title: Counseling on early childhood concerns: sleep issues, thumb sucking, picky eating, and school readiness.
abstract: Sleep issues, thumb sucking, coping with picky eating, and determining if a child is ready for school are common concerns of families with young children. Information and resources to help counsel on these topics include recommendations from the American Academy of Sleep Medicine, the American Dental Association, and the U.S. Department of Agriculture. Infant sleep times can be prolonged by unmodified or graduated extinction, maintaining routines, scheduled awakenings, and parent education. Thumb sucking can be addressed with positive reinforcement, alternative comfort measures, reminders, and child involvement in solutions. Worry about picky eating can be eased by educating parents about the dietary requirements of toddlers. Social and emotional factors most influence kindergarten success. Keeping children from starting school may not be in their best interest academically.
authors.affiliation: Department of Family Medicine, Oregon Health & Science University, Portland, Oregon 97219, USA. tsenga@ohsu.edu
authors.forename: Ann G
authors.initials: AG
authors.lastname: Tseng
authors.forename: Frances E
authors.initials: FE
authors.lastname: Biagioli
mesh_terms: D002652:Child Behavior; D002675:Child, Preschool; D003376:Counseling; D005247:Feeding Behavior; D005386:Fingersucking / Q000628:therapy; D006801:Humans; D007223:Infant; D018730:Infant Behavior; D012574:Schools