Piano Guidance
Piano Guidance
Photo: Pavel Danilyuk
For children, anger issues often accompany other mental health conditions, including ADHD, autism, obsessive-compulsive disorder, and Tourette's syndrome. Genetics and other biological factors are thought to play a role in anger/aggression. Environment is a contributor as well.
Moving a piano on its back or on its side does not harm a piano. A piano can be moved, tilted, or rotated without doing it damage. Damage to a...
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Kinnor (Hebrew: כִּנּוֹר kīnnōr) is an ancient Israelite musical instrument in the yoke lutes family, the first one to be mentioned in the Hebrew...
Read More »Young children may be taken in for a psychological or psychiatric evaluation by their parents or be referred by a pediatrician, psychologist, teacher or school administrator. Older children with behavioral problems that bring them in contact with the law may be sent for evaluation and treatment by the courts or juvenile justice system. (Sukhodolsky notes that this is exactly what earlier treatment aims to prevent.) When assessing the breadth and depth of a child’s anger or aggression, a provider will look at the behaviors in the context of the child’s life. This includes obtaining input from parents and teachers, reviewing academic, medical, and behavioral records, and conducting one-on-one interviews with the child and parent. “We look at the full spectrum of mental health disorders and how they are affecting a child’s life,” Sukhodolsky says. Sukhodolsky adds that research-based measurement tools, such as answers parents and child give to specific questions, are used to determine whether a child meets diagnostic criteria for a behavioral disorder. In the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), which is considered the “bible” of diagnoses, potential diagnoses for a child with anger, irritability and aggression include: Oppositional defiant disorder (ODD) , a pattern of angry/irritable mood, argumentative/defiant behavior and/or spitefulness that lasts six months or more , a pattern of angry/irritable mood, argumentative/defiant behavior and/or spitefulness that lasts six months or more Conduct disorder (CD) , a persistent pattern of behavior that violates the rights of others, such as bullying and stealing, and/or age appropriate norms, such as truancy from school or running away from home , a persistent pattern of behavior that violates the rights of others, such as bullying and stealing, and/or age appropriate norms, such as truancy from school or running away from home Disruptive mood dysregulation disorder (DMDD), characterized by frequent angry outbursts and irritable or depressed mood most of the time Sometimes clinicians may use terms that are not part of the DSM but have been used in research, education or advocacy. For example, “severe mood dysregulation” is a term that refers to a combination of irritable mood and angry outbursts/aggressive behavior in children with mood disorders and ADHD. In the area of Tourette’s syndrome, the term “rage attacks” has been used to describe the anger outbursts that are often out of proportion to provocation and out of character to the child’s personality.
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