Temper Tantrums
What is a temper tantrum?
A temper tantrum is an immature way of expressing anger. No matter
how calm and gentle a parent you are, your child will probably
throw some tantrums. Try to teach your child that temper tantrums
don't work and that you don't change your mind because of them. By
3 years of age, you can begin to teach your child to verbalize his
feelings ("You feel angry because...."). We need to teach children
that anger is normal but that it must be channeled appropriately.
By school age, temper tantrums should be rare. By adolescence,
your teenager can be reminded that blowing up creates a bad
impression and that counting to 10 can help him regain control.
What should I do when my child has a tantrum?
Overall, praise your child when he controls his temper, verbally
expresses his anger, and is cooperative. Be a good model by
staying calm and not screaming or having adult tantrums. Avoid
spanking because it suggests to your child that you are out of
control. Try using the following responses to the different types
of temper tantrums.
- Support and help children having frustration- or
fatigue-related tantrums.
Children often have temper tantrums when they are frustrated
with themselves. They may be frustrated because they can't put
something together. Young children may be frustrated because
their parents don't understand their speech. Older children
may be frustrated with their inability to do their homework.
At these times your child needs encouragement and a parent who
listens. Put an arm around him and say something that shows
understanding such as "I know it's hard, but you'll get better
at it. Is there something I can do to help you?" Also give
praise for not giving up. Some of these tantrums can be
prevented by steering your child away from tasks that he can't
do well.
Children tend to have more temper tantrums when they are tired
(for example, when they've missed a nap) because they are less
able to cope with frustrating situations. At these times put
your child to bed. Hunger can contribute to temper tantrums.
If you suspect this, give your child a snack. Temper tantrums
also increase during sickness.
- Ignore attention-seeking or demanding-type tantrums.
Young children may throw temper tantrums to get their way.
They may want to go with you rather than be left with the baby
sitter, want candy, want to empty a desk drawer, or want to go
outside in bad weather. Tantrums for attention may include
whining, crying, pounding or hitting the floor or door,
slamming a door, or breath-holding. As long as your child
stays in one place and is not too disruptive, you can leave
him alone.
If you recognize that a certain event is going to push your
child over the edge, try to shift his attention to something
else. However, don't give in to your child's demands. During
the temper tantrum, if his behavior is harmless, ignore it
completely. Once a tantrum has started, it rarely can be
stopped. Move away, even to a different room; then your child
no longer has an audience. Don't try to reason with your
child. Simply state, "I can see you're very angry. I'll leave
you alone until you cool off. Let me know if you want to
talk." Let your child regain control. After the tantrum, be
friendly and try to return things to normal. You can prevent
some of these tantrums by saying "No" less often.
- Physically move children having refusal-type or avoidance-type
tantrums.
If your child refuses something unimportant (such as a snack
or lying down in bed), let it go before a tantrum begins.
However, if your child must do something important, such as go
to bed or to day care, he should not be able to avoid it by
having a tantrum.
Some of these tantrums can be prevented by giving your child a
5-minute warning instead of asking him suddenly to stop what
he is doing. Once a tantrum has begun, let your child have the
tantrum for 2 or 3 minutes. Try to put his displeasure into
words: "You want to play some more, but it's bedtime." Then
take him to the intended destination (for example, the bed),
helping him as much as is needed (including carrying).
- Use time-outs for disruptive-type tantrums.
Some temper tantrums are too disruptive or aggressive for
parents to ignore. On such occasions send or take your child
to his room for 2 to 5 minutes. Examples of disruptive
behavior include:
- Clinging to you or following you around during the
tantrum.
- Hitting you.
- Screaming or yelling for such a long time that it gets on
your nerves.
- Having a temper tantrum in a public place such as a
restaurant or church. (Move your child to another place
for his time-out. The rights of other people need to be
protected.)
- Throwing something or damaging property during a temper
tantrum.
- Hold children having harmful or rage-type tantrums.
If your child is totally out of control and screaming wildly,
consider holding him. His loss of control probably scares him.
Also hold your child when he is having tantrums that carry a
danger of self-injury (such as if he is violently throwing
himself backward).
Take your child in your arms, tell him you know he is angry,
and offer him your sense of control. Hold him until you feel
his body start to relax. This usually takes 1 to 3 minutes.
Then let him go. This comforting response is rarely needed
after 3 years of age.
Some children won't want you to comfort them. Hold your child
only if it helps. If your child says "Go away," do so. After
the tantrum subsides, your child will often want to be held
briefly. This is a good way to get him back into the family
activities.
When should I call my child's healthcare provider?
Call during office hours if:
- Your child has hurt himself or others during tantrums.
- The tantrums occur five or more times per day.
- The tantrums also occur in school.
- Your child has several other behavior problems.
- One of the parents has tantrums or screaming bouts and can't
give them up.
- This approach does not bring improvement within 2 weeks.
- You have other questions or concerns.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2006-03-02
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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