Take control during tantrums by UofL Health Louisville KY

We have all seen this: a toddler wants something; he doesn’t get it. Suddenly there is an ear-piercing series of shrieks, and a kicking, screaming crying toddler is on the floor at your feet. What is a parent to do?

A tantrum is a throwback to early infancy, when the infant would communicate a need to the environment by crying. (See http://toddlerdoc.blogspot.com/2012/09/how-do-we-get-to-terrible-twos.html).

When a need (e.g. for a toy) is not met, the toddler tries what worked before, a good loud cry. He wants to get your attention, so waving the arms is a good idea, and adding the legs for extra effect also seems to be needed. Thus he falls to the ground so he can get his legs involved. A tantrum is a show, a visual display put on by the toddler, the goal of which is to get you to change your mind.

Toddlers are very operational, in that they will learn and do what works to get what they want. If a tantrum succeeds and he gets what he was crying for, he will remember. The next time he wants something and does not get it, he will try another tantrum.

To control tantrums, parents must assure that the tantrums are not successful. There is usually about a two second window before the tantrum blossoms. The toddler wants something; you say no. You can see the tantrum about to explode.

During this window, you have to make a quick decision: If a tantrum were to occur now, would I give in? In other words, how important is this issue to me? If it is not that important to me, if I would rather have it my way, but I would give in if a tantrum occurred, give in immediately, before the tantrum begins. Do not let the toddler see that the tantrum got him what he wanted.

If it is important, if I am not giving in no matter how my child protests, allow the tantrum to occur, and say something like, “I am sorry you are having such a hard time with this,” and walk away. Often the child will then get up, follow you, and fall at your feet and continue the tantrum. After all, it is useless to put on a show without an audience.

If you can do this, anytime a tantrum is occurring, you have already decided not to reward it. Unrewarded behavior tends to disappear.

Obviously this is easier to do at home, away from the eyes of strangers. Out in public, we have given away most of our parenting advantages, because we care what others think of our parenting skills, while our toddlers don’t care what anybody thinks.

This blog post was re-posted with permission by Dr. Lawrence Wasser. It originally appeared on his personal blog, Parenting Infants and Toddlers.

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Lawrence Wasser, M.D.

Dr. Lawrence Wasser is currently a pediatrician with UofL Physicians -- Pediatrics and associate professor of Pediatrics at the University of Louisville School of Medicine. Dr. Wasser was born in the Bronx, N.Y. and grew up in Linden, New Jersey. He received his b.s. in engineering and applied science from Yale University in 1970, and his M.D. in 1974 from Johns Hopkins University School of Medicine. He then completed a three year residency in pediatrics at Children’s Hospital in Boston, followed by a fellowship in behavioral and developmental pediatrics at the Child Development Unit at Harvard University School of Medicine, under the leadership of Dr. T. Berry Brazelton. Dr Wasser then joined a private practice in Louisville, where he worked in primary care for 27 years. He then joined the full-time faculty at the University of Louisville School of Medicine in the general pediatrics division at the UCHS practice on Broadway. In 2010, he moved to his current position as the director of the Newborn Nursery at the University of Louisville Hospital. For many years, Dr. Wasser has been giving parenting workshops both lo cally and nationally, helping parents survive the challenges of raising toddlers. He is the author of his own blog, Parenting Infants and Toddlers, http://toddlerdoc.blogspot.com/.

All posts by Lawrence Wasser, M.D.
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