Child Behavior Disorders

Also called: Conduct disorders
All kids misbehave some times, but behavior disorders go beyond mischief and rebellion. With behavior disorders, your child or teen has a pattern of hostile, aggressive or disruptive behaviors for more than 6 months.

Warning signs can include

Harming or threatening themselves, other people or pets
Damaging or destroying property
Lying or stealing
Not doing well in school, skipping school
Early smoking, drinking or drug use
Early sexual activity
Frequent tantrums and arguments
Consistent hostility towards authority figures


How do I know if my child's behavior is normal?

Parents often have difficulty telling the difference between variations in normal behavior and true behavioral problems. In reality, the difference between normal and abnormal behavior is not always clear; usually it is a matter of degree or expectation. A fine line often divides normal from abnormal behavior, in part because what is "normal" depends upon the child's level of development, which can vary greatly among children of the same age. Development can be uneven, too, with a child's social development lagging behind his intellectual growth, or vice versa. In addition, "normal" behavior is in part determined by the context in which it occurs - that is, by the particular situation and time, as well as by the child's own particular family values and expectations, and cultural and social background.

Understanding your child's unique developmental progress is necessary in order to interpret, accept or adapt his behavior (as well as your own). Remember, children have great individual variations of temperament, development and behavior.

Three types of behavior

Some parents find it helpful to consider three general kinds of behavior:

Some kinds of behavior are wanted and approved. They might include doing homework, being polite, and doing chores. These actions receive compliments freely and easily.
Other behavior is not sanctioned but is tolerated under certain conditions, such as during times of illness (of a parent or a child) or stress (a move, for instance, or the birth of a new sibling). These kinds of behavior might include not doing chores, regressive behavior (such as baby talk), or being excessively self-centered.
Still other kinds of behavior cannot and should not be tolerated or reinforced. They include actions that are harmful to the physical, emotional, or social well-being of the child, the family members, and others. They may interfere with the child's intellectual development. They may be forbidden by law, ethics, religion, or social mores. They might include very aggressive or destructive behavior, overt racism or prejudice, stealing, truancy, smoking or substance abuse, school failure, or an intense sibling rivalry.
Your response plays a role

Your own parental responses are guided by whether you see the behavior as a problem. Frequently, parents overinterpret or overreact to a minor, normal short-term change in behavior. At the other extreme, they may ignore or downplay a serious problem. They also may seek quick, simple answers to what are, in fact, complex problems. All of these responses may create difficulties or prolong the time for a resolution.

Behavior that parents tolerate, disregard or consider reasonable differs from one family to the next. Some of these differences come from the parents' own upbringing; they may have had very strict or very permissive parents themselves, and their expectations of their children follow accordingly. Other behavior is considered a problem when parents feel that people are judging them for their child's behavior; this leads to an inconsistent response from the parents, who may tolerate behavior at home that they are embarrassed by in public.

The parents' own temperament, usual mood, and daily pressures will also influence how they interpret the child's behavior. Easygoing parents may accept a wider range of behavior as normal and be slower to label something a problem, while parents who are by nature more stern move more quickly to discipline their children. Depressed parents, or parents having marital or financial difficulties, are less likely to tolerate much latitude in their offspring's behavior. Parents usually differ from one another in their own backgrounds and personal preferences, resulting in differing parenting styles that will influence a child's behavior and development.

When there is no response

When children's behavior is complex and challenging, some parents find reasons not to respond. For instance, parents often rationalize ("It's not my fault"), despair ("Why me?"), wish it would go away ("Kids outgrow these problems anyway"), deny ("There's really no problem"), hesitate to take action ("It may hurt his feelings"), avoid ("I didn't want to face his anger") or fear rejection ("He won't love me").

Your pediatrician can help

If you are worried about your child's behavior or development, or if you are uncertain as to how one affects the other, consult your pediatrician as early as possible, even if just to be reassured that your child's behavior and development are within a normal range.