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Behavioural Concerns

Attention Deficit Hyperactivity Disorder (ADHD)


ADHD, or Attention Deficit Hyperactivity Disorder, is a neurodevelopmental condition affecting many children and adults. For children, it is common to have trouble focusing once in a while or to have difficulty controlling behaviour. However, in ADHD, children may have persistent patterns of being unable to pay attention, be overly active, or having difficulty controlling behaviour, and these patterns often affect school, friendships, and family relationships. Effective ADHD treatment with a psychologist can provide strategies and support to manage these challenges. These symptoms typically emerge under the age of 12. 

Symptoms of ADHD in children include:

  • Constant worry, out of proportion to the impact of an event
  • Frequent daydreaming
  • Forgetfulness or often misplacing things
  • Squirming or fidgeting often
  • Talking excessively
  • Taking unnecessary risks
  • Having difficulty resisting temptations
  • Having trouble taking turns
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ADHD In Adults

ADHD can also be seen in adults as it can often go undiagnosed in childhood. 

Symptoms in Adults 

  • History of difficulties with academic performance or work
  • Often being late or forgetful
  • Low self-esteem
  • Impulsivity
  • Substance misuse or addiction
  • Difficulty staying organized
  • Procrastinating tasks
  • Trouble concentrating when reading
  • Mood swings, anxiety, and/or depression

If you’ve experienced any of the above symptoms, you may be suffering from anxiety. Contact us for a free 15 minute consultation to see how we can help. 

How is ADHD treated? 

Psychotherapy can assist individuals with ADHD to learn ways to handle emotions and frustration, as well as improve self-esteem. Specifically, cognitive behavioural therapy and mindfulness can help individuals improve focus, concentration, and patience. 

Family therapy can also help parents and siblings manage stress that may be created within the family. Individuals who do not seek ADHD treatment may have trouble managing time or remembering things, which can begin to cause problems in work and relationships. 

If you or someone you know is struggling with Attention Deficit Hyperactivity Disorder, contact us to see how we can help.

Aggression


Aggression can be defined as angry or violent feelings or behaviour. However, it’s important to note that individuals who are aggressive are not necessarily violent. Having aggressive outbursts occasionally is common. However, you should seek help if you are experiencing aggressive behaviour frequently. Aggressive behaviour can be linked to depression , anxiety , PTSD , or other mental health conditions. 

Examples of behaviour that may be considered aggressive include: 

  • Physical abuse 
  • Shouting
  • Cursing 
  • Personal insults or name calling 
  • Threatening gestures 
  • Sexual harassment 
  • Emotional abuse 
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Aggression in Children 

Aggression in children can come in many forms including temper tantrums , hitting, kicking, biting, cursing, or making threats. Often aggression in children can be signs of mood disorders like bipolar disorder or depression , as well as ADHD . Additionally, aggression can sometimes be a response to trauma . 


If you feel as though your worries are out of control, excessive, or impacting your daily life, you may need treatment. Cognitive behavioural therapy (CBT) has been found to be an effective form of psychotherapy for individuals dealing with worry as it can help to challenge thoughts related to worry and teach ways to help cope with worry. 

Anger


Anger is one of our most basic human emotions and is related to our response to threats. Feeling angry in certain situations is normal, but feeling angry all the time can cause significant problems in social, work, and family life. Anger can also trigger physical symptoms like an increased heart rate and high blood pressure. Mild anger may be caused by fatigue, stress , irritability, grief, or sadness.

Signs that anger may be a problem is: 

  • Often holding in anger until it explodes
  • Getting into fights with friends and family often
  • Threatening to hurt others or damage property
  • Feeling unable to control anger
  • Having problems with the law

Cognitive-behavioural therapy (CBT) can be effective in helping individuals explore sources or anger and finding better ways to control it. Additionally, mindfulness can be helpful to calm anger in the moment when it occurs. 

Temper Tantrums


Temper tantrums can be defined as unpleasant or disruptive emotional outbursts that often occur in response to unmet needs. Tantrums are likely to occur in children who cannot express their needs. Tantrums can range from crying to screaming, kicking, hitting, or holding one’s breath. Tantrums are a normal part of child development and how young children show that they are upset or frustrated. Anyone can have temper tantrums, including adults. However, they are most common between ages 1 and 4. 

Oppositional Behaviour


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It’s extremely common for children to have occasional outbursts of frustration and disobedience, but a persistent pattern of anger and defiance could be a sign of oppositional behaviour, or possibly oppositional defiant disorder (ODD). 

Some example of oppositional behaviours in children can include: 

  • Frequent temper tantrums or episodes of anger
  • Being unusually angry or irritable
  • Refusing to follow rules
  • Excessive arguing with adults and authority figures
  • Always questioning or disregarding rules 
  • Blaming others for their behaviours 
  • Being easily annoyed 

Oppositional behaviours can also occur in adults and can include: 

  • Feeling angry at the world
  • Having a strong dislike for authority figures 
  • Being defensive or not being open to feedback 
  • Blaming others for their mistakes or behaviours 

Oppositional Behaviour FAQs

Addiction


Addiction is a psychological and/or physical inability to stop using a substance or doing an activity, even though it is causing psychological and/or physical harm. Addictions do not only involve substances but can also involve activities like gambling, eating, or working. In these circumstances, we call these behavioural addictions.

One way to explain addiction is the presence of the 4 C’s

  • Craving 
  • Loss of control 
  • Compulsion to use 
  • Use despite consequences 

Common symptoms of addiction include: 

  • Increased risk-taking 
  • Uncontrollable seeking of substances 
  • Engaging in harmful levels of habit-forming behaviour 
  • Neglecting or losing interest in activities that do not involve the substance or behaviour 
  • Relationship difficulties 
  • An inability to stop using the substance or performing the behaviour 
  • Hiding substances or behaviours 
  • Profound changes in appearance
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How are addictions treated?

Addictions can be treated in a variety of ways. Some modalities including motivational interviewing and cognitive-behavioural therapy can help individuals address the underlying reasons why individuals are using substances or performing behaviours and increase motivation for change. 

If you’ve noticed any of these symptoms, you may be suffering from an addiction. Contact us for a free 15 minute consultation to see how we can help. 

Impulsivity


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How are impulsive behaviours treated? 

Dialectical behaviour therapy (DBT) can be effective in helping individuals build skills to reduce impulsive behaviours and gain control over impulses. Additionally, mindfulness can help individuals become more aware of their actions and take time to consider consequences.

Impulsivity or impulsive behaviour, are actions that are unplanned and happen quickly with no thought as to the consequences. People who are impulsive may be described as unpredictable or unstable. Symptoms of impulsivity can include: 

  • Abruptly changing or cancelling plans 
  • Binge eating or drinking 
  • Destroying property 
  • Escalating confrontations 
  • Jumping to conclusions
  • Frequent emotional outbursts 
  • Overspending
  • Engaging in self-harm 
  • Suddenly quitting a job or making significant life changes 


We can all act impulsively from time to time, however,  impulsive behaviours may be a part of a mental health disorder if there is a pattern of impulsive behaviour, or if an individual is unable to gain control over their impulses.  Some disorders linked to impulsivity are ADHD, bipolar disorder, substance use disorders or addiction, trichotillomania, and antisocial personality disorder.

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Toronto Psychologists

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