Parents and psychologists are often faced with a situation where a child is very upset and cries; this can be a sign of a crisis that almost all children experience. At such times, the baby becomes more capricious, he demands more attention, and if he does not get what he wants, he may cry and be persistent.
Such whims and psychosis can develop practically out of nowhere, that is, a situation arises because of a banal little thing. At such a moment, parents want to find out why a 2-year-old child often freaks out and is capricious; Dr. Komarovsky has his own personal opinion on this matter.
Why do children have tantrums?
Even the most flexible character sometimes explodes in a burst of anger.
These are a normal part of the development process and are not bad in themselves. Unlike adults, children cannot control themselves and prohibit something. Toddlers are trying to understand the world, and are unable to complete the task using only the tool they have at their disposal. A child's tantrum is the result of disappointment.
There are several main reasons for this behavior familiar to parents. Baby
- looking for attention
- tired
- hungry
- or feels discomfort.
Additionally, tantrums are often the result of frustration with the world—the child cannot get an object or parent to do what he wants. Frustration is an inevitable part of life and will continue to occur until they understand how people, objects, and their own organs work.
Tantrums are common during the 2nd year of life, the time when children begin to develop language. Toddlers usually understand more than they can express. Imagine that you are unable to express your needs and this depresses you and can make you angry. Over time, language skills improve and tantrums tend to decrease.
Toddlers face a growing need for independence. The baby wants to feel independent and in control of their environment. This creates ideal conditions for a power struggle. He thinks: "I can do this myself." Or: “I want to get this.” When he realizes that this cannot be accomplished or that he or she cannot own everything he or she wants, then it is time to have a tantrum.
Sometimes the child will have difficulty breaking out of the tantrum. In this case, it helps to tell him: “I will help you calm down.”
Be sure not to reward your child with weakening after temper tantrums. This will only show the child that the anger was effective. Instead, praise your child when he regains control.
Some children are especially vulnerable after a tantrum, usually when they know they were right. Now is the time to hug your child and make sure you love him no matter what.
The famous pediatrician, Evgeny Komarovsky, whose advice is listened to by a huge number of parents, both in Russia and abroad, advises learning to distinguish whims from hysterics.
The whims of a child are an expression of desires “I want it or I don’t want it,” and hysteria is a manifestation of inappropriate behavior. In the second case, the baby cannot explain what he wants, since his speech may not yet be fully formed.
Dr. Komarovsky claims that the child makes such scenes only in front of those people who are sensitive to them. Children quickly understand who is controllable and who is not. For example, if mom or grandma runs to him at the first sign of indignation, and dad doesn’t react or leaves, then this will only happen again in front of mom or grandma.
It is very important to exclude diseases that can provoke this condition. Among the ailments that lead to hysterics are anemia, dermatitis, and calcium and magnesium metabolism disorders. Therefore, consulting a pediatrician will not hurt.
The ignoring method is considered the most optimal in the fight against an uncontrollable seizure. But it is not the child who should be ignored, but his behavior. You should continue to talk in a calm tone, not paying attention to the screams. You can leave the child’s visibility zone and show your disinterest in such behavior. Dr. Komarovsky also speaks positively about the “time-out” method (angle method), which after two years can be used little by little.
It is also necessary to take into account that family relationships are of great importance in overcoming a crisis. If a child from infancy is accustomed to the fact that with every squeak all family members rush to him, making him the center of the universe, then he will do the same at an older age. If mom and dad communicate in a raised voice, then for their child this form of communication will be considered normal. Therefore, it is important to show by example how you can calmly resolve all conflicts.
And the most important thing that parents of such a child should remember: all this is temporary. You just need to try to understand your little one and love him. Any crisis ends with the next stage of growing up. The little person will learn to look at the world around him in a new way, and adults will gain invaluable experience in parenting.
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Between the ages of one and six years, children often experience tantrums. They do not appear out of nowhere. Outwardly, hysterical attacks appear spontaneous, but they have their own reasons. A one-year-old baby may cry if his mother does not change his wet pants in time, and a 6-year-old child is capricious and hysterical if he wants to get the desired toy.
The most common causes of hysteria:
- desire to attract the attention of adults;
- inability to express your dissatisfaction in words;
- resentment, indignation;
- the desire to get something from adults;
- feeling of hunger, overwork;
- general painful condition during any illness;
- reaction to pain;
- the child’s action went unnoticed and he wants approval;
- weakness of the nervous system, vulnerable psyche.
A child under 1 to 2 years of age will have tantrums if he wants to eat, drink, sleep, or has a stomach ache. Children can sob for a long time even after their wish has been granted and there is no reason to cry. If your baby has wet tights or is very tired after playing for a long time, he may also become hysterical.
The older the child, the more consciously he experiences hysterical attacks. Children begin to understand that their crying forces their parents to respond to their wishes. Little manipulators begin to deliberately throw tantrums when they want to express disagreement or protest.
The transitional and turning point in the physiological and psycho-emotional development of a child occurs at 3 years. At this age, children are hysterical when they want to insist on their own. The offspring deliberately acts to spite the parents: they ask him to get dressed, but he undresses, or they call him, and he runs away. By doing this, children do not want to anger their parents.
A child of 4, 5 and 6 years old will have tantrums if his parents spoil him too much. At this age, children can already explain in words what they want. If instead of explaining they throw a tantrum, it means they want to force adults to act in their interests by any means possible. Parents, wanting to calm down a capricious child, follow the lead of the little manipulator and do everything the way he wants.
If at an older age a child very often falls into hysterics without any reason, it means that his nervous system is too weak. In a state of nervous attack, children choke from crying, turn red, start vomiting, have convulsions, and fall to the floor from exhaustion or loss of consciousness.
Experienced psychotherapists know how to cope with children's whims and hysterical attacks. For many years, specialists in the field of child psychology have been observing the behavior of children. They know what to do in a crisis situation. Advice from psychologists will help parents cope with hysterical attacks in children.
How to deal with hysteria:
- Ask your baby why he is crying. If the child does not yet know how to speak or does not know what to answer, take him in your arms and calm him down.
- Find out the reason for children's crying. If the baby does not want to eat oatmeal, offer him semolina. If he is wet, change him into dry underwear.
- If a child is hysterical because he wants a new toy, you need to divert his attention to another object.
- If the hysteria is caused by a desire to take revenge on adults, you must ignore the child's crying and go to another room. The baby will calm down when he realizes that there is no one to act out the play.
- If the child’s demands are unfounded, you cannot give in to him or meet his wishes. It is better to try to distract the baby from the object or situation that caused the crying. It is necessary to transfer his attention to another object.
During a hysteria, there is no point in proving or explaining anything to the child. He is too nervous to understand what adults are telling him or to calm down quickly. The child should cry, after a while he will get tired of crying and become calm.
If the baby's hysterical attack has passed and he has calmed down, you can talk to him. Parents must make it clear to the child that he is behaving incorrectly. You need to calmly talk to the baby and find out why he was crying. During the conversation, adults should say that they still love their child, but his behavior is very upsetting to them.
Parents need to teach their baby to behave correctly in a situation during which he wants to cry. Adults, using specific examples, should show the child how to behave. For example, if a baby wants a banana, he should tell his mother about it, but not cry. If he wants to go outside, he must also tell his parents about his desire.
If the child’s wishes are clear, but adults cannot fulfill them, it is necessary to promise the child some kind of alternative. For example, if he wants a fire truck, you can promise to buy him this toy later, somewhere next week, or offer him a robot policeman instead.
Well-known pediatrician Evgeny Komarovsky recommends that parents not show their children that they are touched by a child’s crying. Kids throw hysterics only for those adults who react to their cries and do whatever they want or ask. A child will not become hysterical in front of a washing machine or TV; he cries only for mom and dad when he wants to achieve something from them.
Parents' behavior and their main mistakes
Mothers, accustomed to the fact that their child is an extension of them, do not always have time to notice the moment when, at two years old, he begins to separate and show independent desires, different from those that his parents impose on him. Constantly faced with unusual and uncontrollable reactions in children to habitual actions, when the baby freaks out about food, sleep, walks, mothers experience shock and no longer control the situation.
With the help of hysteria, a child as young as two years old can try to determine the boundaries of what is permitted. For example, he doesn't want to eat soup because he prefers candy. The child’s mind lacks a socially formed way and system of eating food, and constantly sincerely does not understand why one cannot dine on chocolate. He demands that his wish be fulfilled, and the only weapons in his arsenal are crying, screaming and hysterics. It is as if he is testing the strength of his own parents, and if they give in, the boundaries of what is permitted expand. In other words, the parents’ incorrect behavior gives the child a reason and even provokes him into subsequent hysterics.
The hysteria will indeed subside, but next time the child will want to get something more and new, whims will appear more and more often, and hysterics will become more and more uncontrollable. The child must clearly know what “no” and “no” are.
When babies start crying, mothers try to distract them: they begin to feed them, entertain them with toys, show them some fundamentally new look, etc. This method works because at a very tender age children are not able to think about two radically different things at the same time.
At the age of two, a child sincerely does not understand why his parents, in response to his demand to buy him a new toy, show a beautiful Christmas tree in the center of the sales area. He accepts the existence of this beautiful tree, but this does not stop him from wanting the toy. The distraction method is useless and can even make the situation worse.
How to prevent the development of hysteria?
If adults want to cope with hysteria, they need to carefully monitor the baby's behavior and emotional state and try to prevent screaming and crying. It is impossible to completely stop a child from hysterical behavior. However, the frequency of hysterical attacks can be reduced.
How to prevent hysteria:
- feed the baby on time, adhere to the daily routine, avoid overtiredness, put him to bed during the day;
- prepare the baby for the upcoming new situation, interest him with a toy or a promise to buy something;
- understand what your daughter or son wants, respond to his wishes in a timely manner (give him something to eat, change his wet tights);
- give the child more freedom, allow him to choose his own clothes and food for breakfast;
- Spend more time with your baby, love him, read fairy tales, play games with him.
Parents are able to prevent the development of hysterics in their baby, because they are the main people in the child’s life. His whims at this age are always driven by the desire to attract the attention of adults or force them to act in their interests.
Tendency to hysteria depending on the type of nervous system
People with certain types of nervous systems experience hysteria more often than other children. This feature is innate; adults should take it into account when choosing behavior tactics.
Weak
The processes of excitation and inhibition are slowed down. Those with this type of nervous system are characterized by touchiness, increased sensitivity, and emotionality. They communicate poorly with peers, are reluctant to make contact, timid, shy. Self-esteem is often low. Children are too sensitive to the mood of their parents and have a hard time dealing with conflicts in the family.
Such children do not show strong emotional reactions for a long time, although they are easily upset or angry. During a seizure, they are unable to control emotions and may behave inappropriately. Characterized by poor appetite and difficulty falling asleep. Due to nighttime tantrums, a child may sleep with his parents for a long time.
Adults should be patient when raising such children. We need to praise them more often, focus on their strengths and achievements. You should be affectionate: pet and hug. It is important to listen and involve in housework.
Strong
Hysteria in children with this type of nervous system is rare: they do not hysteria for any reason. Processes of excitation and inhibition in equilibrium. Children are cheerful, more often in a good mood, and communicate easily with both peers and adults.
They rarely conflict with parents and children; problems with sleep and nutrition are not typical. The child loves to attend clubs and sections and is active. A frequent change of hobbies is possible: having understood one thing, children want to learn something new. Negative character traits are inconstancy, a tendency to break promises, and problems in adhering to the regime.
Unbalanced
Excitation processes prevail over inhibition processes. Children are easily excited, can become irritated over trifles, and are unbalanced. They sleep poorly, wake up often, and can become hysterical at night. The child tries to become a leader in a company of peers. Has difficulty getting things done. Loves to be the center of attention. He does not tolerate criticism well; any remark can cause him to quit and begin to show aggression. Parents will have to be patient in their upbringing, teach their son or daughter restraint, and teach them to finish what they start.
Slow
A predominance of inhibition processes is observed. Children are obedient, eat and sleep well, and can be alone for a long time without experiencing discomfort. Restrained, reasonable. Further actions are easy to predict. Things get done. They do not like change and do not tolerate changing living conditions well. Characterized by emotional restraint. Parents should involve their son or daughter in activity, promote the development of speech skills, fine and gross motor skills.
How to avoid hysteria
It is better not to face sudden outbursts of anger, but to try to avoid them. Here are some recommendations that may help you with this:
- Make sure your baby isn't throwing a tantrum because he's not getting enough attention. For him, negative attention (parental response) is better than no attention. The habit of paying attention to the baby will be very useful (at least from time to time), which means rewarding your baby with attention for positive behavior.
- Giving your child some control over the little things can satisfy their need for independence and ward off tantrums. Offer simple choices, such as choosing the types of juice and when he will brush his teeth (for example, before or after bathing).
- Keep prohibited items where the baby will not see them and cannot get them. This will reduce problems and prevent anger. Of course, this is not always possible, especially outside the home where the environment may not be controlled.
- Distract the baby. Make a short attention span by offering a replacement for the desired object or starting a new activity to replace the disappointment or prohibition. You can simply change the environment. Take the baby outside the irritant or to another room.
- Set the stage for success when he is playing or trying to learn a new task. Always offer age-appropriate games and toys. You can start with something simple before moving on to more complex tasks.
- Carefully consider the child's request or demand. It's outrageous? Maybe not.
- Be aware of your baby's limits. If you know your little one is tired, then this is not the best time to buy or just another game.
- If your baby does something dangerous and repeats the prohibited behavior after being told not to, then use a break or hold your baby tightly for a few minutes to stop it. Be persistent. Your baby needs to understand that you are adamant when it comes to safety.
You can watch the video to see how to calm your baby.
Let's sum it up
If a child was born sensitive enough, then he will obey only in a familiar and not frightening environment. Such children are more comfortable at home with their favorite toys, and a regular trip to the store can cause them stress and inappropriate behavior. Such a child does not obey because of fear, and in order to calm him down, this fear must be eliminated.
And most importantly, do not think that if a child is small, he can be tricked or tricked into doing what is needed. Even the smallest (and even more so six-year-old) children are acutely aware of the moments when they are being manipulated. And in return they will behave the same way. The main thing in education is to be honest and try to come to an agreement even with the smallest family members. This may require a lot of patience and time from adults, but the result will be impressive - a well-mannered child.
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Children
How should adults respond to hysterics?
If a child has a hysterical attack, parents cannot help but react to it. Often adults start shouting at children and even hitting them, which is strictly prohibited. There are many ways to help a child calm down.
How to behave correctly for parents during a child's tantrum:
- keep the baby busy with an interesting toy, switch his attention to some exciting activity;
- avoid moments of crisis, do not feed unloved porridge, do not wear an ugly hat;
- do not shout, do not argue, do not explain, do not persuade, but ignore screams and crying;
- go to another room, because hysteria “loves” the audience;
- ask the child what he wants;
- patiently endure children's whims and try not to break down;
- do not scream, but feel sorry for the baby, pat him on the head and sympathize.
Children's crying has its own reasons; it occurs if a small child is offended by something, does not agree with something, or does not receive something. When the baby is in an offended state, you should not shout at him, because this can only aggravate the situation and harm the child’s psyche. The child is unable to understand that adults act in his interests. Parents should calm the baby and caress him as quickly as possible.
Deprive the viewer
Any hysteria, like any performance, is designed for the audience. If the child is left alone at this moment, he instantly stops crying.
“The baby continues to scream only if he knows for sure that after 5 minutes the parents will not be able to stand it and will come into his room,” explains Svetlana Klimova. “Either to calm down, or to scold, in other words, they will react.”
When the attack breaks out, the main thing is to remain indifferent, not to give free rein to your emotions and not to get angry in response. Emphasize that you understand his feelings: “I see that you are upset, but we won’t go for a walk now. When you calm down, we can make pizza for dad together,” and immediately leave the room. As soon as the crying subsides, immediately return with the words: “It’s great that you calmed down! Let’s go to the kitchen and help me knead the dough!” or “I'm so glad you're not angry anymore! Do you want to watch your favorite cartoon?”
How to punish a child after 4 years?
If you are faced with a difficult tantrum, regardless of the cause, remember: remain calm. Don't make it harder with your own frustrations. Children can sense when their parents are angry. This will only add to your child's frustration and make the tantrum even worse. Instead, take a deep breath and try to think clearly.
Your baby relies on you and you are his role model. Pushing and slapping don't help.
Physical tactics will send the message that the use of force and corporal punishment is the norm.
First, try to understand what is happening. Scandals should happen in different ways depending on the cause. Try to understand where they come from. For example, if you have just had a big disappointment, then you will need to restore a feeling of comfort to your baby.
The situation is completely different when this happens to a child due to refusal of something. Toddlers have fairly basic reasoning skills, so explanations probably won't help you much. Without paying attention, if such behavior does not pose a threat to the baby or other persons.
An explosion of anger is one way to solve a problem. Continue your activities without paying attention to the baby, but keep an eye on him. Don't leave the baby alone. He shouldn't feel abandoned.
If your child is in danger of hurting himself or others during a tantrum, take him to a quiet, safe place to calm down. This also applies to such behavior in public places.
Older children tend to use tantrums to get their way once they have learned that the behavior works. At school age, it is advisable to send him to a room.
After some time has passed, you can tell your baby that he needs to stay in the room long enough to regain control. The baby can influence the outcome through his own actions, thus gaining a sense of control that was lost during the tantrum.
How to punish a child:
- yell at him;
- threaten that he will be left without sweets, they will not buy him a toy;
- because of bad behavior, prohibit him from watching cartoons;
- put the baby in a corner, after explaining to him why he is being punished.
You cannot beat, insult a child or give him funny, offensive nicknames, for example, saying that he is a crybaby. In this way, serious psychological trauma can be caused to the fragile psyche of the baby. Subsequently, he will become aggressive or, conversely, withdraw into himself. As an adult, he may develop complexes, and all because in childhood he lacked parental affection and love.
What are the stages?
There are 3 main stages.
The first is screams. The child loses the ability to perceive the words of his parents and screams loudly. At the same time, it does not demand or ask for anything: the cry is often wordless.
This is followed by the stage of motor excitation. Children do not experience any pain. Characterized by sudden movements of the limbs and falling to the floor. Possible self-harm: banging your head against a wall, floor, scratching your body or face, trying to pull out your hair.
The last stage is sobbing. Children cry loudly for a long time. They look very offended. When the sobbing stops, they sob for a long time. Then, due to exhaustion of the nervous system, they often fall asleep and may become sluggish and lethargic.
When to see a doctor
Contact your doctor:
- If you have questions about what your baby is doing.
- If you have angry outbursts often or for longer than you expect.
- If you are not satisfied with your response.
- If tantrums cause a large number of negative feelings.
- If the outbreaks become more frequent, stronger, more.
- If he could hurt himself or others.
- If the baby is destructive.
- If your child shows mood disorders such as negativity and rejection, low self-esteem or excessive dependence.
The pediatrician may also look for physical problems behind the relapse, although this is rare. These include problems
- with hearing,
- vision,
- chronic illness,
- delays
- or problems learning to speak.
Remember, a child's tantrums are usually not a cause for concern.
Over time, children develop, improve their understanding of themselves and the world around them, and their level of frustration decreases. Less frustration and more control means fewer tantrums and happier parents.
Doctor Komarovsky: about how to wean your baby from hysterics.
It is necessary to seek help from a child psychologist in the following cases:
- hysterical seizures occur regularly several times a day;
- after an attack, the baby develops shortness of breath, vomiting, convulsions, loses consciousness, and becomes sleepy;
- the child injures himself and others;
- The child develops phobias and has nightmares.
By the age of four, children should stop hysterical behavior. At this age, they already know how to speak, and can express their dissatisfaction with words or explain to adults what they want. If a four-year-old baby still cries and screams, it means he has a nervous disorder that requires treatment from a specialist.
Evening whims
If a child is capricious and cries in the evening, or hysterics begin before going to bed, this indicates that the baby is emotionally overexcited. Emotions accumulated during the day do not allow you to quickly relax and fall asleep. This especially applies to hyperactive and excitable children. Often evening tears occur in children who refuse daytime sleep. To avoid evening whims, you can adhere to the following recommendations:
- Be sure to go for walks together during the day. Evening walks (1-1.5 hours before bedtime) have a beneficial effect on sleep.
- Ventilate your child's room before going to bed. The optimal air temperature in a children's room, according to Dr. Komarovsky, is 18-22 degrees.
- Three hours before bedtime, do not allow your child to play active games: hide and seek, chase. You shouldn't watch cartoons at night.
READ ALSO: What to do if a child cries a lot?
- For evening entertainment, it is good to use board games or read books together. Quiet games will help prevent a small child from being fussy in the evening.
- If the baby does not have allergies, then before bedtime you can take baths with the addition of herbal decoctions. It is good to use decoctions of mint, string or chamomile for evening baths.
- With the permission of the pediatrician, herbal teas can be given instead of regular drinks. Brew fennel, lemongrass or mint into evening tea. Ready-made preparations can be purchased at the pharmacy. You can drink soothing tea no earlier than 2-3 hours before bedtime.
Coping with the crisis
So, it is already clear that when the crisis of two years begins in children, their development is in full swing. The main rule for parents at this time is to find new ways to communicate with the toddler. There is no need to fight with him. Now we just need to accompany him and help him survive the stage of hysterics and tearfulness.
First recommendation. We must react calmly and with dignity to the whims of the baby. He doesn't want to eat porridge - you can offer him something else.
Distract the baby from his whims - play with him. Psychologists advise mothers and fathers not to put pressure on the child and not to force him to do what he does not want. Of course, there must be a certain set of rules, the violation of which is unacceptable.
The baby should know about them. True, at first he will try to disrupt everything. If a two-year-old child wants to show independence in things that his parents allow him, it is quite acceptable for him to show it. This simple technique will help you avoid some unpleasant situations and give your baby the opportunity to expand his boundaries a little.
Recommendation two. It is also already clear that when a child’s two-year crisis begins, hysterics are commonplace. It is very difficult, almost impossible, to fight them. If no amount of persuasion helps, it is better to leave the child alone - this way he will lose an appreciative audience.
You can do it differently: take the baby in your arms and distract him with something, for example, an interesting situation. As an option, look for the cat at home together or count the leaves on the tree outside the window.
What is strictly forbidden to do?
And now about how mothers and fathers should not behave during the transition period. Of course, shouting and physical punishment are excluded. If violence is used against a child, it will deform his personality and slow down his development. Prohibitions and rules in relation to the baby should be clearly differentiated.
You cannot first ban something and then allow it. This will blur the boundaries and the concept of security. A child's two-year-old crisis may manifest itself in the fact that he will experience a feeling of anger and not understand how to cope with it. Anger usually manifests itself if the child cannot talk about his feelings, if he was forbidden to do something, if he suffered some kind of failure.
There is no need to punish the baby for this feeling. It is better to hug the child and switch his emotion in a positive direction. Anger in response will create a vicious circle. You also need to monitor your emotions, because two-year-old children easily copy the behavior of their parents.
Defeating the crisis
There are two more useful tips for new parents.
You should explain your actions and actions to the baby. For example, you should wear a hat and mittens because it is very cold outside; candy wrappers should be thrown into the trash bin, because littering is unsightly...
Even if such explanations look a little ridiculous from the outside, they will help the baby, he will feel calmer and will step easier into the next stage of growing up.
Despite the fact that the crisis of two years in children suggests their desire to grow up, children still quickly get tired and overexcited from the mass of new impressions. The result will be whims, tears, hysterics. Therefore, during these periods, parents should avoid places where the baby may get hungry and tired. This applies to long trips on trolleybuses and buses, long shopping trips, and the like. If a two-year-old toddler is bored, he is not interested, he will begin to be capricious. And all because he has not yet had time to form the necessary psychological processes.
Causes of crisis in two-year-old children
By the age of two, the toddler becomes very active, curious, and has a great desire for independence. He is trying to build a system of relationships with the world around him and master it. At the same time, the baby’s behavior deteriorates, hysterics begin, and stubbornness is expressed much more clearly than before. The crisis of two years lies precisely in the new level of development of the child.
At this age, the baby really wants to be independent; he tries to do some things himself, without resorting to the help of his parents. Mothers often say that now it is more difficult for them to carry out housework duties, because the nimble baby repeats everything after his mother. He can wipe the dust or take away the vacuum cleaner.
Not all parents allow their child to take part in activities that they themselves are busy with, so they try to limit access. The baby will throw a tantrum because it seems to him that he is being discriminated against.
How long can it last?
The crisis of two years in children can have a different duration, which depends on the health of the baby, the experience acquired by this age in communicating with parents, and on the situation in the family. During the transition period, everything can be very calm. And there may be manifestations of very violent emotions. And not only for the child, but also for the parents.
It should be clarified that periods of crisis are quite short. The stable stages in a baby’s life are much longer. But it is precisely thanks to a short period of crisis manifestations that a small child develops and changes his behavior.
If the parents behave incorrectly, and the circumstances are unfortunate, the period of anxiety can be longer and last more than a year.