Our 9 year old son had always had difficulty regulating his emotions and can become quite angry quickly and over what others would perceive to be small things. He had calmed down and had matured but in this last few weeks he has struggled again. At home, he has been saying things like 'I'm ugly' 'I want to die' 'I'd be better off gone' 'I'm a bad person'. We try and talk to him however he gets angry and can't seem to share why he feels the way he does. The last 2 days of school have been horrific, he slapped another child yesterday which resulted in him being banned from football and missing 20 minutes lunch- the teacher said he felt he had been provoked. Today however, he has slapped another child at breaktime because he said they were shouting in his ear. He then refused to leave the classroom and told his teacher he hates them (I know this isn't true as he says how much he loves her!) He then went down to the headteacher and spent an hour there before being able to return to class after lunch. The headteacher agrees he suffers with very low self esteem and said she was concerned as he is able to show remorse but no responsibility. He also likes to have something in his mouth, I thought this was to replace his thumb sucking but now I'm not sure and is also heavily obsessed with football- which is a common theme, before that it was pokemon and up until about 6 it was solidly Thomas the Tank Engine. He can be very silly around friends and shows off which comes across as immature. He can also be very messy and has recently had a really poor attitude. He is very intelligent - very good at maths. He also shows no regard for safety and will quite often run across the road before checking it is safe. I just really don't know what to do anymore - school are going to put him forwards for some emotional support but have said they don't think it's anything other than emotional regulation difficulty. It doesnt help that they agree it is a tricky year group with lots of strong characters. Is anyone else going through this and does anyone have any suggestions to help?