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Bob's avatar

My heart hurt reading your post.

I’ve spent over forty years helping parents who struggle raising a ‘not so easy’ child.

I dont know you or your child but you gave lots of information and because you both are struggling and your condition is one I saw daily may I offer some insight.

First, you and your child are doing the best you can with the understanding of what causes and how to help a child with tantrums.

The most common cause of your daughter’s suffering is a genetic less adaptable temperament trait. Your child processes change slowly, which requires warning of changes, and increased transition time. When increased process time is unavailable or the problem overwhelming a tantrum ensues. The short version is your daughter lives a life of best case or worst case scenarios. Nothing in between. When best doesnt happen as planned the fear of worst appears. All relates to the base cause of less effective problem solving skills. She cant get to 2nd or 3rd choices or back up plans. She is stuck at best or worse.

Current neuroscience research has shown the true etiology of this executive dysfunction and it is not caused by the inability to handle “big emotions.” ( emotions are a by product, a symptom, never a cause of)

There are three phases to a tantrum and only during the first are you able to help and as the child enters the second phase parents ‘help’ only escalates the issue. There are easy fixes, and better, real help to teach children how to self manage this problem.

The core principle of a tantrum is that it is not the result of a child being spoiled, defiant or seeking attention or power. It is simply the inability to solve the problem that has arisen. Often caused by their plan not happening, a surprise not expected, a sudden disruptive change. These,”no surprise” kids process change slower. The slow adaptability is a genetic factor that has nothing to do with your parenting skills. You are a good parent or you wouldn’t be so concerned.

Hope this helps.

I am retired and miss helping parents survive the rollercoaster of raising a child. Free free to ask a question. Soon I will be writing a substack.

Robert J. Hudson, MD FAAP

Clin Professor Pediatrics

Univ Oklahoma, Tulsa (Ret)

Book Author: The Normal but Not So Easy Child

Raising Your Child without Frustration, Anger or Guilt

Dr KB's avatar

What you're describing is emotion dysregulation - a core feature of ADHD that often gets missed in the "attention and hyperactivity" framing.

The neurobiological reality: ADHD involves deficits in the brain's emotion regulation circuitry, not just attention systems. Your daughter isn't choosing fight over flight - her brain is hitting the threat response before her prefrontal cortex can assess the situation. The fear of "not enough time with my friend" activates the amygdala, and without adequate top-down regulation, it comes out as rage. You're not wrong that it's terror underneath.

The complicating factor is that this isn't primarily a temperament issue or a problem-solving deficit - it's executive function failure at the moment of emotional activation. Which means the interventions that help are ADHD-specific: medication (if appropriate), very short-term emotion coaching done between meltdowns, and environmental modifications that reduce the activation frequency.

Your instinct about screens is sound. The dopamine hit from gaming makes disengagement neurologically harder for ADHD brains, and the withdrawal is real. But here's what concerns me: you're carrying this alone, and you're internalising her struggle as evidence you're failing. You're not. This is hard clinical work.

I've suggested a "stoplight check-in" between meltdowns. Three colours, one word from her about how regulated she feels. Not during a crisis - that ship has sailed. But it gives her language for the gradient between "fine" and "meltdown" that she currently doesn't have access to.

You're doing better than you think you are.

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