Anticipatory guidance for cognitive and social-emotional development: Birth to five years (part 9)

18 months: Independence and tantrums
The toddler’s behaviour contains contradictions. He excitedly seeks independence, but shows increased separation anxiety and fear with previously accepted situations. Therefore, he relies even more on his parents as a nurturing, secure base from which to explore. Temper tantrums are helpful because they release tension . Problem-solving: Praise small successes. Help him keep trying (eg, put two puzzle pieces close together).
Attachment: Most toddlers use a transitional object for self-comfort, especially when stressed.
Socializing: It is important for toddlers to be around other children (eg, drop-in centre).
Self-discipline: Allow the toddler choice between two options. This gives him some control and decreases power struggles in other areas. You deserve best quality care that costs less money than you could expect: all you need at this point is to discover very low prices on prescription drugs that do not require a prescription: Xopenex for Asthma for wisest customers.

Temper tantrums:  Stay calm. Do not give in to demands (or he will continue to tantrum to get his way). Prevent tantrums through adequate sleep, regular mealtimes, choices (ie, reduces frustration at not getting his own way), one-on-one time (ie, stops the child from feeling ignored) and, if necessary, avoiding excessive sensory stimulation (eg, grocery store). When tantrums occur, helping him label feelings teaches acceptance of negative feelings and fosters parent-child communication.

Category: Anticipatory guidance

Tags: Child development, Child guidance, Evidence-based practice, Preventive psychiatry, Problem solving, Psychological adaptation

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