What to Know When Your Child Has Narcolepsy

What to Know When Your Child Has Narcolepsy

Gabrielle Manus’s son dealt with puzzling symptoms for about 7 years before his doctor diagnosed him with narcolepsy at age 15. Prior to this, he would fall asleep in class, doze off in the car, and take frequent naps despite getting enough rest at night. “We got him tested, and he went from academic probation to being on the Dean’s list,” Manus says.

Through her support, activism, and determination to educate others, Manus’s son is now succeeding academically and socially in college. “The most important thing that you can do for a child is become their advocate for accommodations … and fight for your child,” she says.

Narcolepsy is a disorder that affects the brain’s ability to control sleep and alertness. Without proper treatment, it can hinder your child’s school, social, and personal life. It’s important that you learn ways to support your child while they navigate life with a neurological condition.

Understanding Your Child’s Diagnosis

As with any condition, it’s crucial that you understand how your child’s symptoms will affect their life. Narcolepsy caused Manus’s son to struggle in school, lose his energetic and active personality, and deal with cataplexy, which is the sudden, brief loss of muscle tone.

About 70% of children with narcolepsy have cataplexy. It’s triggered by stress or strong emotions and can cause brief weakness in the knees, eyes, or jaw or more intense symptoms like paralysis with collapse.

Your child might also have symptoms like:

Excessive daytime sleepiness (EDS). “Excessive daytime sleepiness is the most common presenting symptom,” says Kiran Maski, MD, a pediatric neurologist and sleep medicine specialist at Boston Children’s Hospital.

“Nearly every patient with narcolepsy has EDS as a core complaint.” This is usually the first sign of narcolepsy in children and might affect your kid during quiet moments, like in class, while they read, or while they ride in a vehicle.

Sleep paralysis. This happens when you’re unable to move or speak just before you fall asleep or right after you wake up. These episodes usually stop within a few seconds or minutes.

Hallucinations. Your child may hallucinate right before they fall asleep or just before they wake up. Hallucinations with narcolepsy often happen at the same time as sleep paralysis.

Interrupted sleep at night. Some children may have trouble sleeping through the night due to constant awakenings.

Automatic behaviors. Your kid may fall asleep for several seconds but continue to do routine tasks, like writing. They won’t have any memory of doing these tasks though.

Weight gain. This is both a symptom and warning sign of childhood narcolepsy. It’s common in the early part of narcolepsy development. At least 25% of children with this condition become obese.

Early start of puberty. If your child has narcolepsy, they may begin puberty earlier than most children.

But some of these symptoms aren’t as frequent. “Other symptoms like sleep paralysis, hallucinations, or disrupted nighttime sleep might present more variably in children,” Maski says. “They may have one or two episodes of sleep paralysis, but it’s not a chronic issue on a weekly basis. … Disruptive sleep at night is usually something where they wake up but return back to sleep very quickly. They may not even perceive that as a problem.”

Understanding your child’s symptoms will allow you to effectively care for them. “That’s what you’d have to do. You have to be strong, you have to do your research, and you have to be able to advocate for your child,” Manus says.

How Narcolepsy May Affect Their Life

Anne Taylor’s daughter was 13 when they found out she had narcolepsy. Before that, doctors tested her for different conditions to define the symptoms she had. But for years, they were unable to decipher what was wrong.

“She was tested for auditory processing disorder and got into special education. That helped a little bit, but she still had a hard time,” Taylor says. “In third grade, she started falling asleep in school. The teachers would have her walk around a table to force her to wake up. That of course, made her stand out from the group of friends. It made her feel different.”

By the time Taylor’s daughter was 11, she began to gain weight. “Within a year, she had a drastic weight gain of like 30 pounds, which is a lot for little child,” she says. “She was starting to become a teenager. So psychologically for a girl at this time it was really, really difficult. She became more isolated.”

For Taylor’s daughter, it was a challenge to keep up with friendships. “It was really hard for her to socialize with other friends in school because she just had to use all her energy on trying to stay awake,” Taylor says.

It was difficult to watch, Taylor says. “I could just see that my child was falling to pieces in front of me. And there was really nothing I could do. I didn’t know what it was.”

Thankfully, after her daughter received a proper diagnosis, Taylor and her husband were able to help their daughter reach her potential. “Once we finally got to the right medication regimen, she improved tremendously and is thriving. … She wouldn’t be where she is today if it weren’t for the special education teachers that surrounded her.”

How to Support Your Child With Narcolepsy

There are many things you can do to help your child even after diagnosis and treatment:

Find the right medications. “There ar

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