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At what age is sleep training safe and does it work?

For most healthy babies, sleep training is considered safe and effective starting around 4-6 months of age, and good evidence shows no long-term harm to attachment or emotional wellbeing.

Randomized trials following children for one to five years after sleep training found no differences in emotional, behavioral, or attachment outcomes compared to controls.

Strength of evidence

Good

Evidence includes multiple randomized controlled trials and expert-reviewed summaries; long-term follow-up data (1-5 years) exist, though most trials come from a handful of research groups and may not generalize to every population.

What the evidence says

Most experts say it's reasonable to start sleep training around 4 to 6 months, once babies have more regular sleep cycles and typically no longer need night feeds. An expert-reviewed source notes that a good idea is to get the go ahead from your pediatrician to make sure your baby's weight is on track and they are getting enough calories during the day before starting.

On whether it works: research says yes. A psychology summary of the evidence states that sleep training is highly effective, though it can be controversial because parents worry about potential negative consequences of prolonged crying.

On safety: this is the part parents worry about most, and the best evidence is reassuring. Two randomized controlled trials found no significant differences in emotional or behavioral problems or attachment styles either one year or five years following a sleep training intervention. An expert summarized it simply: the evidence suggests that sleep training is safe, but ultimately it's the family's decision.

That said, not every method has to involve letting a baby cry alone for long stretches. Gentler approaches exist, and if a family isn't comfortable with a particular method, waiting things out or trying a gentler approach are also reasonable options, according to the same expert.

Sources

✓Reviewed by CH, MD, FRCPC

Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review

Answer checked July 23, 2026

Educational information only. Not medical advice, not a diagnosis, and no doctor-patient relationship is created by using this. Founded Parent has not examined your child and does not know their history, so this may not apply to you. In an emergency, call your local emergency number. What Founded Parent cannot do

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