Should I Be Worried?
Understanding My Child�s Anger
A. Crenshaw, Ph.D., ABPP
�He is usually a caring and sensitive child, but when he explodes in
rage he is like a monster.� The frustrated mother was describing her
8-year-old son Michael, a second grader who is liked by his teachers and
his classmates � except when he has a �meltdown�. During a meltdown,
Michael is like a different child and it is scary to the other children.
Both his parents and teachers are worried.
Michael is typical of children who display a pattern of
impulsive-reactive aggression as described by psychologist Ross Greene
in his book The Explosive Child. These children acquire various
diagnostic labels when they are evaluated by mental health professionals
� ADHD, Oppositional/Defiant Disorder, or Disruptive Behavior Disorder.
As Greene explains, however, the two primary features shared by such
children, regardless of diagnostic labeling, are low frustration
tolerance and inflexibility. These children are not exhibiting a
character flaw or a moral weakness, but simply manifesting subtle neuro-developmental
deficits related to difficulties in emotion and impulse regulation.
Until neurological maturation enhances the ability of these children to
self-regulate in a more reliable and consistent manner, they tend to be
overwhelmed by their strong emotions and often experience emotion in an
all-or-none manner. Either the child feels nothing at all, or
experiences anger as red-hot rage � with nothing between. In other
words, they have not developed the capacity for modulation.
Greene advocates an active teaching approach, which I strongly endorse.
Tools for Modulation
Verbal mediation is a crucial tool for modulating anger.
Children who have developed the capacity to identify, label and
verbalize their feelings are more skilled at modulating emotions.
Children have to be taught a language for their feelings by parents and
teachers, as they tend to have significant difficulty finding words to
express their emotional states. A respected colleague explained that
children who are aggressive tend to experience emotion �like a wind
blowing through their system.� In other words, the feelings are
non-descriptive and undifferentiated, leaving kids unable to identify or
share them. Even highly verbal children often have a limited vocabulary
when it comes to emotional states.
One of the most effective interventions for a child who
explodes in rage is to teach her/him an expanded vocabulary for dealing
with feelings. The vocabulary should include not just �angry� and �mad�,
but words that capture the various levels of intensity � such as
�irritated�, �annoyed�, �furious�, and �enraged�. This approach is based
on the technique of scaling. For children who do not know how to
modulate their anger, teaching them a vocabulary that expresses degrees
of intensity helps them understand that emotions do not have to be
experienced in an all-or-none way.
Another way to convey the concept of scaling and degrees of
anger is through the use of an anger thermometer like this one:
The child can be helped to find words to express anger
at a low level (blue zone), at the mid level (yellow zone), and at the
high level (red zone). This tool can be used to help children process
anger after a situation that has triggered a meltdown. Parents and/or
teachers can not only help children find words to express their anger in
each zone but can teach problem solving skills that play a crucial role
in developing self-regulation. Children can be asked, for example, what
choices they might have for expressing low level anger if they notice
they are only irritated or annoyed. Obviously, if children don�t notice
the signs of building anger until it is in the red zone, their choices
are going to be limited because for most kids it is too late. When they
reach the meltdown point, they are unable to reason or to think clearly,
and at that point, all the parent or teacher may be able to do is to try
to keep the children safe.
It is helpful to focus kids on the early signs of anger
build-up. Do they notice their voices rising, their hearts racing, the
clenching of their teeth or fists? The earlier these signs are noticed,
the more likely it is that children will be able to head off a meltdown.
Since a sense of personal control is important to children, it can be
helpful to frame early detection skills as ways they can maintain
control of their anger.
The self-calming skills often cited by children as
helpful are: 1) walk away; 2) use distraction to get your mind off it:
3) count to ten; 4) take three deep breaths; 5) use coping statements,
like, �I can handle this,� or �I am in control here�; 6) rationalization
statements, like, �I didn�t want to go to the party anyway�; and 7)
displacement into physical activities like a vigorous game of basketball
Additional Tips for Parents and Teachers
Perhaps the most effective way parents and teachers can
help children develop constructive ways to express anger is to set a
good example. If a teacher or a parent is always yelling, it will be
hard to motivate the kids to work on their own anger management issues.
Conversely, if we model remaining calm even when under stress, and
demonstrate that there are constructive ways to cope with the inevitable
frustrations that arise in daily life, children will want to imitate
such behaviors and eventually, if they are attached to us, will
internalize adaptive coping behaviors.
We need to be careful about the way we think and talk
about anger in children. Even the most furious, enraged child is not
angry all the time. Some children are angry at home, but not at school �
or vice versa. Some kids only become aggressive if they are humiliated.
If we think of kids as monsters or demons, they have an uncanny way of
living up to our expectations.
It is helpful if we can identify the triggers and the
specific contexts that lead to meltdowns and then help the child be
aware of these triggers and ways to cope when provocations are
unavoidable. If the child�s rage poses a risk to others or her/himself,
a mental health evaluation by a licensed psychologist, social worker, or
child psychiatrist experienced in problems of aggression in children is
Reprinted with permission of Westchester Parent Magazine (Feb/06)
Photos were not part of original article.