Bedtime Anxiety in Children: Why Nighttime Is the Hardest
The lights go off, and the worries turn on. If bedtime has become the hardest part of your day, you're not alone. For many families, the hours between \u201Ctime for bed\u201D and actual sleep have become a nightly struggle. Here's why\u2014and what you can do about it.
What You'll Learn
- Bedtime anxiety is one of the most common childhood struggles, peaking between ages 4 and 8
- Physical symptoms like stomachaches and racing heart at bedtime are real, not faked
- A predictable 30-to-45 minute wind-down routine reduces bedtime anxiety significantly
- Personalized stories read as the last step before sleep replace anxious thoughts with brave ones
- Graduated withdrawal builds independence without going cold turkey on parental presence
Why Does Anxiety Get Louder After Dark?
Bedtime anxiety intensifies because nighttime removes all distractions, leaving anxious thoughts center stage. The darkness triggers a child's threat-detection system, while the quiet amplifies worries that were manageable during the day. Research confirms bedtime is the peak period for childhood anxiety symptoms.
During the day, your child's brain is busy. School, play, conversations, screens—all of it keeps the mind occupied and the anxious thoughts at bay. But when the lights go off and the distractions disappear, everything changes. The quiet and stillness that are supposed to invite sleep instead create a stage for worry.
Research consistently shows that nighttime anxiety is strongly correlated with daytime functioning the following day, and that children with anxiety disorders experience disproportionate sleep difficulties. In other words, fixing bedtime does not just fix nighttime—it improves the whole next day.
Three factors converge to make bedtime especially hard for anxious children:
Loss of distraction
During the day, anxious thoughts compete with dozens of other inputs. At night, there is nothing to compete with. The worried thought gets the entire stage, and it fills it. For children who are already prone to worry, this silence can feel overwhelming.
Darkness and the unknown
Fear of the dark is one of the most common childhood fears, and it is rooted in biology. Humans are visual creatures, and when we cannot see our surroundings, our threat-detection system goes on alert. For anxious children, this heightened alertness can spiral into full-blown panic.
Separation from parents
Going to bed means being alone. For children with separation anxiety, this nightly separation can trigger the same distress as being dropped off at school. The difference is that at school, there are teachers and friends. In bed, there is just the dark and the quiet.
What Are the Physical vs. Emotional Symptoms of Bedtime Anxiety?
Bedtime anxiety does not always announce itself as “I am scared.” Many children express anxiety through their bodies, leading parents to wonder if the stomachache is real or the headache is “made up.” The answer is that anxiety-driven physical symptoms are genuinely real—the child is not faking.
Physical signs
- Stomachaches or nausea as bedtime approaches
- Racing heart or complaints of chest tightness
- Headaches that appear in the evening
- Sweating or feeling hot despite cool room
- Restless legs or inability to get comfortable
Emotional and behavioral signs
- Stalling tactics (one more story, one more drink of water)
- Crying or clinging when it is time to turn off lights
- Repeated trips out of bed to “check” on parents
- Insistence on sleeping with every light on
- Nightmares or waking multiple times per night
A study published in the Journal of the American Academy of Child & Adolescent Psychiatry found that children with anxiety disorders were significantly more likely to experience sleep disturbances, and that treating the anxiety directly improved sleep outcomes (Alfano et al., 2007, DOI: 10.1097/01.chi.0000242233.06011.8e).
What Does Bedtime Anxiety Look Like in Toddlers?
Toddlers between ages 1 and 3 experience bedtime anxiety differently from older children. Because they lack the words to name their fears, bedtime distress often looks like behavioral regression, clinginess, or sudden resistance to a routine that previously worked.
Between 18 and 36 months, toddlers are developing object permanence and an expanding imagination—but without the cognitive tools to manage what they imagine. They may begin to fear the dark for the first time, resist being put down in their crib, or wake crying multiple times after months of sleeping through the night.
Common signs of bedtime anxiety in toddlers include:
Sudden sleep regression
A toddler who was sleeping independently may suddenly refuse to be alone, standing in the crib and screaming until a parent returns. This often coincides with a developmental leap or a change in routine.
Escalating bedtime resistance
The routine that took fifteen minutes now takes an hour. Every transition —pajamas, teeth, lights—triggers tears or tantrums that seem disproportionate to the situation.
Physical clinginess
Grabbing your shirt, wrapping arms around your neck, arching away from the crib. These are not manipulative behaviors—they are a toddler's only way of communicating “I do not feel safe right now.”
What helps at this age: Keep the routine extremely short and predictable (15 to 20 minutes). Use a transitional object—a stuffed animal or blanket that smells like you. Consider a dim nightlight with warm tones. Most importantly, respond to distress with calm presence rather than frustration. Your toddler's nervous system is borrowing from yours, and your steadiness teaches them that nighttime is safe.
What Are Common Bedtime Anxiety Triggers by Age?
What triggers bedtime anxiety shifts as children grow, because their cognitive abilities and the scope of their world changes. Understanding the typical triggers at your child's age can help you respond more effectively.
Monsters, shadows, noises, fear of the dark, separation from parent. These are imagination-driven fears that feel absolutely real to the child. Telling them “monsters are not real” does not help because in their experience, the fear is real.
Worry about bad things happening to parents, burglars, natural disasters, news stories. At this age, children begin to understand that real dangers exist but lack the cognitive maturity to assess probability. Every scary possibility feels equally likely.
Tomorrow's test, social conflicts, performance worries, existential questions. Tweens ruminate—replaying conversations, anticipating failures, constructing worst-case scenarios. The quiet of bedtime gives these thoughts free rein.
What Strategies Actually Help With Bedtime Anxiety?
These are not quick fixes. They are practices that, used consistently over days and weeks, can genuinely transform bedtime from a battle into a moment of connection and calm.
1. Build a predictable wind-down routine
Anxious brains crave predictability. A consistent bedtime routine signals safety: your child knows what comes next, and that reduces the number of unknowns their brain needs to process. Aim for 30 to 45 minutes: screens off, bath or wash, pajamas, teeth, story, lights. Same order, every night. The routine itself becomes a comfort object.
2. Schedule worry time earlier in the day
Give your child 10 to 15 minutes in the late afternoon to talk about or draw their worries. This dedicated “worry time” gives anxious thoughts a container. When worries arrive at bedtime, your child can remind themselves: “I already dealt with that during worry time. I can think about it again tomorrow.” Research supports this technique as effective for reducing rumination, with the stimulus control approach originally developed by Borkovec et al. (1983) and widely adapted for pediatric use in cognitive-behavioral therapy programs.
3. Enlist comfort objects as guardians
A stuffed animal, a special blanket, or a “brave bracelet” can serve as a transitional object—a physical anchor of safety when you are not in the room. For younger children, you might tell them that their teddy bear is the “night guard” whose job is to keep watch. This gives your child a sense of protection without requiring your physical presence.
4. Practice graduated withdrawal
If your child needs you in the room to fall asleep, do not try to go cold turkey. Instead, gradually reduce your presence over one to two weeks. Night one: sit on the bed. Night three: sit in a chair beside the bed. Night five: sit by the door. Night seven: sit in the hallway with the door open. Each step builds your child's confidence that they can handle a little more independence.
5. Read a personalized story as the last step
Stories are not just entertainment at bedtime—they are a powerful tool for emotional regulation. A story about a character who faces the dark and finds courage replaces the anxious narrative with a brave one. When personalized to your child's world—their name, their comfort objects, their specific fears—the effect is even stronger. The last thing your child's brain processes before sleep becomes the template for their emotional state overnight. Make it a brave story, and you give them a brave night.
What Should Parents Avoid When Handling Bedtime Anxiety?
When bedtime anxiety has been going on for weeks or months, frustration is understandable. But some common responses can accidentally make things worse. A key finding from anxiety research is that avoidance and accommodation maintain anxiety rather than reducing it.
Dismissing their fears
“There is nothing to be scared of” tells your child that their very real experience is wrong. This does not reduce fear; it adds shame on top of it. Instead, validate first: “I understand this feels scary.”
Forcing complete darkness
Making an anxious child sleep in total darkness to “toughen them up” creates a negative association with bedtime. Nightlights, hall lights, and glow stars are all reasonable accommodations that support, not undermine, independence.
Using bedtime as punishment
“If you do not behave, you are going to bed early” turns bedtime into a consequence rather than a safe transition. For anxious children, this adds another layer of negative emotion to an already difficult moment.
Excessive reassurance on repeat
Answering the same fearful question twenty times does not reassure an anxious child. It teaches them that they need your reassurance to feel safe, creating a cycle. Acknowledge the feeling once, then redirect to a coping strategy.
Where Can Families Find More Support for Bedtime Anxiety?
Bedtime anxiety rarely exists in isolation. Understanding the broader picture of your child's anxiety—and having practical strategies for other areas of life—can make a real difference.
Frequently Asked Questions
Replace Bedtime Battles with Bedtime Stories
Create a personalized story that helps your child face the dark with courage. Their name, their comfort objects, their version of brave.

