If your baby cries a lot, it is important that you have your baby assessed by your local GP, to rule out a medical condition. This page belongs to collection of short articles and videos in plain language, called When baby cries a lot. Together, these articles and videos will give you a brief and simple summary of the Possums 5-domain approach to the crying baby in the first 16 weeks of life. For comprehensive information on this topic, please go deeper into the Possums programs, or you might consider reading The discontented little baby book.

You have two tools to experiment with when your baby dials up. These are so effective that I sometimes call them your superpowers!

• Superpower #1 is frequent, flexible feeds, whether you are breastfeeding, or whether you are using a bottle and paced bottle feeding.

• Superpower #2 is rich and changing sensory nourishment.

Even when all is going well and your little one is quite dialled down much of the time, a primary carer spends her days experimenting between these tools.

But if you have a little one who is dialled up a lot of the time, knowing how these two tools work is an important way to help your days and with your family's nights become as manageable as possible.

Acknowledgements

I'm grateful to Professor Sophie Havighurst, Ros June, and Caroline Ma at Mindful, The University of Melbourne, for their feedback on the articles and videos in When baby cries a lot in the first few months of life. They helped me keep the language plain and the concepts as accessible as possible, for this brief and simple version of the Possums 5-domain approach to the crying baby.

Selected references

Douglas PS. Pre-emptive intervention for Autism Spectrum Disorder: theoretical foundations and clinical translation. Frontiers in Integrative Neuroscience. 2019;13(66):doi.org/10.3389/fnint.2019.00066.

Douglas P, Miller Y, Bucetti A, Hill PS, Creedy D. Preliminary evaluation of a primary care intervention for cry-fuss behaviours in the first three to four months of life ("The Possums Approach"): effects on cry-fuss behaviours and maternal mood. Australian Journal of Primary Health. 2013; 18:332-338.

Douglas P. Diagnosing gastro-oesophageal reflux disease or lactose intolerance in babies who cry alot in the first few months overlooks feeding problems. J Paediatr Child Health. 2013;49(4):e252-e256.

Douglas PS, Hill PS. A neurobiological model for cry-fuss problems in the first three to four months of life. Med Hypotheses. 2013;81:816-822.

Douglas P, Mares R, Hill P. Interdisciplinary perspectives on the management of the unsettled baby: key strategies for improved outcomes. Australian Journal of Primary Health. 2012;18:332-338.

Douglas PS, Hill PS. The crying baby: what approach? Curr Opin Pediatr. 2011;23:523-529.

Douglas P, Hill P. Managing infants who cry excessively in the first few months of life. BMJ. 2011;343:d7772.

Douglas PS, Hill PS, Brodribb W. The unsettled baby: how complexity science helps. Arch Dis Child. 2011;96:793-797.

Douglas P, Hiscock H. The unsettled baby: crying out for an integrated, multidisciplinary, primary care intervention. Med J Aust. 2010;193:533-536.

Douglas PS. Crying Baby. Hecate. 2007;33(2):74-75.

Douglas PS. Excessive crying and gastro-oesophageal reflux disease in infants: misalignment of biology and culture. Med Hypotheses. 2005;64:887-898.