My 4 yr old CAH daughter has not had any problems either, and we use the complete opposite to Martha's approach: the "family bed"! Our kids slept with us until they were big enough to want to move out of our king size bed (they are now 4 & 6, and were in "big kid" beds by their own volition by 2-3), and are still welcome in our room on occasion if they have a nightmare or are feeling sick. Yes, I know this is not a very popular approach in our culture (although in a lot of other cultures it is the norm), but it worked well for us. I must admit that I have heard of quite a few CAH kids who have had trouble sleeping, and my own daughter is VERY restless during times when she is getting too much medication. I must also say that I know a lot of kids who DON'T have CAH who have sleep problems (my son included), and I think that this is much more common than we are inclined to admit. One of the first questions we ask new parents is, "Is the baby sleeping through the night yet?", as if somehow this is an indictor of good VS bad parenting. Personally, I think this is hogwash, and that every kid will eventually learn to sleep on their own (how many college students do you know that need their mommies to fall asleep?!). I think that kids have very different sleep patterns; some sleep well at first, and some don't. Some need a little soothing to feel comfortable, some are more independant and don't. Also, age 4 is the prime age for nightmares: kids imaginations are running full force at this age, yet they don't really have the ability to distinguish what is really real! If your daughter wants you nearby, why not have a sleeping bag ready beside your bed that she could crawl into if she feels she needs to; this worked wonders with our son, and after a few weeks, just knowing that he COULD come was all he needed! It is not a shameful thing to give your daughter comfort at night - you are her mommy, and 4 yrs old is still a very little girl. There is so much emphasis in our society for kids to "grow up" and be "independant"; I say, let them be kids.