Delayed Sleep Phase Syndrome

Delayed Sleep Phase Syndrome(DSPS), also known as Delayed Sleep-Wake Phase Disorder, is a circadian rhythm sleep disorder in which a child's natural sleep schedule is shifted several hours later than expected. Children and adolescents with DSPS find it difficult to fall asleep until late at night and struggle to wake up in the morning for school or other daily activities. Despite sleeping well when allowed to follow their preferred schedule, they often experience chronic sleep deprivation because of early morning obligations.

Common symptoms include difficulty falling asleep before midnight, trouble waking on time, excessive daytime sleepiness, poor concentration, irritability, and reduced academic performance. Factors such as genetics, puberty, excessive evening screen time, irregular sleep routines, and limited morning sunlight exposure can contribute to the condition.

Treatment focuses on gradually adjusting the sleep schedule through consistent bedtimes and wake-up times, improving sleep hygiene, reducing exposure to bright screens before bedtime, and increasing exposure to natural light in the morning. In some cases, healthcare professionals may recommend light therapy or carefully timed melatonin under medical supervision. Early diagnosis and appropriate management can help restore a healthier sleep-wake cycle, improve daytime alertness, enhance school performance, and support the child's overall physical, emotional, and cognitive development.