Sanidhya Psychiatric & Physiotherapy Center
Causes of Aggression in Children
Aggression is one of the first responses to frustration that a baby learns. Grabbing, biting, hitting, and pushing are especially common before children develop the verbal skills that allow them to talk in a sophisticated way about what they want and how they feel.
Children are often rewarded for their aggressive behavior. The child who acts out in class generally gets the most attention from the teacher. The child who breaks into the line to go down the slide at the playground sometimes gets to use the slide the most. One of the toughest problems parents and teachers face in stopping aggressive behavior is that in the short term it gets the child exactly what he wants. It’s only after a few years that inappropriately aggressive children must cope with a lack of friends, bad reputations, and the other consequences of their behavior.
For some children, this tendency toward physical aggression and other difficult behaviors appears to be inborn. There’s some evidence that a proportion of these children may be identified as restless fetuses that kick significantly more than other fetuses. Many very aggressive children are noted to be restless infants even before they begin to crawl and walk.
These overly aggressive children appear to have less mature nervous systems than other children their age. This shows up in a variety of problems with self-control. They cannot sit still for more than a few minutes. They are easily distracted. Once they begin to get excited or angry, they have difficulty stopping themselves. They are impulsive and have trouble concentrating on a task for more than a few minutes or even seconds.
Aggression in children can be a symptom of many different underlying problems. It’s a very polymorphic thing, a commonality for any number of different psychiatric conditions, medical problems, and life circumstances. And so at the very essence of treating aggression is first to find out what’s driving it.
We can break down the causes for aggression into several groups.
Mood disorders – First, are there mood issues? Kids who are bipolar, in their manic stages, very frequently become aggressive. They lose self-control, they become impulsive. On the other end of the spectrum, when they become depressed, although aggression is less common, they can become irritable, and sometimes that irritability and cantankerousness causes kids to lash out.
Psychosis – The psychotic illnesses may also manifest with aggression. For example, kids with schizophrenia are often responding to internal stimuli that can become disturbing. Sometimes kids with schizophrenia become mistrustful or suspicious—or full-blown paranoid—and they wind up striking out because of their own fear.
Frustration –Kids who have problems with cognition (what’s now called intellectual impairment) or communication (including autism) may also manifest with aggression. When children with these conditions become aggressive, they often do so because they have difficulty dealing with their anxiety or frustration and can’t verbalize their feelings as others do. The aggression may also be a form of impulsivity.
Impulsivity- And then there are the disruptive behavior disorders. In children with ADHD, the most common of them, impulsivity and poor decision-making can lead to behavior that’s interpreted as aggressive. These children often don’t consider the consequences of their actions, which may come across as callous or malicious when they’re really just not thinking.
Conduct Disorder –With conduct disorder, aggressiveness is part of the matrix of the illness, a large component of what that is. Unlike the child who just isn’t considering consequences of his actions, kids with CD are intentionally malicious, and prognosis is quite different.
Injury – And sometimes there are organic reasons for aggressive outbursts, when a child has frontal lobe damage or certain types of epilepsy. In these cases there may be no comprehensible reason for the aggressive episode, and the episode could have an explosive component.
Trauma – Finally, there are times when aggression in children or teenagers is provoked by stressors in their situation, and do not represent an underlying emotional illness. But it is important to understand that this is fairly rare, and when aggression begins to happen on a more frequent basis, it could represent a brewing emotional problem.
There are times when even the most docile children appear to have the aggressive tendencies of a professional wrestler. While a certain amount of pushing and shoving is to be expected from all children, especially when they are very young, there are a few for whom aggression becomes a way of coping with almost any situation.
These overly aggressive children are not bullies; they often get into fights with people who are stronger than they are. They face problems not because they are aggressive, but because they become aggressive at times that are inappropriate and in ways that are self-defeating. They routinely argue with teachers and wind up in far more than their share of schoolyard scraps.
In some cases, this pattern of easily triggered aggression appears to be rooted in the children’s developing nervous systems. They appear to be physiologically unable to control their impulses as much as other children their age. For others, it is often a matter of needing to learn and practice social skills.
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