Managing Temper Tantrums and Aggressive Behaviours Through Structured Behavioural Intervention

To protect privacy, identifying details have been withheld or modified. This case study is shared for educational purposes while respecting the child’s confidentiality and dignity.

Helping with tantrums, aggression, self-control, frustration tolerance, transitions, and cooperation.

Name Har******
Age / sex 7 years
Duration 6 months
Concern Anger, hitting and pushing others, crying loudly, biting own hands, stamping foots
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The parents Reported that the child shows frequent temper tantrums like throwing objects, screaming and crying loudly, hitting and pushing others when his demands are not met. When we say ‘ No’ to inappropriate behavior the child become angry and bites his own hands,and refuses to move.

During the session the child was difficult to cooperate. Refusal to follow instructions, poor sitting tolerance, and repeated shifting from one task to another were obseved. The child shows difficulty waiting for turns, and decreased frustration tolerance in sessions. The child expresses tantrums as screaming, pushing others , stamping feet, and repeatedly saying ‘No’when transition between preferred activity to another happens. Frequent redirection and prompt were needed in doing activities.

A structured intervention plan was prepared and informed to the parents about the plan, and consent was taken from them.

The strategies included:

– To give simple and clear Instructions

– Follow consistant daily routine

– Use distraction and redirection method

– Teach relaxation techniques

– Give positive reinforcement  and praise

– Modeling and prompting

– Use visual schedules

– Planned ignorance of certain behavior

Progress

3 Weeks: The Child showed difficulty cooperating during therapy sessions. Responded as 'No' to every instructions the therapist give. Frequent verbal praise, reinforcement, and support were required to built rapport.
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5 Weeks: Created safe and comfortable environment by consistent therapy sessions and began introducing simple structured routines. The child gradually started cooperating in short structured activities with therapist’s support.
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8 Weeks: Tantrum intensity slightly reduced during preferred activities and sitting tolerance improved but prompts were still needed. The child become more cooperative during sessions also demonstrated improved familiarity with therapy routines.
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11 Weeks : Frequency of screaming, pushing, and stamping feet reduced compared to the initial sessions. Turn taking skill showed gradual improvement with minimal prompt. Reduced need for continues Redirection.
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14 Weeks: The child is more Cooperative,calmer and better and is able to follow Instructions during sessions. There is noticeable changes in temper tantrums. Improved the child's sitting tolerance, transition skills and ability to participate activities with less support.
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Outcome 

The child is currently more cooperative, calmer, and less aggressive during daily activities. A reduction in self-harming behaviors and foot stamping was observed, and the child is showing better response to instructions and guidance.

Family Impact

According to the parents, the child showed positive changes at home after therapy, such as a decrease in self-injurious and aggressive behaviors, and improvement in attention, social interaction, and self-control.

Key insight

With consistent therapy, positive reinforcement, and support from parents, the child showed improvement in managing the reported behavioral difficulties.

Zac Livingston

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