Anxiety at bedtime leads to children lying in bed worried or frightened and unable to settle to sleep, or waking and being unable to settle back to sleep. Children with insomnia (being unable to sleep) due to anxiety may worry during the day about being unable to fall asleep or stay asleep, find it hard to fall asleep at bedtime but fall asleep easily at other times (e.g. when watching television), seem tense at bedtime, and be tired during the day. Helping them overcome their night time worries teaches them skills they can use in other areas.