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Emotional & Behavioural Aspects of Preschool Children.

Emotional & Behavioural Aspects of Preschool Children. . Dr. P Phyu Consultant Paediatrician. ST1-3 Training Day 6 th June 2012. Normal Emotional Development. 0-1 month Adjusting to life outside the womb Crying is normal Needs to feel calm, safe & to have routine 2-3 months

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Emotional & Behavioural Aspects of Preschool Children.

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  1. Emotional & Behavioural Aspectsof Preschool Children. Dr. P Phyu Consultant Paediatrician ST1-3 Training Day 6th June 2012

  2. Normal Emotional Development 0-1 month • Adjusting to life outside the womb • Crying is normal • Needs to feel calm, safe & to have routine 2-3 months • Show wide variety of feelings - smile, cry, coo, movements • Comforted by being fed/cuddled • Beginning to settle in more regular routines

  3. Normal Emotional Development 4-6 months • Laughs/ makes happy sounds • Calm when picked up/hear familial voices 6-12 months • Stranger awareness • Enjoy attention • Emotional expressions to fear/sadness

  4. Normal Emotional Development 12-18 months • Negative emotions • Afraid of being apart from parents • Needs comfort/reassurance 2 years • Becoming more independent • Extreme behaviours • Little concept of sharing • Easily distractible • Likes routine • Afraid of noises

  5. Normal Emotional Development 3 – 5 years • Learn to share • Begin to seek adequate role models from whom they learn

  6. Routines/ Good Habit Training • Basic training in habits of daily life - important developmental task - parents seem to find difficult

  7. The Development Sequence of Everyday Habits HabitsAge Regular feeding 1 – 3 months Good sleep routine 4 – 12 months Dressing/undressing 1 – 2 years Toileting 2 – 4 years Eating 3 – 5 years Self Care 4 – 6 years

  8. Sleep Problems Incidence: 1 in 3 up to 5 year-olds Management: • Establishing a good regular routine sleeping habit/pattern • Minimal contact (provided that child is safe and well) if the child cries or wakes up • NO hypnotics

  9. Food Refusal in Toddlers • Developmental – Asserting independence • Rate of growth – much slower than 1st year Management: • Reassure – if growth is adequate • Evaluate nutritional state • General advice - make the meal time enjoyable events - avoid drawing attention to poor eating - sensible snacks between the meals

  10. Temper Tantrums • Age: 18 months – 4 years • Terrible twos • Precipitants: Tired, Hungry, Frustrations Management • Avoid precipitants • Distract • General behaviour management - Ignore tantrums (provided that the child is safe) - Praise – good/ desirable behaviour - Uniformed approach - Spend time with child when good • Time out

  11. Role of multi-disciplinary professionals • Midwives • Health Visitors • Nursery Nurses • Sure Start • General Practitioners • Paediatricians

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