Unusual Behaviors in Children: When to Seek Help

Strange movements

My child is seven years old, and I noticed that since she was two, she has been doing a certain movement when she is alone.
She lies on the ground, supports her upper body with her hands, and then pushes her pelvis against the floor, somewhat resembling a position that men use during intercourse.
Now that she is a bit older, I caught her doing this once, and when I asked her if it felt good, she said yes.
Is there something different going on in her body? Should I consult a pediatrician or a gynecologist?

winnie, 30~39 year old female. Ask Date: 2006/08/19

Dr. Chen Rongtai reply Pediatrics

The letter mentions that your young daughter is exhibiting unusual behaviors.
Generally speaking, it is normal for preschool-aged children to develop curiosity about their genitalia; these behaviors are a part of normal development and should not be a source of guilt.
As parents, there is no need to be overly concerned or react excessively.
It is important to communicate patiently with your child and explain the anatomy, including which behaviors are appropriate to display in public and which are not.
However, if the child shows strong impulsivity that affects daily activities or exhibits behaviors that suggest adult-like temptations, it may indicate a deeper issue.
It is advisable to have an evaluation by a pediatrician, and if necessary, arrange for a referral to a specialist.

Reply Date: 2006/08/19

More Info

When it comes to unusual behaviors in children, it is essential to approach the situation with sensitivity and understanding. Your description of your seven-year-old engaging in a behavior that resembles a sexual act can understandably raise concerns. However, it is crucial to recognize that children often explore their bodies and may engage in behaviors that seem unusual or inappropriate from an adult perspective. This exploration is a normal part of development, but it can sometimes indicate underlying issues that may need to be addressed.

Understanding the Behavior
Children often engage in various forms of play and exploration as they learn about their bodies and the world around them. At the age of seven, children are beginning to develop a more complex understanding of their bodies and may experiment with different movements and sensations. However, if a child is engaging in behaviors that are sexualized or seem out of context for their age, it may warrant further investigation.

When to Seek Help
1. Frequency and Context: If the behavior is frequent and occurs in inappropriate contexts (e.g., in public settings or during inappropriate times), it may be a sign that the child is seeking comfort or is confused about boundaries.

2. Emotional Response: Pay attention to how the child reacts to the behavior. If they express shame, confusion, or anxiety about it, this could indicate that they are struggling with their feelings or understanding of the behavior.

3. Changes in Behavior: If there are sudden changes in behavior, such as increased aggression, withdrawal, or anxiety, it may be a sign that the child is experiencing emotional distress.

4. Communication: Open a dialogue with your child about their feelings and experiences. Encourage them to express themselves and reassure them that it is okay to talk about their bodies and feelings.

Seeking Professional Help
Given the nature of the behavior you described, it may be beneficial to consult with a pediatrician or a child psychologist. Here are some steps you can take:
1. Pediatric Consultation: Start by discussing your concerns with your child's pediatrician. They can assess whether the behavior is within the range of normal development or if it requires further evaluation.

2. Child Psychologist: If the pediatrician feels it is necessary, they may refer you to a child psychologist who specializes in child development and behavioral issues. A psychologist can provide a safe space for your child to explore their feelings and behaviors.

3. Family Support: Consider family counseling if the behavior is causing significant distress within the family. A therapist can help facilitate communication and understanding among family members.

Conclusion
In summary, while children often engage in various forms of exploration, it is essential to monitor the context and frequency of such behaviors. If you have concerns about your child's behavior, it is always best to consult with a healthcare professional who can provide guidance and support. Remember, early intervention can be key in addressing any underlying issues and ensuring your child's emotional and psychological well-being.

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