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    Jay L. Hoecker, M.D.

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Question

Temper tantrums: What's normal, what's not?

My 3-year-old son has frequent temper tantrums. How can I tell if the tantrums are normal for a child his age — or if they're a sign of something more serious?

Answer

from Jay L. Hoecker, M.D.

Tempter tantrums are a normal part of growing up. Often, temper tantrums — which may include crying, screaming, or stomping up and down — are simply the expression of a child's frustration. As self-control improves, temper tantrums typically become less common. Most children outgrow tantrums by age 4.

Sometimes, however, temper tantrums can indicate an underlying issue, such as:

  • Developmental delay
  • Attention-deficit/hyperactivity disorder (ADHD)

Rarely, temper tantrums may indicate a more serious condition, such as Asperger's syndrome.

To determine whether your son's temper tantrums are cause for concern or simply an age-appropriate response to frustration, ask yourself these questions:

  • How often and in what settings do the temper tantrums occur?
  • Is your son's speech development on track?
  • Are your son's motor abilities and curiosity normal for his age?
  • Are you able to manage the tantrums?
  • Has your son ever injured himself or others during a tantrum?
If you're concerned about a possible underlying condition or if your son's tantrums seem especially severe, consult your son's doctor. He or she may offer assurance that your son's behavior is normal — or explore the possibility of any underlying conditions that may be contributing to the tantrums. Next question
Toddler speech development: When should a parent be concerned?
References
  1. Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 9, 2009.
  2. Sim LA (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 13, 2009.
  3. Prazar GE. Temper tantrums and breath-holding spells. In: McInerny TK, et al. American Academy of Pediatrics Textbook of Pediatric Care. Elk Grove Village, Ill.: American Academy of Pediatrics; 2009:1316.

AN01967

April 1, 2009

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