Controlled Crying – How does it work, and is it harmful?

Controlled crying is one of many sleep training methods used by parents to help their child fall into a sleep routine. There are advantages and disadvantages to the method and also differing opinions on what controlled crying actually means. So how does it actually work and is it really harmful? Read on..

Introduction

You just gave birth. You’ve learned how to hold, feed, and swaddle your baby. And now, you’re ready to head home with this brand-new bundle of joy. You’re ready to cuddle them, give kisses, listen to their coos, and lay them down to sleep as you yourself crash facedown on your bed, exhausted. And then, suddenly…crying. Soothing. Consoling. Rocking. BreastFeeding. Anything to get your baby to sleep throughout the night. You’re exhausted so you turn to a commonly used sleep training method; controlled crying. But what is it? Does it work? Is it safe? And is it right for you and the baby?

What is the controlled crying method?

The controlled crying technique, sometimes known as controlled comforting, responsive settling1, or the Ferber method2, is a sleep training technique that parents have adopted to help their babies learn to self-soothe and get themselves to sleep.

How does it work?

Controlled crying is when a parent puts their child to bed, oftentimes still awake, and leaves the child to fall asleep on their own. The child is allowed to cry for short periods of time3, but the parent or caregiver goes in at intervals to help soothe and let the child know they’re safe and that someone is only a short distance away.

Don’t forget to always follow Safe Sleep Recommendations too.

kids first aid
controlled crying
Controlled crying is when babies are left to self settle, and a parent or caregiver goes in to reassure them or settle them at certain intervals

At what age is it safe to try controlled crying?

The general consensus is that the age it is safe to try controlled crying is when your baby is 6 months or older4. Younger babies under 6 months should not be left to cry and should have their needs met.

How long should you do controlled crying for?

Controlled crying is when parents (or caregivers such as Night Nannies) lay the child down and then re-enter their room (if necessary) at intervals. These intervals start small, perhaps 1 to 3 minutes, and then increase as your baby settles. It’s suggested that parents shouldn’t let their children cry past ten minutes, especially without going in and trying to soothe and comfort them. It is recommended to only be suitable to try with older babies that are 6 months +, for as long as you feel comfortable using this method.

Does controlled crying cause trauma?

The controversy surrounding the controlled crying method is that leaving your baby to cry can potentially cause emotional and psychological distress. The AAIMHI, Australian Association for Infant Mental Health Inc5., believes the latter to be true – that a child needs to know they’re safe and supported and if parents aren’t next to them or holding them while they cry, these needs aren’t met. Other Studies6, however, suggest that sleep training is not harmful to babies and it is in fact helpful for the parents. Check out this article on 7News ‘Cry it out method used to teach baby’s self settling works and is safe, study finds’7.

sharesight

When parents get adequate sleep, they’re better able to take care of their children and themselves.

controlled crying method
It really isn’t safe to try controlled crying with babies under the age of 6 months.

Does controlled crying damage attachment?

The short answer is that we don’t know. Some studies show that letting a child cry by themselves could cause psychological damage, leaving them to believe they’ve been abandoned, thus weakening the parent/child bond. When a child cries, their stress levels (and cortisol levels)8 rise along with their breathing and blood pressure. This stress can possibly cause issues with brain development or even later in life, anxiety. Other studies, however, have argued that no evidence has been collected that shows controlled crying causes any damage at all. In fact, this specific article7 mentions that babies left to cry for short periods of time learn to self-soothe at a younger age and are able to sleep for longer periods of time during the night.

What is the difference between Controlled crying and Cry it out method?

To some, Controlled crying and Cry it out are the same thing. This is where it gets confusing when looking up the different sleep training techniques; some overlap, some have different names but the method is the same, and some are considered the same when others consider them different. Confusing, right? Overall, however, controlled crying and cry-it-out aren’t considered the same sleep training method. Controlled crying is when you, the parent, lay your child down for bed and let them cry at increasing intervals before going into their room and trying to settle them. Cry-it-out means that you lay your child down to sleep and let them cry without going back into their room to soothe them.

Does Tresillian recommend controlled crying?

Tresillian9 does not recommend controlled crying. In fact, they consider the controlled crying method the same as cry-it-out. Tresillian recommends listening to your baby’s cry, learning what it means (whether they’re hungry, tired, cold, etc.), and then soothing them. This could involve patting them on the back, picking them up and cuddling them, or feeding them. You can read more about the services Tresillian provide in my article HERE.

What is the success rate of controlled crying?

The success rate of controlled crying is hard to pinpoint. Another article10 related to controlled crying has cited an Australian baby magazine study that resulted in 57% of parents who responded to a survey had participated in controlled crying. 27% had no success with controlled crying, 27% said it worked for a night or two, and 8% said it worked for at least longer than a week. That being said, this is one study among many that either support or opposes the controlled crying method.

What we also have to keep in mind is that the research isn’t easy to conduct because of the many variables associated with babies and their sleep, as well as how parents are actually responding.

controlled crying, responsive settling
There is no definitive evidence to suggest that controlled crying IS or IS NOT good for an infant’s mental health

What do you do if controlled crying doesn’t work?

If controlled crying doesn’t work, there are many other sleep training methods you can attempt to help your baby sleep through the night.

What are the alternatives to controlled crying?

The alternatives to controlled crying are the Cry-it-out method (though not highly suggested), the French Pause (taking a five-minute break from your child’s crying and then returning), and the “No Tears3 approach (going in to comfort your baby as often as you like until baby falls asleep). These are just a few, though as mentioned earlier, many methods are similar or called by different names depending on origin and culture.

Advantages of controlled crying

  • Baby learns to self-soothe, possibly at an earlier age.
  • Baby eventually sleeps longer throughout the night. This leads to parents being able to get more rest as well.
  • Parents learn to detach themselves a bit from their baby crying in order to take a moment for themselves.
  • Parents aren’t on constant call when their baby cries.
controlled crying, baby sleeping
Ultimately as parents, we want our baby to get a good night’s sleep, just as we want one too! It’s up to you what method you are comfortable using!

Disadvantages of controlled crying

  • Parents sometimes aren’t able to listen to their baby cry for even a short amount of time, which is part of the controlled crying methods.
  • May cause issues with infant mental health such as psychological damage due to stress and a rise in Cortisol levels (although there are no definitive studies to support this)
  • May cause an attachment divide between parents and young babies if baby wakes crying and parent does not respond.

Summary

Parenting is hard, especially within the first year as you, the parent, are learning to live on much less sleep than ever before. Sleep training isn’t a new concept, and it’s not a bad one. The idea that both you and baby will be able to go to sleep and thus be able to function better the next day isn’t unfounded. The real test is figuring out what is safe, what is effective, and what brings both you and your baby comfort. Perhaps it’s the controlled crying method, perhaps it’s the “no-tears” approach, or perhaps it’s something totally different not mentioned in this article. But whatever it is, the hope is that you and your baby are able to get into a routine that provides you both with a good night’s sleep.

eBusiness Institute Banner Generic

Reference List:

  1. Responsive settling, Pregnancy, Birth & baby. Accessed online at https://www.pregnancybirthbaby.org.au/responsive-settling on May 28, 2023.
  2. The Ferber Method for Sleep Training, Jay Summer, Sleep Foundation. Published (updated): May 25, 2023. Accessed online at https://www.sleepfoundation.org/baby-sleep/ferber-method on May 28, 2023.
  3. Sleep training, Megan Rive, Baby Center. Accessed online at https://www.babycenter.com.au/a1027930/sleep-training on May 28, 2023.
  4. Responsive settling at 6-18 months: reducing settling help, Raising Children. Accessed online at https://raisingchildren.net.au/babies/sleep/settling-routines/responsive-settling-at-6-18-months-reducing-settling-help on May 28, 2023.
  5. Infant Sleep Position Statement, AAIMH (Australian Association for Infant Mental Health). Updated: March 2022. Accessed online at https://www.aaimh.org.au/media/website_pages/resources/position-statements-and-guidelines/sleep-position-statement-AAIMH_final-March-2022.pdf on May 28, 2023.
  6. What really happens when babies are left to cry it out?, Amanda Ruggeri, BBC. Published: 30th March 2022. Accessed online at https://www.bbc.com/future/article/20220322-how-sleep-training-affects-babies on May 28, 2023.
  7. Cry it out method used to teach baby’s self settling works and is safe, study finds, Sowaibah Hanifie, 7News. Updated: Dec 21, 2022. Accessed online at https://7news.com.au/news/sa/cry-it-out-method-used-to-teach-babys-self-settling-works-and-is-safe-study-finds-c-9134098 on May 28, 2023.
  8. Stress, Cortisol, and getting your baby to sleep, ChildrensMD. Accessed online at https://childrensmd.org/browse-by-age-group/newborn-infants/stress-cortisol-and-getting-your-baby-to-sleep/ on May 28, 2023.
  9. Settling, Tresillian. Accessed online at https://www.tresillian.org.au/advice-tips/settling/ on May 28, 2023.
  10. Controlled Crying – The Con Of Controlled Crying, Pinky McKay IBCLC, Belly Belly. Updated: July 14, 2022. Accessed online at https://www.bellybelly.com.au/baby-sleep/the-con-of-controlled-crying/ on May 28, 2023.

Leave a Reply

Your email address will not be published. Required fields are marked *