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How to deal with headbanging when told "no"

12 replies

zen1 · 29/01/2011 22:38

Bit of background: DS3 is 2 and has possible ASD (loads of sensory issues and speech and language difficulties). However, he is understanding more and more, and can often interpret what I'm saying just by slight variations in tone of voice. He follows me round all day, demanding things, clinging to my legs and screaming if I don't do what he wants when he wants it.

Obviously it is just not possible to give in to him all the time as nothing would ever get done. If I say "no", "just a minute" or "just coming" to him (never raise my voice at all, but he can tell any of those phrases mean that I'm not coming straight away) he screams or growls and then bangs his head on the nearest hard surface before busrting into tears.

I want him to understand that I can't always come running immediately I am "summoned", but also am scared he will hurt himself banging his head. Distraction works, but again, this means leaving what I am doing and finding alternative toys etc, so still not getting anything done.

Anyone have any ideas?

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purplepidjin · 29/01/2011 23:01

It sounds really harsh, but do not react to the behaviour. If he is doing it repeptitively, put a cushion between him and the surface. But if he gets attention for doing it, he will most likely do it more iyswim.

BialystockandBloom · 29/01/2011 23:16

Well, we're doing ABA with ds, and the approach is basically to consistently ignore 'inappropriate' behaviour (headbanging being one example), and reinforce (ie reward) good/appropriate behaviour. There's obviously a lot more to it than that, but just as a rule of thumb, following this principle you would either:

distract with something completely different to the thing he wanted. If this doesn't work (as you say it doesn't), then:

totally ignore the headbanging/tantrum until it is completely over, then once you know he has totally calmed down, carry on with what you were doing beforehand, chatting all the time. When he has stopped the headbanging or whatever, and calmed down, then give him what it was he was asking for. The key thing is that he should get the 'reward' not by tantruming or headbanging, but by being calm and asking appropriately.

It is difficult to ignore behaviour like this, and takes lots of practice to put aside the natural instinct to comfort/distract, but the basic message to the child is that inappropriate behaviour (shouting, hitting, banging whatever) basically doesn't get him what he wants. Eventually he should learn that he needs to try another means of communicating.

The key thing is to let him know, in a way he understands, that you will give him what he wants, but just not if he shouts/bangs/tantrums to get it.

I don't know the level of understanding your ds has, and he is still very young, but you could try saying clearly, calmly and slowly "I will get xyz for you when I finish washing up/tidying/whatever". When you are confident he understands this, carry on with doing what you need to do. Ignore whatever he is doing in the meantime. When you have finished what you are doing, give him the thing he wanted.

I am sure he will not hurt himself by headbanging - he is doing it because he's a smart cookie and knows that you come running when he does it. If you stop doing this, and teach him more appropriate ways of getting your attention, he'll realise it's simply not effective, (my ds went through a huge repertoire to get his demands met that instant, including a particularly charming phase of pulling my top and spitting on it Hmm until eventually he twigged that if he just calms down and asks nicely then he might get what he wants!).

This probably sounds a bit hard-core, and is based on ABA therapy so might not be totally appropriate, but tbh I think it's a good rule of thumb to start as early as possible letting your dc know that you're in charge, not them.

zen1 · 29/01/2011 23:18

Yes, it is hard not to react to it, but I know it makes sense to ignore it. Just worried that he won't ever get the message. I spend every day on edge waiting for his demands and wondering how much I can get done before hearing a scream (10 minute record so far). The thing is, if I go upstairs (he can't follow because he can't yet walk), then it is "out of site, out of mind" and I can get away with maybe 20 minutes.

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BialystockandBloom · 29/01/2011 23:18

Ah, ok purplepidjin has said in two lines what I took 10 paragraphs to say! Yep, basic principle is that the more attention he gets for doing it, the more he'll keep on doing it!

zen1 · 29/01/2011 23:28

X-posts Bialy, thanks for your reply. He definately does it because I do come running (usually just for a quite life!), and often he checks I am looking at him before headbanging, smacking himself on the head etc. I'm not sure he understands the concept of "when I've finished" or "in a minute", he just reacts to the fact that I've responded negatively to his demands. It is useful to know that I am not being cruel to him if I ignore his behaviour, so I'll try it. I have no problem letting my other DS's know I'm in charge, so it's nice to know that I don't have to treat DS3 differently Smile

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BialystockandBloom · 29/01/2011 23:51

Ah, it sounds like he's got used to you jumping to his demands! Honestly I know what it's like - as you say, anything for a quiet life. But in the long run you're doing the best thing for him by teaching him to be able to wait.

Don't worry about having to leave the room/go upstairs to do it. You might have to harden youself but really, he will not actually hurt himself - he's doing it because he knows you will respond to it. As soon as he realises it doesn't get the response he wants, he'll stop it - might take a day, a week, two weeks, but he will learn.

Don't even look at him when he's doing it. Turn away, don't react, don't even let him know you've seen him doing it. It might get worse for a bit before it gets better, but it will get better.

If he doesn't understand concepts of time (of course he probably won't, he's only 2!), try using tangible things like an egg timer, stopwatch, anything you can time for a short period like a minute, and say "when the x beeps then you'll have x".

Also don't feel guilty about him keeping it going for 10 minutes or more. I think a record for my ds has been 30 minutes! But within just a couple of months these kind of behaviours have virtually vanished altogether. Just need to be consistent!

Good luck!

Is he being assessed for asd (?) btw? Hope you're on the way to getting some support?

zen1 · 30/01/2011 00:01

Thanks, will just have to strap myself to the mast for a couple of weeks and see what happens!

He has been seen by paed who said "mild delays", SALT, who was a bit rubbish and just noted that he liked to put toys in and take them out of a shape box. Said she thought he was a year behind in speech (I ranted a bit about that on here a few weeks ago) because he didn't follow her commands, but basically he didn't want to put a teddy on a chair and make it a cup of tea. If she had asked him to load a washing machine, put the powder in and switch it on, he'd have complied no problem. His receptive language is better than his expressive. I think he has about 50 words now. She noted hand flapping (does this a lot when excited and anticipating something).

He's also on the waiting list for portage and OT. The thing is he has loads of sensory issues, but becuase he's sociable and wants adults to play with/entertain him, experts aren't going down that road yet. In our area they won't diagnose at 2. It's really annoying because in my heart, I know he's definately on the spectrum.

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BialystockandBloom · 30/01/2011 00:03

Sorry, my last post a bit ambiguous - I meant you shouldn't leave the room at all. Don't go upstairs to get away from it. By leaving the room you're still showing him you're reacting to it. Just carry on with whatever you're doing.

BialystockandBloom · 30/01/2011 00:10

x-posts!

He sounds quite a bit like my ds. V sociable, but v controlling! My ds diagnosed with mild asd - high functioning end.

Lol at washing machine expertise! Ds has this down to a fine art now - even knows which is the spin cycle!

Going to bed now so can't chat more now but will keep my eye out for you on this board.

ArthurPewty · 30/01/2011 09:11

This reply has been deleted

Message withdrawn at poster's request.

Spinkle · 30/01/2011 09:27

My DS did exactly the same at the same age. Same set of problems.

Had to ignore it.

It was a horrible phase. He'd clout his noggin on patio, doors, roads, the lot.

It was mostly down to frustration and control, I think.

It passed though - but truly an awful period we've lived through.

Sending you plenty of strength(())

zen1 · 30/01/2011 14:43

Thanks Leonie and Spinke. DS3 is 26 months and I have started to notice some of the parents at the toddler groups etc that I go to looking at him thinking "what is wrong with that child". As I said, he is sociable, but only with adults and his brothers. He hates it when other toddlers / babies come up to him and "freezes" or moves out of the way as quickly as possible. Not even happy to play alongside other kids.

Spinkle, I agree absolutely about the frustration and control, especially as he hasn't the language to say what he wants all the time. Going round the shops this morning there were several episodes where he threw his head back in the pushchair (always manages to hit the metal frame of the pushchair, never the paded seat Hmm)just because he was fed up with shopping.

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