Behavioral Issues

Behavioral challenges often show up in two main disorders, which may co-occur and frequently overlap with anxiety or depression.

ODD is characterized by ongoing defiance and disobedience toward caregivers and authority figures. Signs can appear early in childhood. Common symptoms include:

• Easily irritated and quick to anger
• Frequent temper tantrums
• Regular arguments with parents or adults
• Refusal to follow rules
• Deliberately bothering others
• Blaming others for problems
• Low self-esteem

Conduct disorder involves persistent difficulties with following rules, showing empathy, and behaving appropriately in social settings.

Children with CD often also have ADHD. Typical behaviors can include:

• Ignoring parental or authority rules
• Frequent truancy
• Early use of drugs, cigarettes, or alcohol
• Aggression toward animals or people
• Sadistic acts like bullying or abuse
• Habitual physical fights
• Frequent lying
• Engaging in criminal acts like theft or vandalism
• Running away from home
• Lack of empathy
• Suicidal thoughts or tendencies

While the exact causes of behavioral disorders aren’t fully understood, several factors may increase risk, including:

• Gender: Boys are more frequently affected than girls, possibly due to genetics or social factors.
• Birth complications: Prematurity and low birth weight may influence later behavior.
• Brain development: Areas controlling attention tend to be less active in children with ADHD and behavioral issues.
• Temperament: Early aggressive personalities can predispose to later disorders.
• Family environment: Dysfunctional homes with violence, poor parenting, or substance abuse raise risks.
• Learning difficulties: Challenges in reading and writing often accompany behavioral problems.

Behavioral problems often stem from complex causes like ADHD, anxiety, depression, and challenging home situations. Diagnosis may involve:

• Detailed interviews with parents and teachers
• Behavior rating scales and questionnaires
• Psychological assessments by specialists
• Review of family dynamics and environment

Without early support, children with behavioral challenges might face long-term difficulties. Early intervention is key. Treatments often include:

• Parental guidance and family counseling to improve the home environment
• Cognitive behavioral therapy (CBT) and medication to reshape negative thoughts
• Social skills training and anger management techniques
• Positive reinforcement and encouragement to build confidence

Children thrive when supported by understanding and patient parents. Helpful strategies include:

• Recognizing and empathizing with your child’s feelings
• Listening without judgment
• Taking a moment before responding harshly
• Teaching mindfulness and anger control

At Sammy Kim, MD, we know your child’s emotional well-being is just as vital as their physical health. Our caring, board-certified pediatric team includes a pediatric psychologist dedicated to supporting your child’s mental health.

We offer same-day appointments at our Encino, CA clinic. To schedule a visit, call us at (818) 789-0941 or contact us online.