https://childmind.org/article/aggression-in-children-causes/

 

Aggression in children can be a symptom of many different underlying problems. It’s a very polymorphic thing, a commonality for any number of different psychiatric conditions, medical problems, and life circumstances. And so at the very essence of treating aggression is first to find out what’s driving it.

 

You can break down the causes for aggression into several groups.

 

Mood Disorders 

First, are there mood issues? Kids who are bipolar, in their manic stages, very frequently become aggressive. They lose self-control, they become impulsive. On the other end of the spectrum, when they become depressed, although aggression is less common, they can become irritable, and sometimes that irritability and cantankerousness causes kids to lash out.

 

Psychosis 

The psychotic illnesses may also manifest with aggression. For example, kids with schizophrenia are often responding to internal stimuli that can become disturbing. Sometimes kids with schizophrenia become mistrustful or suspicious—or full-blown paranoid—and they wind up striking out because of their own fear.

 

Frustration 

Kids who have problems with cognition (what’s now called intellectual impairment) or communication (including autism) may also manifest with aggression. When children with these conditions become aggressive, they often do so because they have difficulty dealing with their anxiety or frustration and can’t verbalize their feelings as others do. The aggression may also be a form of impulsivity.

 

Impulsivity 

And then there are the disruptive behavior disorders. In children with ADHD, the most common of them, impulsivity and poor decision-making can lead to behavior that’s interpreted as aggressive. These children often don’t consider the consequences of their actions, which may come across as callous or malicious when they’re really just not thinking.

 

Conduct Disorder 

With conduct disorder, aggressiveness is part of the matrix of the illness, a large component of what that is. Unlike the child who just isn’t considering consequences of his actions, kids with CD are intentionally malicious, and the treatment and prognosis are quite different.

 

Injury

 And sometimes there are organic reasons for aggressive outbursts, when a child has frontal lobe damage or certain types of epilepsy. In these cases there may be no comprehensible reason for the aggressive episode, and the episode could have an explosive component.

 

Trauma 

Finally, there are times when aggression in children or teenagers is provoked by stressors in their situation, and do not represent an underlying emotional illness. But it is important to understand that this is fairly rare, and when aggression begins to happen on a more frequent basis, it could represent a brewing emotional problem.

 

Behavior and Conduct Disorders

Children with these disorders have problems with control of their emotions and behavior. While all children are occasionally unable to control their impulses, these children have unusual difficulty for their age, resulting in behavior that violates the rights of others and/or brings them into conflict with authority figures.

 

Kids with intermittent explosive disorder (IED) (A behavioural and conduct disorder), exhibit short episodes of intense, uncontrollable anger or aggression with very little or no apparent cause. It usually shows up in late childhood or adolescence, and eventually leads to a higher risk of self-harm or suicide in adolescents and young adults. Children with IED tend to feel a lack of control over their behavior, resulting in both verbal and physical outbursts of anger.

 

Symptoms

• Frequent but mild outbursts such as tantrums or fights

• Inability to resist impulses of anger

• Rare, more intense explosions that can cause physical harm to people or animals, or damage to objects

• Low tolerance for frustrating situations, resulting in disproportionately large and aggressive outbursts

• Explosions that last less than 30 minutes during which anger isn’t directed at anything tangible

 

Treatment

There are two components to the typical treatment for IED. One is the psychotherapeutic component, which uses cognitive behavioral therapy (CBT) to help kids identify triggers for their episodes and manage their anger when faced with these triggers. This component may also involve the child’s parents and teachers.

 

The other is the pharmacological component, which combines various medications such as antidepressants and anti-anxiety medication to treat the symptoms of IED. There are no medications specifically designed to treat IED.