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Temper Tantrums

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Amalia Lose

on 8 December 2015

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Transcript of Temper Tantrums

What Causes a Meltdown?
Loss of control
Lack of ability to express feelings
Striving for independence
Frustration which can lead to anger
Learned behavior
Unmet needs

How to Manage the Behavior
Be consistent!!
Plan your activities in a way that meets your child's needs
Allow for choices
Encourage use of the words the child does have
Give praise for good behavior
Avoid triggers to temper tantrums
If escalating, use a timeout
Ways to Control Our Own Feelings
You may feel angry or embarrassed, but...
Count to 10 first, then stick with your plan
Ignore the behavior
Distract the child
Change locations
Hold the child until calm
Remove from situation if dangerous (hitting, kicking, biting)
It's the child's problem, not yours
Make sure the child is in a safe place & get back-up childcare if necessary
Will this EVER GET BETTER?!
Yes, but it'll take some time
As the child's self-control improves, so will there ability to regulate their feelings
If the child has behaviors like breath holding spells, self-injurious behavior or other destructive behaviors, especially as they get older, it may be time for a work up with the provider and psychiatry.
How to Discipline
Introduce @ 12 months --> Reinforce @ 2 years --> Reinforce @ 3 years
We must reinforce that teaching good behavior is the most important part!
Communicate clear boundaries and expectations
Reasoning doesn't really work with screaming 2 year olds...
wait it out as long as they're safe
"Get Curious, Not Furious" by figuring out what the trigger is and avoiding that in the future
NEVER bite, hit or kick back
Show alternative behaviors
watch for warning signs that your child is going to meltdown
Don't pull out your phone or laugh/smile at behavior you don't want reinforced
Respond in a developmentally appropriate way for your child to learn from
Time outs --> general rule, 1 minute per year of age
Clinic Considerations
Encourage consistency and support between parents
Work to understand the parents and home environment
Role play in the office
Consider other causes of tantrums:
Family dysfunction
Neurodevelopmental issues
Attention problems
Parental emotional problems
Offer parental support
Referral to child development specialist as needed
Parenting classes
Potegal & Davidson
References
Temper Tantrums
Monkey See, Monkey Do
Introduce @ 9 months --> Reinforce @ 15 months --> Reinforce @ 18 months
Be a positive role model
Even if you don't like the behavior, never convey that you don't like the child
Shaming and humiliation are not good tactics
Maintain kindness to your child
Avoid physical force and shouting
Use clear language that identifies how you're feeling
Criticize the behavior not your child
When to be Concerned
Daily tantrums are uncommon, in any form
Concerning symptoms include tantrums lasting >5 minutes, aggression, having a tantrum with a non-parental adult and tantrums happening out of the blue
Self-injurious behaviors were almost exclusively seen in preschoolers with a Major Depressive Disorder diagnosis
Frequent violent, self-injurious, destructive and aggressive tantrums
Longer tantrum and more recovery time needed
Preschoolers who required assistance and weren't able to self regulate their emotions after a tantrum were more likely to have a clinical diagnosis
Preschoolers with MDD exhibited internally directed anger
Preschoolers with tantrums >5 x daily on multiple days should be evaluated for serious problems
Refer on to mental health professionals for evaluation, especially if the behavior lasts
Routines Help with Security
Introduce @ 6 months --> Reinforce @ 15 months --> Reinforce @ 2 year
Predictability is key
Identify a structured daily routine
don't ignore your child's clues that they're stressed
Recognizing this helps the child build trust and respect with you
Provides better experiences, even if they're stressful
American Academy of Pediatrics, N.D.
American Academy of Pediatrics, N.D.
American Academy of Pediatrics, N.D.
American Academy of Pediatrics, N.D.
Mayo Clinic, 2015
Mayo Clinic, 2015
Mayo Clinic, 2015
Mayo Clinic, 2015
Belden, Thomson, & Luby, 2008; Wakschlag et al., 2012.
American Academy of Pediatrics. (n.d.) Practice guide: Effective discipline. Retrieved from https://www2.aap.org/sections/scan/practicingsafety/Modules/EffectiveDiscipline/EffectiveDiscipline.pdf

Belden, A.C., Thomson, N.R., & Luby, J.L. (2008). Temper tantrums in healthy versus depressed and disruptive preschoolers: Defining tantrum behaviors associated with clinical problems. The Journal of Pediatrics, 152(1), 117-122. DOI 10.1016/j.jpeds.2007.06.030

Mayo Clinic Staff. (2015). Temper tantrum in Toddlers: How to keep the peace. Retrieved from http://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-healthy/in-depth/tantrum/art-20047845

Potegal, M. & Davidson, R.J. (2003). Temper tantrums in young children: 1. Behavioral composition. Developmental and Behavioral Pediatrics, 24(3), 140-147.

Wakschlag, L.S., Choi, S.W., Carter, A.S., Hullsiek, H., Burns, J., McCarthy, K.,...&Briggs-Gowan, M.J. (2012). Defining the developmental parameters of temper loss in early childhood: implications for developmental psychopathology. The Journal of Child Psychology and Psychiatry, 53(11), 1099-1108. DOI 10.1111/j.1469-7610.2012.02595.x
Questions or Comments?
Negative emotional episodes containing at least one of these behaviors: stiffening limbs and arching back, dropping to the floor, shouting, screaming, crying, pushing/pulling, stamping, hitting, kicking, throwing or running away (Potegal & Davidson, 2003)
SUCCESS!
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