K.C. asks from Springfield, MO on June 12, 2010
Totally Uncontrollable 3 Year Old Boy
Hello-
My friend's 3 year old son has behavior that is out of control. He is a friendly, loving boy but she can't take him anywhere because he is completely unmanageable. He runs off, gets into everything, is very destructive and impulsive. For example, he is likely to throw something at you just out of the blue...it doesn't seem like he is intentionally trying to hurt you, just that he can't even think that far in advance to realize what he's doing! He destroys everything he comes into contact with and I always feel uneasy when they are at my house. He also seems to still put everything in his mouth....legos, charcoal, dirt, chalk. He has monster fits where he can't be reasoned with at all.
He is extremely large for his age (50 pounds at just 3 years old), which adds to the problem of trying to control him. He drinks milk constantly and has probably 4+ bowel movements a day. I've brought up the possibility of a food allergy to my friend, along with taking him to a neurologist to see if they can find answers as to why he gets so overstimulated. Has anyone seen/dealt with anything like this?
So What Happened?™
Thanks for the help so far. You guys are quick! I should add that he is actually quite tall also for his age, so he's not totally overweight, just really "big". I think he does probably eat a lot of junk food. As for the discipline issue, my friend is pretty tough on him because he pushes her to the extreme with his CONSTANT acting out. She's definitely not letting him get away with anything. It's just like he goes from 0 to 60 in 2 seconds with his level of stimulation, which causes the behavior that he can't seem to control. I've never seen anything like it, and I have 2 boys myself that get wound up.....just never like that!
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A.S. answers from Dallas on June 12, 2010
Get her this book, are 3 year old is very similar and difficult to take out as well. the book has taught us a lot of coping techniques, that not only help us deal with his behavior, but modify it for the better as well, so we are all much happier. As far as discipline goes, there are many many methods, perhaps her method isn't right nfor him? This book addreses that issue as well.
The Discipline Book: How to Have a Better-Behaved Child From Birth to Age Ten by Dr. Sears
http://www.amazon.com/Discipline-Book-Everything-Better-b...
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S.S. answers from Santa Barbara on June 12, 2010
This was my son to a T, when he was three. My guy was little, which made it even worse, he could dodge, dart and duck through crowds like crazy. If I were your friend, I would consider a harness in public. This will keep him safe and her sane. I think the allergy thing might be a real issue. Less, dairy, more water, no caffeine, less processed foods. All of this can contribute to a child that might be ADD/ADHD. At this age though, he may be just being a 3 year old boy. My son was finally diagnosed with severe ADHD, but a lot of his behavior was just being an active 3 yo boy. It would seem to me that he has impulse control issues, which can be be a manifestation of ADD/ADHD. My son also would get very wound up and lose all impulse control when he was hungry or tired; neither of which he will ever admit to, even now at age 11. My son had/has a very strict eating regimine, sleep schedule and new/exciting events were carefully planned to avoid overstimulation. Yes, this put a big dent into my weekends. My son napped during the week and weekends until age 5 and up to age 7 he had "power naps" on the weekends. This toddler might just be extremely overtired, which is very hard to see because the ON button runs on "high" constantly. For kids like this there is no medium or low setting. I suggest a thorough doctor's exam, more sleep (for the boy...sorry mom), test for dairy allergy, limit caffeine, sugar, preservatives, additives, processed foods, add a vitamin supplement. Go from there.
My best to everyone involved. The good news is that this behavior/energy can be corralled and channeled for good, not evil. My son just brought home an excellent report card, got a 100% vote for baseball all stars, and spent the day with a friend and the friend's parent told me what a great job he did. (This mom used to barely tolerate my son when he was little)
S.
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I.G. answers from Seattle on June 12, 2010
Your friend should talk to her pediatrician and then heed the advice she is given even if it is uncomfortable.
Even if he is tall for his age, 50 lbs is not even on the chart for a 3 year old! I checked the CDC growth chart and it ends at 40 lbs (38 is in the 95 percentile). You also say he drinks milk non-stop so given that I don't know this child it seems pretty obvious to me that he is getting too many calories.
That is a lot of energy for a 3 year old, who are often rambunctious and energetic by nature. Even if he doesn't have a food allergy it sounds a lot like she is simply overfeeding him.
Honestly before shlepping him to a bunch of specialists and get all kinds ob evaluations, I would go with a pediatrician and maybe a nutritionist. Even before she goes it would be good for her to keep a diary for a week or two, writing down EVERY bite he eats and everything he drinks as well as his behavior, activity and sleeping habits.
She can work with her doctor on determining his dietary needs and establishing a diet that does not exceed his needs for growth, but provides all necessary nutrients.
Again, not knowing him in person, I would bet, that with a healthy diet and regular physical activity she will get a handle on the behavioral issues. She should give it at least 3 months to see changes, and track his progress together with his ped.
If there are no changes at all, her ped can refer her for additional testing - he will also do so, if he suspects anything that requires evaluation from the get go.
Good luck.
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S.H. answers from San Antonio on June 13, 2010
My brother in law was like this. He was 15 lbs at birth (really) and was absolutely out of control. My MIL (bless her) started charting some of the more terrible outbursts which were accompanied by very self destructive behavior and found that they were like clockwork every two weeks.
She has my utmost respect. She had a hell of a time raising him, he was committed for a short time, kicked out of every school, would bang his head on the ground until he passed out -- but also an extremely sweet boy, and while he was hard to control all the time, the reallly harmful stuff was occasional.
It turns out he has lesions on his brain which they suspect were either caused by birth or a baseball bat swing to the head by another child when he was small. His pituitary glad did not function, either. He was diagnosed with ADHD and is still on meds for depression, but he's weaning off.
I should mention that he is now 24, getting his master's degree, has job opportunites that are beating down his door, is the most wonderful, responsible, caring man. He's engaged to be married and I trust him with the lives of my children.
It was a long road getting here, but he made it. My MIL has raised three incredible men and that was her last. Like I said, she has my respect.
I wish your friend all the best. I can't imagine how hard this musst be... well, I can, I suppose, since I've known my BIL since he was five. But please tell her that no matter how bad, there can be a light at the end of the tunnel and in the case of my BIL, it shines brightly.
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C.C. answers from Dallas on June 12, 2010
Try an occupational therapy evaluation too. If not autistic, could be Sensory Processing Disorder. Touch, sounds, smells can really set them off. Food allergies is a good idea. I am in a yahoo group w/a lot of families on a no/low gluten diet. I've heard to avoid processed foods and artificial flavors. Can always talk to Pedi.
For my SPD sensory seeking dd, last week I put her 3lb lap pad in her backpack and she wore it in Wal-Mart. She did not run off (has always done) and she hardly touched anything w/out checking w/me first. They make weighted/compression vest for this, but not cheap. I do not know a lot about autism, but if he makes a lot of eye contact and hugging that is less likely (did not say it isn't possible
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C.H. answers from Wichita on June 13, 2010
I'm in the same boat. I'd say just be there for your friend like it sounds you are already doing. She needs support more than anything because it's hard raising a difficult child like this. You would not believe how many dirty stares you get from people. Like you just let your kid do whatever they want... when you've tried everything!! I really think he will outgrow it to an extent, but I also think he will probably always be agressive. I would second cutting down the milk though if he drinks it all day long. I think they're supposed to get 2- 8 oz glasses a day. My 3 year old is 42 lbs and almost as tall as my 5 year old... so he's a big kid too! One other possible option is sleep apnea. My ENT had me check for that but we're actually going in to get tonsils out because it's interfering with his breathing and sleep. And don't forget, even though he's a big kid... he's still only 3... he's got a lot of growing up and learning yet to do! Good luck to you and your friend!
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C.D. answers from St. Louis on June 13, 2010
Food allergies can definitely affect behavior dramatically, although some docs say they are unrelated. By the way, with food allergies, traditional allergy test aren't necessarily going to give you the full picture. My daughter was allergic to EVERYTHING, including badly allergic to corn and dairy, and really nothing showed up on skin or blood tests. We had her tested and treated with some holistic treatments and she's doing much better. She did have behavior issues, although not as bad as you describe. The allergy doc we are seeing now saw a boy who was "psychotic" on red dye 40....he was treated for it and is now fine. The best way to identify allergens (aside from testing) is avoiding foods and see if he improves...milk would be the first to try, but it takes as long as two weeks to clear the system.
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C.B. answers from Kansas City on June 13, 2010
i would be concerned with some kind of medical issue IF it was only one or two things, but when you add behavior problems + drinking milk constantly (someone has to be allowing that) + such a large child (is she intimidated by him? because my son is 3 1/2 and 45 lbs and i have no problem controlling him) + 4 bm's per day, + "monster" fits...i imagine she has a problem telling this kid no. you seem to think that she is very firm with him, but is she really? or does she just seem that way around people? i know some mothers who "seem" very strict but it's only because when their unruly children embarass them, THEN they react. if she is consistent with her discipline, doesn't allow these behaviors (a clue might be if he acts this way when he is away from her?) then maybe there is a problem and she should definitely get him looked at. i guess the question is, if she's such a good mom, why hasn't she already? i know this is your friend and you seem very loyal to her, but either it's a discipline problem, which is on the parents' shoulders, OR it's a medical issue, and she needs to do something, probably should have already.
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B.M. answers from Eugene on June 12, 2010
I would encourange her to get him evaluated. There could be a lot of things going on for this little guy. Kids don't just need a good spanking. It is likely that he thinks differently and she does not know how to deal with what might be going on in his head. I know how she feels. My daughter was always "very difficult". I had no idea why she would do the things she did when I took her out in public. I just kept trying to find things that worked. I later on found out that she has autism.. I am not suggesting that he has it.. I don't know what the boy is dealing with, but I know that he is not trying to just be a bad kid.. Kids at three are learning about things. It might be possible that he has sensory issues. If he is mouthing objects, throwing things, destroying things there could be reasons behind it. Is he trying to communicate? Does he want to see what happens to something when he throws the object? I am not saying these things are acceptable, but usually there is something behind a behavior, we just might not know what it is.
I bet this mom really needs a break and some times to see things from a different angle. It is heartbreaking as a Mother to see your child is acting different from most others. She is likely overwhelmed and needs someone she can trust..I know how she feels, I know what it is like.. It is tough to have a child that is so "high mantaince" It is very wearing.. HOWEVER, finding out if there is somethin going on is the key to helping him and herself!! Good luck!
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