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We understand how challenging it can be for parents to navigate frequent tantrums in young children. Recent research has uncovered that excessive tantrums may be an early sign of Attention-Deficit Hyperactivity Disorder (ADHD), which is otherwise very difficult to diagnose this early and can be deciphered when the child starts school.
To shed light on whether these emotional outbursts may be linked to ADHD, the OnlyMyHealth team consulted an expert, Namrata Upadhyay, Co-Founder and Clinical Psychologist at Synapses Neuropsychiatry Clinic, New Delhi. We also corroborated these findings with recent research on emotional regulation in children.
Related: Neurological Disorders in Children: Pediatric Neurologist Shares Common Conditions To Watch Out For
Can Excessive Tantrums Be A Sign Of ADHD?
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Upadhyay explains, “Yes, early temper tantrums can sometimes be a sign of ADHD, but they are not definitive on their own. Many young children have tantrums as part of normal development.”
Subtly differentiating between usual tantrums and ADHD-linked ones, Upadhyay says that children with ADHD may display tantrums that are more frequent, intense, and prolonged due to difficulties with emotional regulation, impulsivity, and frustration tolerance.”
How Can You Differentiate Between Typical Tantrums And ADHD-Linked Tantrums?
Upadhyay highlights key differences to watch for:
- Frequency and Intensity: ADHD-related tantrums tend to be more frequent, intense, and disproportionate to the situation.
- Triggers: Children with ADHD may struggle with transitions, waiting, or being told “no,” which can frequently set off tantrums.
- Duration: These tantrums tend to last longer and are harder to calm down or resolve.
- Other Symptoms: ADHD-related tantrums often accompany signs of inattention, hyperactivity, or impulsivity.
- School Feedback: Frequent complaints from teachers about disruptive behaviour, restlessness, or difficulty focusing may point to underlying ADHD.
- History Of Milestones: Rule out developmental milestones and any history of pre- and postnatal complications.
Upadhyay says, “If the above-listed criteria are persistent with or without significant birth history or history of milestones, one should always get in touch with a qualified mental health professional and get the screenings done.”
Understanding Emotional Regulation And ADHD
If you’re a parent, you’ve likely faced the embarrassment and helplessness that comes when your child has a public meltdown. Some children seem to have more frequent and explosive outbursts compared to their peers. For years, such behaviours were dismissed as manipulation or disobedience, often dealt with through strict discipline or punishment. But what if these outbursts are not under your child’s control?
Recent research suggests that children who struggle with emotional regulation from an early age may be showing early signs of ADHD, even if they haven’t been officially diagnosed. A study published in Cambridge University Press underscores this connection, providing valuable insights for parents and caregivers.
What Does The Research Say?
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Researchers analysed data that tracks the lives of around 19,000 children born between 2000 and 2002. By examining questionnaires and interviews with parents, the study explored children’s emotional regulation, conduct, and social behaviours.
The findings revealed that children who displayed higher levels of emotional dysregulation at ages 3, 5, and 7 were more likely to exhibit ADHD symptoms, conduct issues, and other problems by age 7. This pattern was consistent for both boys and girls.
Children who have trouble controlling their emotions and reactions might be on a different developmental timeline. These struggles can sometimes be a red flag for underlying conditions such as ADHD.
Related: Why Is ADHD Diagnosis More Difficult Among Young Girls?
When To Seek Help?
If your child’s outbursts are frequent, intense, and accompanied by other behavioural concerns, it may be time to consult a healthcare professional. If you notice the following in your child, consider seeking professional advice:
- Frequent and intense tantrums beyond age 4 or 5
- Difficulty transitioning between activities
- Regular complaints from teachers or caregivers
- Signs of hyperactivity or impulsiveness
- Difficulty calming down even after the tantrum is over
Here’s What You Should Do
Early identification and intervention can make a significant difference. A professional evaluation can help determine whether your child’s behaviour is part of normal development or a sign of ADHD.
Our expert rightly says, “Early interventions are the key to a good prognosis.” By understanding these signs and seeking support, you can help your child build healthier emotional regulation skills and lead a life without hindrances.