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Dr. Sushma Rathee
assistant clinical psychologist
PGIMER, Chandigarh
email: sushmaratheecp@gmail.com

 Little children tend to get excited quickly and cannot
control their urge to say what they want to say. They keep
interrupting you all the time. So the next time you have a
conversation with your three-year-old, here is what you
should do.
 Let them finish what they want to say. Hear them out
without interruption and then begin talking.
 When they interrupt, explain how mommy did not
interrupt and listened when they were speaking. Tell
them that they will get a chance to speak after you finish.
Say, “let mommy finish, honey” or “mommy has not
finished talking.”
2
1. Interrupting

 Toddlers, especially those younger than three years, cannot
express themselves verbally. They tend to show their anger or
frustration in different ways, including screaming. So, what do
you do when your toddler screams?
 Do not scream or shout back at them. It only reiterates that it is
okay to scream.
 Teach them to whisper or talk calmly, through a game. For
instance, you can start with a ‘let’s see who can scream the
loudest’, and then try ‘who can talk calmly or whisper’.
 Acknowledge her feelings and talk to her. Although you may
not have a proper conversation with a one-year-old, words can
soothe the child, and they might stop screaming.
3
2. Screaming

 Does your child run away and hide when he gets angry?
Running is dangerous, especially if she does it on roads,
supermarket or other public places. But you can keep her
safe by:
 Keeping an eye on the child’s movements. Always hold
her hand when on the road or other crowded places.
 Showing the child where she can run and where she
cannot. Explain by showing people around and what they
are doing. For example, show kids running in the park to
say that it is okay to run there. Likewise, show how people
do not run on the streets.
4
3. Running away

 Toddlers may tend to scream, kick and pull hair to fix
‘bad things’. The only way to make them stop such
behavior is to make them understand that it does not
work.
 Interrupt your child when he is pulling his or someone
else’s hair to indicate that he should not be doing it.
 Talk it out and try to explain that it is ‘bad’ to pull hair.
 Do not pull your child’s hair back to show how it feels.
They may see it as a game and do it again.
5
4. Pulling hair
 Children between the age of 18 months and three years are the ones who
usually throw things to show their frustration. They tend to throw food, toys,
or anything that they can get their hands on just out of curiosity or frustration.
 To avoid damage to valuables, show what your child can throw. Like a ball,
a bouncy toy or a fluffy one that doesn’t get damaged.
 Discourage them from throwing things when they are angry or aggressive.
Try to ignore when they throw things because of anger. If they persist or keep
throwing things that could hurt other children, interrupt immediately and say
“No! That is bad” or “No, that hurts!” Tell that in a calm voice.
 Find ways to prevent them from throwing things. For example, in the car, you
can tie the toys to her seat. That way she won’t be able to throw them away.
 If you could identify any of the above behavioral problems in your toddlers
and older children, you might need some tips to deal with them at home.
6
5. Throwing things

Childhood Disorder

 Oppositional defiant disorder is a disruptive
behavior that commonly affects children. Symptoms
of this disorder include:
 Gets angry, throws tantrums, outbursts frequently,
and has low or no self-esteem.
 Is hostile to rules.
 Annoys others deliberately.
 Blames others for all misdeeds.
8
1) Oppositional defiant disorder (ODD
 Children who have CD are known for their delinquent behavior and not
obeying rules. About 5% American children, who are below ten years of age,
have CD.
 The typical behaviors are:
 Refusing to follow the rules laid by parents or school authorities.
 Repetitive truancy.
 Trying abusive substances like alcohol, cigarettes, and drugs at a very early age.
 Always ready to fight.
 Aggressive towards animals and pets.
 Use of weapons.
 Lying frequently.
 Indulging in criminal acts like committing burglary, lighting up property and
breaking into houses.
 Running away from home.
 Suicidal tendencies, although rare.
9
2. Conduct disorder (CD)
 This is related to conduct disorder. Common
characteristics of the disorder are hyperactivity
problems related to attention, impulsive behavior in
children etc. Symptoms include:
 Trouble focusing on one thing.
 Disoriented when you speak to them.
 Difficulty remembering things, instructions,
directions, etc.
 Inattention to detail.
10
3. Attention deficit hyperactivity disorder
(ADHD)

 There are different kinds of learning disabilities with
varying symptoms. These disorders affect the child’s
academic performance and need the expertise of
special educators to stay on track.
 Unable to comprehend instructions.
 Short term memory.
 Poor communication abilities.
11
4. Learning disability

 This may sometimes be referred to as Asperger’s syndrome,
which is a narrow developmental disorder.
 Named after an Austrian pediatrician Hans Asperger, this
syndrome is usually a result of social interaction impairment.
 The exact cause of this syndrome is unknown. However,
psychiatrists consider it as a consequence of a series of
symptoms.
 The common symptom of this disorder is difficulty in starting a
conversation in public and casual interactions.
 Child behaviour disorders become more visible as he grows up.
However, you can identify abnormal behaviours when your
child is still a toddler. It helps you to nip them in the bud.
12
5. Underdeveloped social skills

Other Challenging Behviour

 Attention-seeking students prefer being punished,
admonished, or criticized to being ignored
 Give attention to this student when he or she is on-
task and cooperating
 “Catch them being good!” – and let them know you
caught them
Attention Seeking Behavior
Behavior: Rambling
 Wandering around and off the subject.
 Refocus attention by restating relevant point.
 Direct questions to group that is back on the subject
 Ask how topic relates to current topic being discussed.
 Use visual aids, begin to write on board, turn on
overhead projector.
 Say: "Would you summarize your main point please?" or
"Are you asking...?"
Behavior: Shyness or Silence
o Lack of participation
o Change teaching strategies from group discussion to individual
written exercises or a videotape
o Give strong positive reinforcement for any contribution.
o Involve by directly asking him/her a question.
o Make eye contact.
o Appoint to be small group leader.
Behavior: Talkativeness
 Knowing everything, manipulation, chronic whining.
o Acknowledge comments made.
o Give limited time to express viewpoint or feelings,
and then move on.
o Make eye contact with another participant and
move toward that person.
o Give the person individual attention during
breaks.
o Say: "That's an interesting point. Now let's see
what other other people think."
Behavior: Sharpshooting
o Trying to shoot you down or trip you up.
o Admit that you do not know the answer and
redirect the question the group or the individual
who asked it.
o Acknowledge that this is a joint learning
experience.
o Ignore the behavior.
Behavior: Arguing
 Disagreeing with everything you say; making personal
attacks.
 Redirect question to group or supportive individuals.
 Recognize participant's feelings and move one.
 Acknowledge positive points.
 Say: "I appreciate your comments, but I'd like to hear from
others," or "It looks like we disagree."
Behavior: Grandstanding
 Getting caught up in one's own agenda or thoughts to the
detriment of other learners.
 Say: "You are entitled to your opinion, belief or feelings, but
now it's time we moved on to the next subject," or
o "Can you restate that as a question?" or
o "We'd like to hear more about that if there is time after the
presentation."
Behavior: Overt Hostility/Resistance
 Angry, belligerent, combative behavior.
o Hostility can be a mask for fear. Reframe hostility as fear
to depersonalize it.
o Respond to fear, not hostility.
o Remain calm and polite. Keep your temper in check.
o Don't disagree, but build on or around what has been
said.
o Move closer to the hostile person, maintain eye contact.
o Always allow him or her a way to gracefully retreat from
the confrontation.
Behavior: Griping
 Maybe legitimate complaining.
o Point out that we can't change policy here.
o Validate his/her point.
o Indicate you'll discuss the problem with the
participant privately.
o Indicate time pressure.
Behavior: Side Conversations
 May be related to subject or personal. Distracts group
members and you.
 Don't embarrass talkers.
 Ask their opinion on topic being discussed.
 Ask talkers if they would like to share their ideas.
 Casually move toward those talking.
 Make eye contact with them.
 Standing near the talkers, ask a near-by participant a
question so that the new discussion is near the talkers.
As a last resort, stop and wait.

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Types of challenging behaviour

  • 1. 1 Dr. Sushma Rathee assistant clinical psychologist PGIMER, Chandigarh email: sushmaratheecp@gmail.com
  • 2.   Little children tend to get excited quickly and cannot control their urge to say what they want to say. They keep interrupting you all the time. So the next time you have a conversation with your three-year-old, here is what you should do.  Let them finish what they want to say. Hear them out without interruption and then begin talking.  When they interrupt, explain how mommy did not interrupt and listened when they were speaking. Tell them that they will get a chance to speak after you finish. Say, “let mommy finish, honey” or “mommy has not finished talking.” 2 1. Interrupting
  • 3.   Toddlers, especially those younger than three years, cannot express themselves verbally. They tend to show their anger or frustration in different ways, including screaming. So, what do you do when your toddler screams?  Do not scream or shout back at them. It only reiterates that it is okay to scream.  Teach them to whisper or talk calmly, through a game. For instance, you can start with a ‘let’s see who can scream the loudest’, and then try ‘who can talk calmly or whisper’.  Acknowledge her feelings and talk to her. Although you may not have a proper conversation with a one-year-old, words can soothe the child, and they might stop screaming. 3 2. Screaming
  • 4.   Does your child run away and hide when he gets angry? Running is dangerous, especially if she does it on roads, supermarket or other public places. But you can keep her safe by:  Keeping an eye on the child’s movements. Always hold her hand when on the road or other crowded places.  Showing the child where she can run and where she cannot. Explain by showing people around and what they are doing. For example, show kids running in the park to say that it is okay to run there. Likewise, show how people do not run on the streets. 4 3. Running away
  • 5.   Toddlers may tend to scream, kick and pull hair to fix ‘bad things’. The only way to make them stop such behavior is to make them understand that it does not work.  Interrupt your child when he is pulling his or someone else’s hair to indicate that he should not be doing it.  Talk it out and try to explain that it is ‘bad’ to pull hair.  Do not pull your child’s hair back to show how it feels. They may see it as a game and do it again. 5 4. Pulling hair
  • 6.  Children between the age of 18 months and three years are the ones who usually throw things to show their frustration. They tend to throw food, toys, or anything that they can get their hands on just out of curiosity or frustration.  To avoid damage to valuables, show what your child can throw. Like a ball, a bouncy toy or a fluffy one that doesn’t get damaged.  Discourage them from throwing things when they are angry or aggressive. Try to ignore when they throw things because of anger. If they persist or keep throwing things that could hurt other children, interrupt immediately and say “No! That is bad” or “No, that hurts!” Tell that in a calm voice.  Find ways to prevent them from throwing things. For example, in the car, you can tie the toys to her seat. That way she won’t be able to throw them away.  If you could identify any of the above behavioral problems in your toddlers and older children, you might need some tips to deal with them at home. 6 5. Throwing things
  • 8.   Oppositional defiant disorder is a disruptive behavior that commonly affects children. Symptoms of this disorder include:  Gets angry, throws tantrums, outbursts frequently, and has low or no self-esteem.  Is hostile to rules.  Annoys others deliberately.  Blames others for all misdeeds. 8 1) Oppositional defiant disorder (ODD
  • 9.  Children who have CD are known for their delinquent behavior and not obeying rules. About 5% American children, who are below ten years of age, have CD.  The typical behaviors are:  Refusing to follow the rules laid by parents or school authorities.  Repetitive truancy.  Trying abusive substances like alcohol, cigarettes, and drugs at a very early age.  Always ready to fight.  Aggressive towards animals and pets.  Use of weapons.  Lying frequently.  Indulging in criminal acts like committing burglary, lighting up property and breaking into houses.  Running away from home.  Suicidal tendencies, although rare. 9 2. Conduct disorder (CD)
  • 10.  This is related to conduct disorder. Common characteristics of the disorder are hyperactivity problems related to attention, impulsive behavior in children etc. Symptoms include:  Trouble focusing on one thing.  Disoriented when you speak to them.  Difficulty remembering things, instructions, directions, etc.  Inattention to detail. 10 3. Attention deficit hyperactivity disorder (ADHD)
  • 11.   There are different kinds of learning disabilities with varying symptoms. These disorders affect the child’s academic performance and need the expertise of special educators to stay on track.  Unable to comprehend instructions.  Short term memory.  Poor communication abilities. 11 4. Learning disability
  • 12.   This may sometimes be referred to as Asperger’s syndrome, which is a narrow developmental disorder.  Named after an Austrian pediatrician Hans Asperger, this syndrome is usually a result of social interaction impairment.  The exact cause of this syndrome is unknown. However, psychiatrists consider it as a consequence of a series of symptoms.  The common symptom of this disorder is difficulty in starting a conversation in public and casual interactions.  Child behaviour disorders become more visible as he grows up. However, you can identify abnormal behaviours when your child is still a toddler. It helps you to nip them in the bud. 12 5. Underdeveloped social skills
  • 14.   Attention-seeking students prefer being punished, admonished, or criticized to being ignored  Give attention to this student when he or she is on- task and cooperating  “Catch them being good!” – and let them know you caught them Attention Seeking Behavior
  • 15. Behavior: Rambling  Wandering around and off the subject.  Refocus attention by restating relevant point.  Direct questions to group that is back on the subject  Ask how topic relates to current topic being discussed.  Use visual aids, begin to write on board, turn on overhead projector.  Say: "Would you summarize your main point please?" or "Are you asking...?"
  • 16. Behavior: Shyness or Silence o Lack of participation o Change teaching strategies from group discussion to individual written exercises or a videotape o Give strong positive reinforcement for any contribution. o Involve by directly asking him/her a question. o Make eye contact. o Appoint to be small group leader.
  • 17. Behavior: Talkativeness  Knowing everything, manipulation, chronic whining. o Acknowledge comments made. o Give limited time to express viewpoint or feelings, and then move on. o Make eye contact with another participant and move toward that person. o Give the person individual attention during breaks. o Say: "That's an interesting point. Now let's see what other other people think."
  • 18. Behavior: Sharpshooting o Trying to shoot you down or trip you up. o Admit that you do not know the answer and redirect the question the group or the individual who asked it. o Acknowledge that this is a joint learning experience. o Ignore the behavior.
  • 19. Behavior: Arguing  Disagreeing with everything you say; making personal attacks.  Redirect question to group or supportive individuals.  Recognize participant's feelings and move one.  Acknowledge positive points.  Say: "I appreciate your comments, but I'd like to hear from others," or "It looks like we disagree."
  • 20. Behavior: Grandstanding  Getting caught up in one's own agenda or thoughts to the detriment of other learners.  Say: "You are entitled to your opinion, belief or feelings, but now it's time we moved on to the next subject," or o "Can you restate that as a question?" or o "We'd like to hear more about that if there is time after the presentation."
  • 21. Behavior: Overt Hostility/Resistance  Angry, belligerent, combative behavior. o Hostility can be a mask for fear. Reframe hostility as fear to depersonalize it. o Respond to fear, not hostility. o Remain calm and polite. Keep your temper in check. o Don't disagree, but build on or around what has been said. o Move closer to the hostile person, maintain eye contact. o Always allow him or her a way to gracefully retreat from the confrontation.
  • 22. Behavior: Griping  Maybe legitimate complaining. o Point out that we can't change policy here. o Validate his/her point. o Indicate you'll discuss the problem with the participant privately. o Indicate time pressure.
  • 23. Behavior: Side Conversations  May be related to subject or personal. Distracts group members and you.  Don't embarrass talkers.  Ask their opinion on topic being discussed.  Ask talkers if they would like to share their ideas.  Casually move toward those talking.  Make eye contact with them.  Standing near the talkers, ask a near-by participant a question so that the new discussion is near the talkers. As a last resort, stop and wait.