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 three 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, 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:
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 two 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 beginning 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. Your child's doctor may 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:
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.
For April, helping her daughter find ways to control her aggressive tendencies and keeping the lines of communication open have made family life much less stressful. "I believe my daughter will be okay," she says. "I believe that she will learn to master her temper and function as a productive adult."
American Psychological Association
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 April 3, 2012. Accessed August 23, 2012.
Mental health and teens: watch for danger signs. American Academy of Pediatrics Healthy Children.org website. Available at: http://www.healthychildren.org/English/ages-stages/teen/pages/Mental-Health-and-Teens-Watch-for-Danger-Signs.aspx. Updated July 2012. Accessed August 23, 2012.
Understanding your teen's emotional health. American Academy of Family Physicians Family Doctor.org website. Available at: http://familydoctor.org/familydoctor/en/teens/emotional-well-being/understanding-your-teenagers-emotional-health.html. Updated November 2010. Accessed August 23, 2012.
Understanding youth violence. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/ViolencePrevention/pdf/YV-FactSheet-a.pdf. Published 2010. Accessed August 24, 2012.
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 August 2012 by Brian Randall, 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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