4/19: MW: Here is a synopsis of his sleep issues. He became sleep deprived because he was allowed to fall asleep too late at night.

The biological rhythm for night sleep develops around 6 weeks after the due date. At this age, the longest single sleep period lengthens to 4-6 hours and predictably occurs in the evening hours. Prior to 6 weeks, the longest single sleeping period is shorter and is randomly distributed around clock time. But most importantly, at 6 weeks, the brain now wants an earlier bedtime. The failure to put him asleep earlier after 6 weeks of age means that he has accumulated a sleep debt that now makes it difficult for him to nap well and easily fall asleep at night at an early biologically appropriate time. Falling asleep too late and not in synch with his night circadian sleep rhythms means that he cannot develop the naps he needs.

Nap rhythms usually begin to emerge about 12-16 weeks after the due date but his high state of neurological arousal makes napping problematical. His sleep tank is starting to go toward empty "between 4-6 PM he looks irritable, prone to fussiness, clingy (always wanting to be held) and requires more attention and has great difficulty going down."

What would you suggest?

Marc