Even though DeAndre is not falling asleep at school, he frequently will doze while in front of the TV after school.
- A critical clue suggesting that DeAndre is sleepy is his difficulty with focus. Teenagers, like younger children, will still experience more difficulty with daytime focus and attention prior to overt sleepiness.
- Daytime sleepiness may be difficult to assess in those with co-morbid neurodevelopmental differences -- in this case his Autism Spectrum Disorder, PAE, and ADD.
DeAndre and his mom are unable to quantify how much sleep he gets on a regular basis and both admit that he does not have regular sleep hours.
- This lack of regularity likely reflects inadequate sleep opportunity and perhaps primary neurologic inability to sleep well.
- Insufficient sleep is most likely involved here as well, leading the the consequences and manifestations of chronic sleep deprivation. It is important to note that that those manifestations will look slightly different in each individual, particularly in those with developmental differences.