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4 year old meltdowns biting and pinching self.

5 replies

Thechilddoesprotesttoomuch · 15/02/2025 23:01

4 year 3 month old DD. Happy baby and generally happy toddler. Usual tantrums and testing of boundries, strong willed, but generally a very kind, caring, polite child. Never had issues other parents complain about for example if in a shop and she sees somwthing she wants. She's never once been upset when i've said no. However her behaviour is feeling a little like it's going from regular toddler/pre schooler behaviour to some i'm not sure is as regular.

She will on occasion have epic meltdowns. Over seeminginly silly things. For example asking her to get her shoes on to go to tesco. It will start with a i don't want to go and when setting the boundary kindly but firmly and even offering an option i.e do you want to put your shoes on yourself or do you want me to help, it can escalate. To her screaming at us saying she doesn't want to, shouting just stop talking at me while crying. She then often will proceed to either pinch or bite herself. For this i will stop her and say very calmly i can't let you hurt yourself, but often this leads to more frustration and anger. When She is angry she is almost uncontrollable. I manage to usually talk her down by sitting quietly and just calmly explaining the boundary and why it's set. Just repeating it and reinforcing i'm there if she wants or needs help. Sometimes she'll come for a cuddle and we'll calm down that way. Sometimes she'll calm down enough to reason with. But all in its a good 20 plus minutes to resolve. Reflecting on it this evening i'd say alot of these meltdowns are more likely when the plans or expectations of the day aren't clear or more sprung on her. Getting ready for preschool she's a bit resistant but generally okay to get ready. I find forceful or over firm actions/language escalates the situation. I do always hold the boundry but have started to do this in the calmest way i can.

Pre school report her being 'emotional' she will refuse to do things. And get really upset if she feels like she's been told off. There has been occasions she's refused to be involved in activities. But is generally well behaved there. We get alot of reports of her helping other children and positive engagement as well they've expressed no significant concerns to us. She has never hurt another child.

She has high frutration over things not going right. She gets incredibly frustrated easily over simple things. Like building a tower and it collapses or not being able to do a task. She will go a bit mad stamp her feet, pinch or hit herself at times and shout at herself. I always approach it calmly and before helping explain what happened and its okay we can solve it. Sometimes this works sometimes it doesn't.

What are peoples thoughts on these behaviours and how to approach. Is this just 4 year olds?

She has met milestones on the whole. Although i would say slightly behind on fine motor skills. She can't figure out peddling on a bike, but otherwise gross motor has largely been on track or a bit ahead. Socially she seems ok. She will chat to children and adults happily. Sometimes struggles in birthday parties in unfamiliar places. But so do a lot of children there so haven't considered it an issue.

I am awaiting assessment for ASD. Although who knows if i'll get a confirmed diagnosis. I really don't want to be one of those parents who goes straight for ASD as a goto and i'm not sure if these behaviours are really that or actually just more normal or could be a wider behaviour issue. I also don't think any medical professional would take it seriously enough for referral or assessment. Health visitors are near non existent here and because of her age they're near the not caring anyway. Not sure if GP would even want to know and if this is something they'd deal with.

Anyone experienced sinilar and have any insight.

OP posts:
NearlyThere2025 · 16/02/2025 04:06

I'm glad you mentioned ASD because as I was reading it your post immediately reminded me of my own DD

Very very similar to your DD. Met all milestones, seems to be able to socialise ( but once I'd learnt more about ASD she actually doesn't have a proper conversation. She information dumps )

My DD started hurting herself once she started school. Looking back she clearly couldn't cope, but I had no idea at the time she was autistic.

I really don't want to be one of those parents who goes straight for ASD as a goto

I wouldn't think like that. If she is autistic, it sounds like she's high functioning like my DD and I think that comes with it's own difficulties because off face value they seem "normal". They need us to advocate for them.

To me, it definetly sounds like she has a lot of the same traits as my own DD. It is not normal behaviour for our children to self harm at such an early age

There are lots of things you can buy to help.... sensory bracelets ( their just like baby chew rings which are a little cheaper tbh ) skin picking pads, elastic bands on wrist.... ear defenders might help, a lot of the time when my DD is getting frustrated the external noises make it worse,

I got my DD a travel spray bottle and she sprays herself with water when she's getting upset.

also don't think any medical professional would take it seriously enough for referral or assessment

You can request an assessment through right to choose with your GP. They cannot say no.

It took a long time to get my DD the support and help she needs because I didn't advocate better for her or myself. We fled DV when she was a toddler and for a long time proffesionals blamed her behaviour on what she had witnessed. I wish I had been stronger and advocated for her better but it's very difficult when your basically being told its your fault and she's traumatised. I had been seeking help for her since she was 4 and she has been diagnosed at 10.

Definetly go to the GP about right to choose if you are concerned it is ASD. Children with ASD can end up traumatised just from being autistic and not being supported properly, their nervous systems are so sensitive that the world around them can really stress them out.

Sorry to have rambled,

Thechilddoesprotesttoomuch · 16/02/2025 08:55

NearlyThere2025 · 16/02/2025 04:06

I'm glad you mentioned ASD because as I was reading it your post immediately reminded me of my own DD

Very very similar to your DD. Met all milestones, seems to be able to socialise ( but once I'd learnt more about ASD she actually doesn't have a proper conversation. She information dumps )

My DD started hurting herself once she started school. Looking back she clearly couldn't cope, but I had no idea at the time she was autistic.

I really don't want to be one of those parents who goes straight for ASD as a goto

I wouldn't think like that. If she is autistic, it sounds like she's high functioning like my DD and I think that comes with it's own difficulties because off face value they seem "normal". They need us to advocate for them.

To me, it definetly sounds like she has a lot of the same traits as my own DD. It is not normal behaviour for our children to self harm at such an early age

There are lots of things you can buy to help.... sensory bracelets ( their just like baby chew rings which are a little cheaper tbh ) skin picking pads, elastic bands on wrist.... ear defenders might help, a lot of the time when my DD is getting frustrated the external noises make it worse,

I got my DD a travel spray bottle and she sprays herself with water when she's getting upset.

also don't think any medical professional would take it seriously enough for referral or assessment

You can request an assessment through right to choose with your GP. They cannot say no.

It took a long time to get my DD the support and help she needs because I didn't advocate better for her or myself. We fled DV when she was a toddler and for a long time proffesionals blamed her behaviour on what she had witnessed. I wish I had been stronger and advocated for her better but it's very difficult when your basically being told its your fault and she's traumatised. I had been seeking help for her since she was 4 and she has been diagnosed at 10.

Definetly go to the GP about right to choose if you are concerned it is ASD. Children with ASD can end up traumatised just from being autistic and not being supported properly, their nervous systems are so sensitive that the world around them can really stress them out.

Sorry to have rambled,

I think the challenge is that i'm not sure she'd meet assessment criteria. So even if we did push for assessment, besides being years of waiting, i'm not sure they'd support diagnosis. We jave provision to pay privately but as far as i'm aware the NHS and even schools don't support private diagnosis, so would end up on the NHS list for any kind of care anyway. Preschool have so far mentioned nothing of concern. It's an excellent setting, with several children with additional needs. But i will admit chatting to them, their knowledge of ASD is minimal. Her major meltdowns are left for us. I also get the feeling they don't really get her ans how best to manage her refusual to do tasks or lack of engagement.

I think the meltdowns and her life is improved a little by my reaction to it. I can relate to her feelings of frutration and difficulties as I was that child. Her dad struggles more.

The information dumping thing is interesting. She does blurt out a lot of stuff to random people. I just took it as normal child bejaviour (i think i did it). But it is just a load of information shared.

I did wonder about chew toy type things. i might talk to her about it when she's calm and see if we can redirect the action. She's had times in the past she's been overwhelmed with noise. We had a phase when she moved up to preschool where she'd mention it was too noisy or the children are so loud. But generally she's been better lately. She loves things like softplay that are loud. It's more like demand avoidance we struggle with i suppose.

OP posts:
MudandParsnips · 16/02/2025 09:26

Sorry you're going through this OP. Sounds really tough and draining. If it helps, my daughter was/is quite similar - we also had some times where she would hurt herself and it was awful to watch. Yes, it very much stemmed from frustration and disappointment. She's 6 now and hasn't done it for a couple of years - we got a glitter bottle to shake to try and calm her down, squishy toys to play with or chew on, taught her the right emotional language so she could express herself.
I have to say, she's absolutely thriving - loves school, happy, good friendships etc. She does still have angry and frustrated outbursts and is very sensitive, but it's a facet of her personality. Unless there are lots of other signs I wouldn't necessarily assume ASD. Good luck!

MudandParsnips · 16/02/2025 09:28

MudandParsnips · 16/02/2025 09:26

Sorry you're going through this OP. Sounds really tough and draining. If it helps, my daughter was/is quite similar - we also had some times where she would hurt herself and it was awful to watch. Yes, it very much stemmed from frustration and disappointment. She's 6 now and hasn't done it for a couple of years - we got a glitter bottle to shake to try and calm her down, squishy toys to play with or chew on, taught her the right emotional language so she could express herself.
I have to say, she's absolutely thriving - loves school, happy, good friendships etc. She does still have angry and frustrated outbursts and is very sensitive, but it's a facet of her personality. Unless there are lots of other signs I wouldn't necessarily assume ASD. Good luck!

Sorry, means to say 'very occasionally' have outbursts, they're very rare and usually at the end of term, when she's knackered etc.

VivaVivaa · 16/02/2025 21:08

I think the challenge is that i'm not sure she'd meet assessment criteria

I thought the same about my then 4 year old. Who, whilst not identical to your DD, shares a lot of traits. Highly articulate, academically able, but extremely emotional, frustration intolerant, clear sensory preferences, demand avoidant and behind on fine and gross motor. He scored 21 on his ADOS assessment (out of 30, at age 4 somewhere around 9 is enough to be significant). While there isn’t a direct correlation between score and ‘severity’ of autism (for want of a better, less ableist expression) it was clear he met criteria, in the context of everything else.

We have provision to pay privately…so would end up on the NHS list for any kind of care anyway

There isn’t really any kind of ‘after care’, NHS or private. But, before spending out on a private autism assessment, I’d recommend considering a private OT assessment, +/- SALT +/- educational psychologist. The private therapy reports have been a lot more useful for making a tangible difference to our day to day existence. They are also likely to indicate to you if they think neurodiversity is indeed present.

The information dumping thing is interesting. She does blurt out a lot of stuff to random people…But it is just a load of information shared

This is exactly what my son did (and still does). It was only in the assessment I realised he has a complete lack of reciprocity. Most 4-5 year olds, even those nowhere near as articulate as mine was, can have a simple back and forth conversation. We never realised that my son just doesn’t really do that. It’s all on his terms. There was a SALT in his assessment who picked up he has the functioning of a much, much younger child when it comes to conversational speech as opposed to information sharing speech.

I can relate to her feelings of frustration and difficulties as I was that child and I just took it as normal child behaviour (i think i did it)

Is there any chance you may be neurodiverse OP? It took my son being assessed for me to realise I am. There is a highly heritable element to ND.

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