4/19: MW: Here is a synopsis of her sleep issues. She has "never learned to soothe herself to sleep" at sleep onset for night and naps and in the middle of the night. One reason is that she "associates sleep with the breast" and so Mom is "still a slave to feeding her to sleep." Another more subtle reason why she is unable to easily fall asleep unassisted at sleep onset and in the middle of the night is because she is allowed to fall asleep too late at night. Because her bedtime is too late, she wakes up in the morning in a state of higher neurological arousal which causes her to have difficulty or inability to fall asleep unassisted for naps. Additionally, she awakens in the morning too tired so she is unable to sleep in phase with her biological nap rhythms causing the naps to be less restorative.

"Cumulative sleepiness" means that her sleep debt is increasing and she "has become markedly worse in the past few weeks."

What would you suggest?

Marc