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Edited on Mon Nov-10-03 07:27 PM by jobycom
For several reasons. One, doctors are just guessing, too. Even when they can show you tests that demonstrate something chemically or physically wrong, they are just guessing that they have found a cause and not a symptom. Second, if a doctor gives him an excuse, he may assume he's supposed to be like that. Third, they may give him some medication that will make the problem hide for a while without actually finding the cause of it. Of course, they may actually discover something, so don't take this advice too far, but trust yourself more than them. I've seen way too many parents-- my own included-- who put too much faith in doctors.
My four year old becomes a terror sometimes, for months at a time. Earlier this year she was out of control. She was fighting at her daycare, biting kids, drawing blood, kicking babies, etc. When she got home she would do it to my 10 year old, even to her mom. Not often to me, though. That's what convinced me she wasn't totally out of control, as a medical condition might indicate.
We--mostly I, since she wouldn't listen to mother-- put her in timeout a lot, but she spent hours in timeout and it never affected her. And as you know, when kid's in timeout, parent is, too, if the kid won't stay in timeout. I had to sit and watch her the whole time. So I started trying other things. I started taking away her toys, until she literally had none left. I would send her to her room, but she didn't care.
The one thing I kept doing, though, is talking to her. I asked her why she was fighting, why she was being bad, why she was trying to hurt people. I would ask sincerely, btw, not rhetorically, and I would respond to her answers. Firm, but attentive and sympathetic. And I would give her advice. She literally told me that she had bad things in her head making her do these things.
After a few months it paid off. She gradually stopped fighting. I would help her along by rewarding her daily for not getting in trouble-- not big rewards, just exagerated "Way to go"s and stuff like that. Now and then she still gets that way, but not for long.
I think there were several reasons. One, her favorite teacher had been fired amid a lot of tension at her daycare, and she hated that. Two, some of her friends had left (it was the beginning of a school year, so the older kids went to knew schools). Three, she is an incredible bright and talented kid, and she was at a stage where she wanted more input, more communication, more interaction with people, more stuff to learn and do, and she wasn't getting it. I think my conversations with her helped her there, because someone was helping her express herself. Frustration in learning and communication really drive kids crazy. And four, my wife and I don't get along, and the tension was starting to show, so my daughter was scared one of us would leave.
All in all, in short, she needed attention, didn't get it, and got out of hand, and we got her back by giving her attention but not rewarding the bad behavior. I think that last part is key. If the kid is trying to get attention by being bad, and is getting it, he will be encouraged to be worse. That's why when I punished her, I would wait a while and then begin giving her the attention she wanted. And I began giving it to her whenever she was good, and giving her better rewards for being good. It was still a drawn out process, because even putting a child in timeout sometimes makes the child feel noticed and appreciated, in a perverse way, and it gives the child the ability to control something, even if the control is negative. So when I punished Adrienne I was rewarding her, though I had to do it. I just made sure I rewarded her more for other things.
If your son is attacking doctors, he may be enjoying the attention. Is there anyone he listens to, or is afraid to attack? If so, he has some restraints, and the problem is probably emotional. If he's equally out of control with everyone and shows no real notice of who he is attacking or disobeying, then it might be medical, though I'd be really sure before I let a doctor start experimenting.
Hang in there, though. These things are very trying. Just don't lose your temper with him, and don't let him win at it. Although you have to let him win at other things to balance it out.
Sorry I talk so much. I'm that bad in person, too. :-)
On edit, one more thing. If he's refusing to go to school, and the doctor visits are taking him out of school, I'd be surprised if there wasn't something emotional happening because of school. Maybe nothing that would seem serious, but maybe he feels lost there, or misses his family, or maybe there is a teacher issue. Could be all of those things, combined with dislike of food and a classmate. But that seems to be a clue. Maybe he's figured that by being really bad he can miss more school.
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