What people may notice
- Frequent conflict and escalating discipline
- Different caregivers applying incompatible rules
- Guilt, helplessness or anger after interactions
- Concern about development, school or peers
- Family stress affecting the child and adults
This pattern may be associated with
Parenting stress and skills needs
Family or co-parenting conflict
Child anxiety, mood, attention or developmental differences
School, medical or safeguarding concerns requiring coordinated assessment
This list is not exhaustive and does not establish a diagnosis.
Look at persistence and impact
- Conflict is frequent and damaging
- The child is withdrawing or functioning is changing
- Caregivers need a shared plan
What should not be overlooked
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Information worth noting
- When it began and what was happening at the time.
- Frequency, duration, triggers and what reduces or worsens it.
- Sleep, appetite, energy, medicines, substances and medical conditions.
- Effect on work, study, relationships and daily safety.