Help with anxious and irritable child

Postby Ems89 » Tue Aug 26, 2014 4:08 am

I work in a school where I'm in charge of 3 and 4 year old kids. There is this child that has epilepsy, his crisis are now controlled, however, he hardly speaks and doesn't socialize with the other kids. When he arrives at school he doesn't play with toys, and just sits with his head resting on the desk. When we give him a book to color he throws it to the floor and pushes away his crayons. After lunch he starts to get really irritated and spends the rest of the day crying because he desperately wants to leave the classroom; we have tried to distract him with toys we know he likes, but he doesn't want them and keeps crying and screaming. He can't be near the other kids because he bites them, pushes them or pull their hair, and the rest of the kids don't want to be near him anymore. Biting is something he does often, he's usually biting his hands or anything he gets his hands on. I also have to add that he takes medicine for his anxiety; for his epilepsy, and he also needs medicine to sleep well at night, but he is still anxious and he doesn't sleep very good.

I really need some advice. How can we motivate this child to work at school? What sort of advice can we give to his parents? We are all sort of getting desperate already.

Thanks in advance.
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Postby Richard@DecisionSkills » Tue Aug 26, 2014 4:23 pm

At 3 or 4 years old don't try to overthink the solution. At that age behavioral techniques along with patience will suffice. This means using both positive and negative and escalating until behavior is modified. When I say negative and escalation, this does not mean going from time outs to water boarding. For instance, you say he wants to lay his head on the desk. Well, do not allow that unless he is good. Laying his head on the desk is a reward for good behavior. It is a reward, because it is what he wants, it is what makes him feel comfortable. Basically, figure out what he likes and what he does not like and use these to provide rewards or to explain that the behavior will not be tolerated, e.g. biting. Your role is to focus on the behavior, let a licensed therapist work on the deeper issues.
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