and Addressing Disruptive Behavior in Adolescents: A Guide for Parents - Psychiatry

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Disordered behavior?


My sister...
is transitioning from her sophomore to junior year today...
Recently, she has been exhibiting some very erratic and unusual behaviors at school since May of this year...
Her actions have become more frequent...
For instance, during evening study sessions at school, she suddenly went missing, causing everyone to panic...
She later reappeared after the study session, claiming she had gone to the back mountain to stargaze...
Additionally, during class, she often abruptly walks out of the classroom or wanders around the back of the classroom by herself...
She has also been playing on her phone during class, and when the teacher confiscated it, she wrote in the communication book saying she completely didn't care...
When a teacher asked her to tuck in her shirt, she responded by saying, "You're so mean, I really dislike you," and then ran away...
Sometimes, she intentionally stays in the classroom after class, and when the next class starts, she salutes and raises her hand to tell the teacher she needs to go get water or use the restroom...
When the teacher denies her request, she still forcefully walks out...
Even when the teacher holds the door handle, she argues with the teacher to try to take the handle...
Now, when she wants to leave the classroom, the teacher has to assign two classmates to follow her because they are worried something might happen...
All these incidents have occurred recently...
We have tried both strict and lenient approaches, but nothing has worked...
The school counselor is also at a loss...
Therefore, we would like to consult a physician...
Besides seeking help from a hospital, how should we face her behavior and assist her in making a change?

KYO, 20~29 year old female. Ask Date: 2005/06/24

Dr. Chen Wenyu reply Psychiatry


Hello KYO: Your sister's behaviors, before the age of 18, are classified as "conduct disorder," which means a continuous pattern of violating rules and regulations.
Has there been any particular incident recently that triggered these abnormal behaviors? Or has he always had a somewhat rebellious personality that has recently intensified? Regardless, whether his behavioral issues stem from a mental health disorder or personality traits, you have already attempted to help him improve, but to no avail.
At this point, it is essential to seek the assistance of a professional.
It is necessary to consult a psychiatric medical team nearby.
Thank you for your letter!

Reply Date: 2005/06/24

More Info


Understanding and addressing disruptive behavior in adolescents can be a challenging task for parents, especially when the behaviors are concerning and persistent. In the case of your sister, who is exhibiting increasingly erratic behavior, it is essential to approach the situation with empathy, understanding, and a structured plan.


Understanding the Behavior
Adolescents often go through significant emotional and psychological changes, which can manifest in various ways, including disruptive behavior. In your sister's case, her actions—such as leaving class without permission, arguing with authority figures, and showing a lack of respect for rules—could indicate underlying issues that need to be addressed. These behaviors might stem from several factors, including:
1. Emotional Distress: Adolescents may act out due to stress, anxiety, or depression. If your sister is experiencing emotional turmoil, it could lead to her acting out in school.

2. Need for Autonomy: As teenagers strive for independence, they may push boundaries to assert their autonomy. This can sometimes come across as defiance or disrespect.

3. Social Influences: Peer pressure and the desire to fit in can lead to behaviors that are out of character. Your sister may be influenced by her friends or social circles.

4. Attention-Seeking: Sometimes, disruptive behavior is a way for adolescents to seek attention, whether positive or negative. If she feels overlooked or undervalued, she might resort to extreme measures to gain recognition.


Steps to Address the Behavior
1. Open Communication: Establish a safe space for your sister to express her feelings. Encourage her to talk about what she is experiencing at school and in her personal life. Listen without judgment, as this can help her feel understood and supported.

2. Seek Professional Help: Given the severity of her behavior, it may be beneficial to consult with a mental health professional. A psychologist or counselor can provide a safe environment for her to explore her feelings and behaviors. They can also offer strategies to cope with her emotions and improve her behavior.

3. Collaborate with School Staff: Engage with her teachers and school counselors to develop a consistent approach to managing her behavior. They may have insights into her behavior in school and can work with you to create a support plan.

4. Set Clear Boundaries and Consequences: While it is essential to be empathetic, it is equally important to set clear expectations for behavior. Discuss the consequences of her actions, ensuring they are reasonable and consistently enforced.

5. Encourage Positive Activities: Help her find constructive outlets for her energy and emotions. This could include sports, arts, or other extracurricular activities that interest her. Engaging in positive activities can help her build self-esteem and reduce disruptive behavior.

6. Model Appropriate Behavior: As a family member, demonstrate healthy coping mechanisms and respectful communication. Your sister is likely to learn from observing how you handle stress and conflict.

7. Monitor Progress: Keep track of her behavior over time. Celebrate small victories and improvements, and remain patient as change takes time.


Conclusion
Addressing disruptive behavior in adolescents requires a multifaceted approach that combines understanding, communication, and professional support. By fostering an environment of trust and support, you can help your sister navigate this challenging period in her life. Remember, it is crucial to remain patient and persistent, as behavioral changes often take time and effort. Engaging with professionals and collaborating with school staff can provide additional resources and strategies to support her effectively.

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