April fears the dawning of her 11-year-old daughter's teen years more than most parents. The Colorado mom has worked to curb her child's violent temper since the girl was just 3 years old.
"She is better than she used to be," says April, who remembers when her daughter regularly threw plates of food, punched relatives' pets, and shouted curse words in violent temper tantrums. "But she still has outbreaks. It has been an active, ongoing process for her to master her anger." In the not-so-distant future, April worries that social and academic pressures will trigger more serious emotional outbursts.
The roots of violent and aggressive behavior can often be traced back many years. Many children with these kind of traits have a condition known as conduct disorder, which can begin in early childhood or during adolescence and is associated in some children with disorders, such as attention deficit hyperactivity disorder (ADHD), depression, oppositional defiant disorder, and bipolar disorder .
Factors that may put youth at risk for conduct disorder include:
Certain factors increase a young person's risk of violent behavior, including:
This is not a complete list of risk factors. There are many other possible factors that contribute to youth violence. Also, having one of the above factors does not necessarily mean your child will engage in violent behavior.
Some strategies may be helpful in preventing violence before starts. These include:
Some studies have shown that early intervention programs can make a difference for children who show early signs of disruptive behavior. These studies found that disruptive boys who took part in a preventive intervention program for 2 years beginning in kindergarten had higher rates of high school graduation and lower rates of criminal behavior after 15 years.
There are some things you can do when your child is young to help them prepare for the teen years. The American Academy of Child and Adolescent Psychiatry recommends taking these steps:
Communicate openly with your child. If you think something might be wrong, ask your child. Don't ignore problems hoping they will go away. If you need help talking to your child or teen, don't be ashamed to ask for help. There may be problems you are not equipped to manage alone. Your child's doctor will be able to direct you to helpful resources.
Your teen may exhibit warning signs of emotional or social problems long before they actually participate in violent behavior. Teens with low self-esteem or family problems may also be more at-risk for self-destructive behavior like drug use. These warning signs could mean trouble for your teen:
If you notice any of these signs in your teen , start an open discussion. If your teen consistently exhibits these signs, talk to their doctor. These signs are also consistent with depression if they last longer than 2 weeks.
Time and again, research on teen violence also cites the importance of children feeling connected—to home, to school, to friends, to family. Parents' influence can help, but professional help is often required bridge the gaps in your family dynamic. Cognitive-behavioral therapy (CBT) helps both you and your teen face issues and learn better ways to deal with them. CBT can be done individually and as a group.
Untreated issues in childhood continue through adulthoood. Keep in mind that counseling is confidential. If you don't want to talk to your teen's doctor, you can find a psychiatrist at the American Academy of Child and Adolescent Psychiatry website.
American Academy of Child and Adolescent Psychiatry
National School Safety Center
Canadian Mental Health Association
Canadian Psychiatric Association
Boisjoli R, Vitaro F, Lacourse E, Barker ED, Tremblay RE. Impact and clinical significance of a preventive intervention for disruptive boys: 15-year follow-up. Br J Psychiatry. 2007;191:415-419.
Conduct disorder. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 23, 2015. Accessed July 18, 2016.
Mental health and teens: watch for danger signs. Healthy Children—American Academy of Pediatrics website. Available at: http://www.healthychildren.org/English/ages-stages/teen/pages/Mental-Health-and-Teens-Watch-for-Danger-Signs.aspx. Updated November 21, 2015. Accessed July 18, 2016.
Understanding your teen's emotional health. Family Doctor—American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/teens/emotional-well-being/understanding-your-teenagers-emotional-health.html. Updated November 2010. Accessed July 18, 2016.
Youth violence. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/violenceprevention/youthviolence. Updated May 24, 2016. Accessed July 18, 2016.
Woolfenden SR, Williams K, Peat J. Family and parenting interventions in children and adolescents with conduct disorder and delinquency aged 10-17. Cochrane Database Syst Rev. 2001;CD003015.
Last reviewed July 2016 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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