is the time to identify strengths and invest un emerging talents" (P. 79).

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Parents are often times confused as to why their teen is "so stupid" a lot of the time they blame themselves although they are not sure why they blame themselves.  However, "our brains in essence, are self built. They not only serve the particular needs and functions of the particular individual, but also are shaped-landscaped if you will- by the individual's particular experiences" (P.68).

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In other words the teenage amygdala, myelin, and overall brain are not fully developed which leads for instance, for some teenagers to not want to take their overly intoxicated friend to the hospital in fear of getting in trouble for underage drinking.

Some teens brains have not connected that the overly intoxicated friend might be in a life threating situation.

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"Forty-four percent of teens surveyed admitted to panicking in that emergency situation and nearly half acknowledged they didn't know how to respond to the crisis at all" (P.60).

To learn more about the myelin click picture below:

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It is worth noting that in the U.S. and in many countries, digital pathology is still at a very early stage, compared to many other fields that were digitized 15 or 20 years ago such as radiology. There have been some barriers to the adoption of digital pathology such as regulatory challenges that are only just now being overcome. Recently, the FDA approved the use of whole slide imaging software for primary diagnostics.

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All of the activities people carry out such as walking, talking and eating are controlled by the brain, which receives information through the five senses, processes it, and then instructs muscles to carry out actions. All of the information that passes to and from the body is transmitted and coordinated quickly and simultaneously.

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"A slightly unbridled and overexuberant immature amygdala is thought to contribute to adolescent explosiveness" (P.41).

To learn more about the amygdala click on the picture below

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"Of the nearly six thousand adolescents who die every year in automobile accidents, 87% die because of distracted driving" (P. 42).

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How parents deal with tragic
stories and talking about them with their teenager is critical. Repetition aids
with brain development. Instead of being thankful that it didn't or wouldn't happen to YOUR child. One needs to know that it COULD happen to any child. That is why you must tell your teenager that it could have easily been them. Repetition is key to the Teenage brain because it helps develope prospective memory.

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"The teen brain is only about 80 percent of the way to maturity. The 20 percent gap, where the wiring is thinnest, is crucial and goes a long way toward explaining why teenagers behave in such puzzling ways- Their mood swings, irritability, impulsiveness and explosiveness; their inability to focus, to follow through, and to connect with adults; and their temptation to use drugs and alchol, and engage in risky behavior" (P.37).

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Teenage brain has lots of gray matter and not enough white matter

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"Because of the flexibility and growth of the brain, adolesents have a window of opportunity with an increased capacity for remarkable accomplishments. But flexibility, growth, and exuberance are a double-edge sword because an 'open' and excitable brain also can be adversely affected by stress, drugs, chemical substances, and any number of changes in the environment"  (P.23).

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"When it come to hormones, the most  important thing to remember is that the teenager is 'seeing' the hormones for the first time.  Because of that the brain hasn't yet figured out how to modulate the body's response to this new influx of chemicals" (P.20).

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How Teenagers' Brains Are Actually Wired Differently