This document discusses behavioral problems in children. It notes that behavioral problems are symptomatic expressions of emotional or environmental issues rather than disease entities. Common disruptive behaviors include oppositional defiant disorder, conduct disorder, and attention deficit hyperactivity disorder. Behavioral problems stem from a combination of hereditary, physical, intellectual, emotional, and environmental factors. Examples of common behavioral issues in children are feeding problems, habit disorders, speech problems, sleep issues, educational difficulties, adjustment problems, emotional problems, antisocial behaviors, and sexual problems. One specific behavioral problem, temper tantrums, is described along with its management through professional help, parental awareness, alternative activities, explanation of emotions, protection from harm, calm approaches, avoidance of overind

2. Behaviour problems in children are not disease
entities but symptoms or reaction caused by
emotional disturbance or environment
maladjustment .
It is a symptomatic expression of
emotional or interpersonal
maladjustment especially in children (as
by nail-biting, enuresis, negativism, or by
overt hostile or antisocial acts)

3. Types of behavior problem
The most common disruptive behaviour
disorders include oppositional defiant
disorder (ODD), conduct disorder (CD)
and attention deficit hyperactivity
disorder (ADHD). These three
behavioural disorders share some
common symptoms, so diagnosis can be
difficult and time consuming. A child or
adolescent may have two disorders at
the same time. Other exacerbating
factors can include emotional problems,
mood disorders, family difficulties and
substance abuse.

4. It has to be borne in mind that no single cause can
ever produce a behaviour problem. It is a
multiplicity of causative factors which is
responsible for its manifestation.
They must be broadly described under following
heads:
1. Heredity and constitutional factors
2. Physical or organic factors
3.Factor of intelligence
4. Emotional factors
5. Environmental factor

5. COMMON BEHAVIORAL PROBLEMS IN
CHILDREN
Feeding problems
Habit disorders
Speech problems
Sleep Problems
Educational difficulties
Adjustment problems
Emotional problems
Antisocial problems
Sexual problems

6. Temper
tantrum
Temper tantrum is a sudden
outburst or violent display
anger, frustration and bad
temper as physical aggression
or resistance such as rigid
body, biting, kicking, throwing
objects, hitting, crying, rolling
on floor, screaming loudly,
banging limbs, etc.

7. Management of Temper
tantrum
Professional help from child guidance
clinic.
Parent should be made aware about the
beginning of temper tantrum and when
the child loses control.
Parent should provide alternate activity
at that time. Nobody should make fun
and tease the child about the
unacceptable behavior.
Parent should explain the child that the
angry feeling is normal but controlling
anger is an important aspect of growing
up.
The child should be protected from self
injury or from doing injury to others.

8. Contd..
Physical restraint usually increase frustration and
block the outlet of anger. Frustration can be
reduced by calm and loving approach.
Over indulgence should be avoided.
After the temper tantrum is over the child's face
and hands should washed and play materials to
be provided for diversion.
The child's tension can be released by vigorous
exercise and physical activities.
Parents must be firm and consistent in behavior.

9. Management
Identification and correction of precipitating
factors (emotional, environmental) are essential
approach.
Overprotecting nature of parents may increase
unreasonable demand of the child.
Punishment is not appropriate and may cause
another episode.
Repeated attacks of spells to be evaluated with
careful history, physical examination and
necessary investigations to exclude convulsive
disorders and any other problems.

10. Name of child :- Prateek Prajapat
Age of child :- 7 yr
Case:
Parents were complaining that their child tried to
commit suicide constantly by thrusting a knife into his
abdomen or by throwing himself out of window.
First interview result:
Parents showed extreme anxiety because they
thought that their child must be insane and were
asking that if the child is suffering from insanity.
Child also show stubbornness when his demands are
not fulfilled and at once go into temper tantrum.
Due to this mother got frightened and yield his
demands.
Child was send to child guidance clinic

11. General information:
Milestone development was normal
He had 5 brother and two sister he was the last one but
only one.
His I.Q. was normal and school report was satisfactory
He showed jealousy towards his younger brother to
slept in the same bed with his mother.
Problem identification:-
1.According to him in family there was lot’s of
discrimination between him and his younger brother.
2.When he was asked to take names or his brother
sister ,he mentioned all except the name of his younger
brother
3.Jealousy and rivalry situation between him and his
brother was pointed out

12. Treatment :
1. Parents were told that child is not suffering from
insanity
2. Parents were warn to take the threats of suicide
seriously
3. Parents were told that when the child go through
temper tantrum they should put all sharp thing out of
the child reach
4. During child is in temper tantrum he must be
ignored and explained why his wish can’t be fulfilled
5.Parernts were asked not to yield his demand if it is
unreasonable
6. They must take care of their own temper.
7. They were told to show equal love and affection to
all of their child so that child do not feel insured.

13. The situation was caused by the
feeling that the boy was feeling
unsecured and discriminated
against his younger brother. So
parents were asked to show equal
attention to him as compare to his
younger brother and asked to tell
the family to not to tease hime and
call him insane.