 [ Symptoms ] are my 20 month old is bedtime issues behavioral or medical    recently moved   sleeps in toddler bed   no bottle since about 14 mos   been down to 1 nap 2 hrs for several months takes it regularly and with no trouble at daycare   bedtime routine good but not completely consistent problem does not like bedtime in general but has been manageable until twice this week has settled down in bed but then when almost asleep started screaming uncontrollably flailing inconsolable for 10 15 minutes almost like night terrors but not actually asleep yet [ Disease ] this is most likely age related behavioral cause i have no way of blindly determining if his issues are related to an underlying medical problem since i do not know anything about him nor can i examine him in a clinical setting there are many behavior pathways that you can exercise but if you feel there may be a medical problem then by all means see the pediatrician this will resolve in time so be patient you will be able to find plenty of on line and bookstore resources that can help you with these sleep issues