Abstract

Sleep difficulties are common in children and young people presenting with features of attention-deficit/hyperactivity disorder (ADHD). Sleep problems may be both an effect of and a contributor to ADHD symptomatology, as well as having a significant impact on both individual and family functioning and well-being. There are often complex interacting contributing factors. Assessment of children presenting with symptoms suggestive of possible ADHD should include routine enquiry about sleep. Ongoing management of children with diagnosed ADHD should include regular reassessment and review of sleep. When sleep difficulties are present, we discuss how to further assess these, including the role of investigations, and a structured management strategy.