Aggression, impulsivity, and behavioral disturbances

Aggression, impulsivity, and behavioral disturbances is a group of behavioral manifestations that share a common mechanism: each serves a particular function for the child that cannot otherwise be expressed or satisfied in an adaptive way. It includes aggression toward others (hitting, biting, pushing), impulsivity (hasty actions without thought), pica (eating inedible items — chalk, paper, plastic, soil), and elopement (leaving home, kindergarten, or school without awareness of danger). Such manifestations are most often seen in ASD, ADHD, intellectual disability, and severe forms of sensory dysregulation. Identifying the cause — and the function of each manifestation — is an essential part of the work.

At the H&B Neurolife International Rehabilitation Center (Shangrao), the program for behavioral disturbances is built holistically. ABA systematically shapes alternative adaptive behavior through positive reinforcement and data tracking over time. TEACCH creates a structured, predictable environment — reducing the number of behavioral triggers. Sensory integration addresses sensory overload, which often underlies aggression and impulsivity. Sandplay therapy and DIR/Floortime open nonverbal and play-based channels for regulation. From TCM — pediatric acupuncture and Tui Na massage for harmonization and regulation. For pica, nutritional status is also assessed, and micronutrient deficits (often iron and zinc) are corrected when present. For comorbid GI issues and microbiota dysbiosis, the biomedical track is engaged — this often significantly changes emotional and behavioral baselines via the gut-brain axis. In severe cases, medication support may be considered — strictly per the physician's decision.

What parents should know

In cases of severe aggression posing danger to others, medical stabilization is required first — this is listed among the center's contraindications. Elopement is a separate safety concern: the program combines behavioral work with mandatory family training on safety rules at home and in public places. Regular reassessment shows progress and allows the program to be adjusted.