Sleep: Reasonable Adjustments

Neurodiversity Hub Wirral

Sensory and Environmental Tips

  • Avoid sugar, caffeine, and additives before bed 

  • Reduce sensory overload—dim lights, lower noise, and remove distractions 

  • Don’t play games or watch TV in bed 

  • Use blackout curtains to block light 

  • Check bedding—is it warm enough and comfortable? 

  • Try a double duvet tucked under the mattress or a sleep suit 

🔗 The Sleep Charity – Resources

Reasonable Adjustments for Sleep

Reasonable adjustments are changes made by your school or family to help reduce challenges caused by neurodivergent needs— especially around routines and changes. You can ask for these adjustments to support better sleep.

Sleep and Exams

Exam time can be stressful, and how you manage that stress affects how well you perform. Losing sleep, drinking too much caffeine, and eating unhealthy snacks can make things worse. 

Getting 7 to 9 hours of sleep—especially the night before an exam—helps your brain stay sharp and reduces mistakes.

  • Before Bed 

    • Avoid naps after 2pm 

    • Turn off screens (TV, phones, tablets) at least 1 hour before bed 

    • Choose quiet play activities 

    • Offer a light snack if needed (e.g. toast, cereal, warm milk) 

    • Avoid sweets, fizzy drinks, tea, coffee, and hot chocolate 

    • Start the bedtime routine no more than 1 hour before sleep 

     

    Bedtime Routine 

    • Keep bedtime and wake-up time consistent 

    • Follow the same steps every night 

    • Try a relaxing bath, brush teeth, then go to the bedroom 

    • Read a calm story—not too exciting 

    • Turn off lights 

    • Give praise in the morning for following the routine

  • Key elements to support sleep: 

    • Clear messages 

    • Positive reinforcement 

    • Good timing 

    • Balanced diet 

    • Sleep hygiene 

     

    Calming Activities Before Bed 

    • Lego 

    • Jigsaws 

    • Reading or audiobooks 

    • Fidget toys 

    • Slime or playdough 

    • Sensory box 

    • Dot-to-dot 

    • Board games 

    • Blowing bubbles 

    • Gentle massage 

    • Colouring or drawing 

    • Sewing 

    • Essential oils (rubbed on feet, if safe and preferred) 

  • Wind-Down Activities 

    Breathing Exercise: 

    • Lie in bed 

    • Breathe in slowly through your nose 

    • Fill your belly like a balloon 

    • Count to 4 while breathing in 

    • Breathe out slowly through your mouth 

    • Count to 6 while breathing out 

    • Repeat 10 times 

    Stretch and Relax: 

    • Lie flat with arms and legs straight 

    • Point toes to the bottom of the bed—count to 5 

    • Point toes toward your head—count to 5, then relax 

    • Stretch arms toward legs—count to 5 

    • Open and close hands 10 times, then relax 

    • Squeeze eyes shut—count to 5, then relax 

    • Take 5 deep breaths 

    • Repeat if needed

  • Tips from The Sleep Charity 

    🔗 Visit The Sleep Charity – Useful Resources 

    • Be prepared 
      Make a simple revision timetable. Plan what to study and when. Stick to it so you cover all subjects. 

    • Sleep well 
      Avoid all-nighters. Poor sleep leads to stress and fuzzy thinking. Study early and rest well before the exam. A comfy bed helps too. 

    • Get physical 
      Exercise helps reduce stress. Try walking, running, or playing a sport. It also helps you sleep better. 

    • Prioritise 
      Break revision into small tasks. Focus on the most important topics first. Set goals that feel doable. 

    • Practice relaxation 
      Try deep breathing in bed. Close your eyes, breathe in slowly, and breathe out like blowing out a candle. Repeat to feel calm. 

    • Ditch the devices 
      Turn off screens at least an hour before bed. Avoid talking about exams or watching videos late at night. 

    • Change the environment 
      Study in different places. Go outside for fresh air or decorate your room with posters or cushions to make it feel new. 

    • Socialise a little 
      Spend time with friends who understand how you feel. Talk about your stress and ask for help if needed.

More Teen Sleep Resources

  • 🔗 Hunrosa Sleep Takeaway Cards – Teenagers 

  • 🔗 Start Now Cornwall – Connect Card 

  • 🔗 Start Now Cornwall – Wellbeing Toolkit: Sleep 

App Library

You can find health and wellbeing apps in the App Library, tested by ORCHA (Organisation for the Review of Care and Health Applications)

🔍 Search for sleep support by typing “sleep” and choosing your age group or role (e.g. parent/carer): 
👉 App Library – Sleep Search