Shortly after being adopted, Jones discovered she possessed superhuman abilities due to the fatal car crash that took the lives of her parents and eventually decided to pursue a career as a superhero. After becoming orphaned at a young age, Jones was taken in by Dorothy Walker and developed a deep friendship bond with her adoptive sister, Trish Walker. Jessica Campbell Jones is a private investigator from New York City. Sukhodolsky DG, Scahill L: Cognitive-Behavioral Therapy for Anger and Aggression in Children.Budman CL, Rosen M, Shad S: Fits, tantrums, and rages in TS and related disorders.Keep hoping! Even when our treatments don’t help, kids with problems grow up, their brain matures, and time may provide the needed healing balm.Two tic experts wrote a book for therapists on this subject. Again, a behavior therapist can be invaluable here as an external observer and treatment expert. So, show steady love towards the person, but show consistent, reasonable consequences for the behavior. Rather than a crime-and-punishment viewpoint, I find a rehabilitative approach much more helpful. Punishment per se is usually not a great idea, but you don’t let a 2-year-old into a china shop. Often parents worry that punishment is inappropriate because it’s not the child’s fault … or, they wonder, is it? I don’t think that question matters.But if he hates the classroom, that means he’s being rewarded every time he threatens others, and he’s unlikely to stop until a better solution is found. For instance, it makes sense to remove a child from a classroom if he is swinging at people. A behavior therapist can help observe to see whether there are hidden triggers or rewards that are perpetuating the rages.Again, major depression is quite treatable with both psychological and pharmacological approaches. You want a psychiatrist to manage major depression. Irritability that comes with tears or comments indicating low self-esteem or hopelessness suggests investigation for the possibility of major depression. Irritability is one of the diagnostic criteria for major depression in children.You want a psychiatrist for OCD assessment and treatment. The beauty of OCD is that it is relatively treatable, both with medications and behavior therapy, with other options available for treatment-resistant cases. When anger seems frequently to be prompted by surprises, changes to routine, asymmetry, or hurrying, a careful interview with the child and parent is needed to look for OCD. Often, children with OCD get terribly frustrated when something in the schedule changes, or when otherwise the world doesn’t fall in line with the child’s compulsions. OCD can be one treatable cause of episodic anger that I think is underappreciated.I would add a couple of brief comments to that review article.
1 I highly recommend that article to anyone interested. A world expert on the subject published a nicely written article discussing these issues, including alternative diagnoses and treatment options.
They tend to come on quite suddenly, be very intense for maybe 15 minutes, and then when it’s over the child tends to be penitent and regretful. But about 1 in 5 children with Tourette syndrome have experiences that have been called “rage attacks.” These rage attacks seem to differ from other causes of childhood agitation. Of course, kids with tics can have all the problems anyone else can have. A couple of our recent study volunteers had serious problems with what you could variously call sudden tantrums, explosive outbursts, or brief violence.
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