Dealing With Aggressive Behaviour in Young Children: Care Instructions

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Your Care Instructions

All children have times when they are angry and defiant. Many children begin to express these emotions during their second year. It is a normal part of a child's urge to take charge of his or her life. However, your child may act out in ways that puzzle or frighten you. It can be very painful to see your child bullying other children or becoming violent.

You can help your child learn to understand and control angry feelings. Show your child the behaviour you want to see. Set firm, clear limits around what behaviour is okay. If you are consistent in your own behaviour, it will help your child understand how to behave with other people.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Teach your child ways to express anger that do not hurt others. Do not reward angry or violent behaviour.
  • Show your child how to use words to express feelings. Praise your child when he or she uses words instead of fists.
  • Engage your child in games and activities where playing well with others pays off. Children can learn a lot about "cause and effect" by rolling a ball back and forth with someone.
  • Teach your child that sharing and give-and-take mean that both people win. For example, have one child divide a snack and have the other child pick first, or have one child suggest two games and have the other child choose first.
  • Your child needs to learn that it is okay to be angry at times and that there are healthy ways to work through that anger.
  • Be consistent with your limits, and make sure your child understands what the limits are. Just as important, follow through on what happens if your child exceeds limits.
  • Try using a "time-out" to stop aggressive behaviour. Time-out means that you remove your young child from a stressful situation for a short period of time. The rule of thumb is 1 minute for each year of age, with a maximum of 5 minutes. This gives your child time to calm down and think about his or her actions.
    • Time-out works if it happens right after the bad behaviour. Do not wait until later in the day or week.
    • Time-out works best when your child is old enough to understand. This usually begins around 3 years of age.
    • When you put your child in time-out, do not do it in anger. Be calm and firm.
  • Talk to your doctor about parent education classes or helpful books about child behaviour.
  • Talk with other parents about the ways they cope with behaviour issues.

When should you call for help?

Call 911 anytime you think your child may need emergency care. For example, call if:

  • You are so frustrated with your child that you are afraid you might cause him or her physical harm.

Contact your doctor or nurse call line if:

  • You want tips on helping your child control his or her behaviour.
  • You would like to see a behaviour counsellor.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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