6 Month Sleep Regression: Is It Real? What to Expect

Updated: 1/4/20258 min readSleep Regressions
MD

Medically Reviewed by Dr. Sarah Johnson, MD, FAAP

Board-Certified Pediatrician | Last reviewed: 1/4/2025

Key Takeaways

  • The 6-month regression is often linked to major physical milestones like sitting and crawling
  • Separation anxiety typically emerges around this age, contributing to sleep disruptions
  • Teething commonly occurs at 6 months, adding physical discomfort to sleep challenges
  • This regression usually lasts 2-4 weeks but can vary based on individual development
  • Maintaining consistent routines and supporting milestone development can help manage this phase

Understanding the 6-Month Sleep Regression

The 6-month sleep regression is a common disruption that typically occurs when babies are learning major physical milestones like sitting up, rolling both ways, and beginning to crawl. Combined with emerging separation anxiety and often teething, this creates a perfect storm for sleep disruptions.

Unlike the 4-month regression which represents permanent sleep cycle changes, the 6-month regression is usually more temporary and tied to specific developmental achievements.

What Causes the 6-Month Sleep Regression?

Several factors contribute to sleep disruptions at 6 months:

  • Physical milestones: Learning to sit, roll, and crawl can cause babies to practice these skills in their sleep
  • Separation anxiety: Increased awareness of being apart from parents
  • Teething: Discomfort from emerging teeth
  • Growth spurts: Increased nutritional needs
  • Increased mobility: Babies may get stuck in new positions or wake themselves up moving

Common Symptoms

Signs your baby may be experiencing the 6-month regression:

  • Frequent night wakings (every 2-3 hours)
  • Difficulty falling asleep at bedtime
  • Shorter naps or skipped naps
  • Increased fussiness, especially around sleep times
  • Wanting to practice new skills instead of sleeping
  • More clingy behavior during the day

How to Manage the 6-Month Regression

1. Support Physical Development

Help your baby practice new skills during awake time so they're less likely to practice in the crib. Provide plenty of supervised tummy time and opportunities to sit and explore.

2. Address Separation Anxiety

Build your baby's confidence with brief separations during the day. Play peek-a-boo, practice leaving the room for short periods, and always return as promised. At bedtime, consider a consistent routine that includes saying goodnight clearly.

3. Manage Teething Discomfort

If teething is contributing to sleep issues:

  • Offer teething toys'), '_blank');" rel="noopener noreferrer">safe teething toys during awake time
  • Use approved teething gels or consult your pediatrician about pain relief
  • Provide extra comfort and cuddles

4. Maintain Sleep Environment

Keep the sleep environment consistent and optimized:

  • Use white noise machine'), '_blank');" rel="noopener noreferrer">white noise to mask disruptions
  • Ensure the room is dark with blackout curtains'), '_blank');" rel="noopener noreferrer">blackout curtains
  • Maintain safe sleep practices - remove any items baby could use to pull up

5. Adjust Wake Windows

At 6 months, most babies need 2.5-3 hour wake windows. Ensure your baby isn't becoming overtired, which can make sleep harder. Follow our Wake Window Calculator for age-appropriate schedules.

When to Consider Sleep Training

If sleep issues persist after the regression phase (2-4 weeks), you may want to revisit or begin sleep training. At 6 months, babies are developmentally ready for various sleep training methods. Programs like 21 Days to Peace & Quiet offer flexible approaches that can work even during regressions.

How Long Does It Last?

The 6-month regression typically lasts 2-4 weeks, though this varies based on how quickly your baby masters new skills and adjusts to developmental changes. Once milestones are achieved and separation anxiety begins to ease, sleep usually improves.

Conclusion

The 6-month regression is a sign of healthy development, even though it's challenging. By supporting your baby's physical development, managing discomfort, and maintaining consistent routines, you can help navigate this phase. Remember, this too shall pass, and your baby is learning important new skills that will benefit them long-term.

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Medical Disclaimer: The information on this website is for educational purposes only and is not medical advice. Always consult your pediatrician with questions about your baby's health and sleep.

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