Actually Sleeping · Learn

Published by Actually Sleeping · Reviewed by Dr. Samantha Abrahamson, PharmD · Review policy · Updated 2026-11-10

Sleep training isn’t working. What should I do?

First rule out a medical cause with your pediatrician. If your baby is healthy and you have been consistent, the cause is nearly always one of five things: inconsistent responses, a baby still fed or rocked to sleep, a schedule that does not fit, night feeds without a plan, or a method that does not suit your baby’s temperament. A plan written for your baby, adjusted daily, fixes these.

Your pediatrician is the authority on your child’s health. Confirm growth, night-feed needs and any medical concerns with them before changing how your baby sleeps.

Is it really not working?

Progress is rarely a straight line. These are common and do not mean failure on their own:

Signs of real progress are less time to fall asleep, fewer or shorter wakings, or crying that is less intense. If none of those is moving after a fair stretch of consistency, something in the plan is wrong.

The five usual causes

What you seeLikely cause
Crying is as long or longer after a weekInconsistent response: sometimes rocked, fed or brought into your bed after a long cry
Falls asleep easily at bedtime, then wakes every 2–3 hoursPut down drowsy or nearly asleep, or the feed is still the last step before sleep
Takes a long time to fall asleep, or wakes very earlySchedule mismatch: bedtime too early or too late, too much or too little daytime sleep
Wakes at varying times and feeds a little each timeNo feeding plan; feeds are being used to settle
Cries harder after every check or visitA method that does not suit your baby’s temperament

Most stalled attempts have more than one of these at once. That is why changing one thing, or switching methods, so often seems to do nothing.

This is exactly where most families are when they contact Actually Sleeping. Dr. Sam reviews what you have tried and for how long, finds which of these is driving it for your baby, and writes a plan that addresses all of them together.

When it is medical

Stop and see your pediatrician if your baby screams as if in pain, snores, arches, has breathing pauses, is feeding poorly, or was doing well and suddenly is not. Illness, ear infections, reflux and breathing problems all disrupt sleep, and no sleep plan should work around them.

Other things that quietly undo progress

Why a second generic attempt usually fails too

When a method stalls, the problem is usually in the details: timing that is off by 20 minutes, a feed in the wrong place, a response that works against this baby’s temperament. Those are hard to see from inside the house at 3 a.m., and a different method from the same kind of source does not reveal them. If the constant waking is the main problem, waking every 2 hours explains the common causes by age.

How Actually Sleeping fixes it

Dr. Sam writes a custom plan from what you have already tried, coaches you bootcamp-style before night one, adjusts the plan daily through 1:1 check-ins, and coaches naps until solid. It is not cry it out and not wait it out, and night feeds your pediatrician wants kept stay in. We guarantee that your baby will sleep 8–12 hours through the night within 14 days of consistent, correct implementation of your sleep plan. Full refund if not; details are on the guarantee page. Families who came to us after other sleep training describe what changed on these video reviews. Book a free consultation and Dr. Sam will tell you where your current plan is breaking down.

Want this fixed for your baby?

Actually Sleeping is 1:1 coaching: a sleep plan written for your baby by Dr. Sam, bootcamp-style coaching before the first night, and daily check-ins until it is working. 700+ families coached, 129 video reviews, and a written guarantee: 8–12 hours through the night within 14 days, or a full refund.

Book your free consultation →   See what families say

Frequently asked

How long should I try sleep training before giving up?

Look for progress in the time to fall asleep, the number of wakings or the intensity of crying. If none is moving after a fair stretch of consistency, the plan needs changing, not more effort. That is when most families contact Actually Sleeping.

Why is sleep training getting worse instead of better?

A temporary worsening a few nights in is common and often comes just before improvement. If it keeps getting worse, the usual reasons are inconsistent responses, a schedule that leaves your baby overtired or under-tired, a method that does not suit your baby, or illness.

Why did sleep training work and then stop?

Illness, travel, teething, a developmental leap or a nap transition can disrupt sleep, and old habits can return if the response changes during that time. An Actually Sleeping plan includes guidance for these disruptions so progress is not lost.

Can some babies not be sleep trained?

Nearly all healthy babies can learn to fall asleep independently, but not every baby responds to every method, and some have medical causes for waking. See your pediatrician, then get a plan written for your baby rather than trying another generic method.

References

  1. HealthyChildren.org (AAP). Getting Your Baby to Sleep.
  2. HealthyChildren.org (AAP). Safe Sleep: Back is Best, Avoid Soft Bedding, Inclined Surfaces & Bed Sharing. 2022.