•  Biting, Ages 1 to 3 •  Temper Tantrums, Ages 3 to 6

A temper tantrum is the emotional equivalent of a summer storm -- sudden and sometimes fierce. One minute you're in a restaurant, enjoying your dinner; the next, your child is whimpering, whining, and then screaming to go home.

Medically speaking, a tantrum is an abrupt loss of emotional control, characterized by behavior that ranges from whining and crying to shrieking, kicking, and hitting. Some children even hold their breath to the point of fainting. A tantrum is more than just a bad mood -- your child may reject anyone who tries to reason with him and could harm himself or others. Tantrums are common in young children, especially when they're between the ages of 1 and 3. And there's no link to gender: Boys and girls have these blowups with equal frequency.

Almost anything can trigger a tantrum, including fatigue, hunger, and fear. But frustration is often the key. Your toddler may "pitch a fit" because he can't communicate with you effectively -- can't tell you that he's hungry or sleepy or that there are too many people talking in the restaurant. Development plays a role, too: Your child may become upset when he can't walk, draw, or make a toy work exactly the right way.

Your toddler also might have tantrums to test your authority. Between the ages of 2 and 4, children begin to want more independence; at the same time, they know that they need their parents and probably won't prevail in a serious disagreement. That conflict can lead to a terrible tizzy: You tell your toddler to put on his shoes, but he doesn't want to. His anger boils up, yet he can't find the words to express it. All of a sudden, he throws himself to the floor, kicking and screaming. Did you do anything wrong? Probably not -- though loosening the ground rules now and then can head off some fits. Try asking (not telling) your child to put on his shoes or quietly putting his shoes on him yourself to keep it from becoming an issue. Whenever you can, give him a choice between two things ("Do you want to wear your red shoes or your brown shoes?") so he can practice being assertive without disobeying you.

At this age, probably not. It's true that older children (ages 3 and up) often use tantrums to get something they want or to avoid doing something they dislike, but younger children generally have tantrums because they're hungry, tired, or frustrated. Even so, it's important to respond to tantrums correctly and consistently. Rewarding your child for ending a tantrum, for example, teaches him that good things happen when he loses his cool.

First, take steps to prevent your child from hurting himself or anyone else. In addition, try these tips:

•Keep cool. Shouting won't help and may frighten your child.

•Talk it out. Very young children often need help finding the words to describe what they're feeling.

•Briefly assess what led to the tantrum. Was your child working on a difficult puzzle? Heading home for a nap?

•Respond to your child's needs. Remove that annoying puzzle, and distract him with another toy or a change of scene. Offer him a snack or meal if he's hungry; if he's exhausted but too frazzled to sleep, pick out a soothing story to read.

•Don't give in to unreasonable demands. Your child may learn to use anger to get what he wants.

•Don't get physical. Spanking and hitting only add fuel to the emotional fire.

•Don't reward your child for ending his tantrum. Instead, hold him close and talk about what happened.

If your child's outburst escalates to the point where he's hitting people or pets, throwing objects, or screaming nonstop, your response must be firm. Put him in a safe place, such as his bedroom, where he can't harm himself. Tell him why he's there ("because you hit Aunt Sally"), and let him know he has to stay put until his unruly behavior stops.

The key is learning when and why your child's tantrums happen. Keep a diary, and any time your child has a tantrum, note what led up to it and what helped end it. Did your child lose control after a long day when dinner was later than usual? Does he have tantrums at restaurants, friends' houses, and other places where he feels less secure than at home?

In addition, do what you can to eliminate or reduce the demands and activities that frustrate your child. Is that puzzle too difficult? Look for toys better suited to his skills and age. These tips will also help:

•Keep your expectations realistic. Remember that it's normal for a young child to whine and resist now and then.

•Offer choices when you can. No one likes being told what to do all the time. "Would you like corn or carrots?" is better than "Eat your corn!"

•Choose your battles. Would it really wreck your schedule to spend an extra five minutes at the playground?

•Give your child a gentle heads-up before a change, such as leaving the playground or sitting down to dinner. "We're going to eat in 10 minutes" gives him a chance to adjust instead of react.

Talk to your pediatrician or family doctor if your child's tantrums are so frequent or so severe that the coping methods described here don't help. You should also call the doctor if your child harms himself or others, holds his breath to the point of fainting, or commonly has tantrums after he's passed the age of 3-and-a-half. Your doctor can make sure there's no serious physical or psychological problem triggering the behavior and may suggest ways to deal with the outbursts.

-- Beatrice Motamedi is a freelance health writer specializing in children's and parenting issues. She has written and edited for Hippocrates magazine, Time Inc. Health, BabyCenter, Consumer Health Interactive, and many other publications.

Further Resources

National Institute of Child Health &Human Development

http://www.nichd.nih.gov/default.htm

References

First published July 19, 1999
Last updated May 10, 2007
Copyright © 1999 Consumer Health Interactive

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