{"id":157044,"date":"2021-08-16T16:27:24","date_gmt":"2021-08-16T10:57:24","guid":{"rendered":"https:\/\/dev.developmentlogics.org\/article\/managing-behavioural-crisis-autism-what-behaviour-crisis-and-how-handle-it"},"modified":"2026-09-22T15:07:40","modified_gmt":"2026-09-22T09:37:40","slug":"managing-behavioural-crisis-autism-what-behaviour-crisis-and-how-handle-it","status":"publish","type":"post","link":"https:\/\/nayi-disha.org\/article\/therapies-adls\/managing-behavioural-crisis-autism-what-behaviour-crisis-and-how-handle-it\/","title":{"rendered":"Managing Behavioural Crisis: What is it and how to handle it?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">A behavioural crisis is a severe\/or prolonged outburst of behaviour during which the child may appear upset, angry or aggressive. During this the child may prove to be a danger to self or others. It is therefore important to recognise signs of the outburst, prepare and prevent the triggers. It is also important to work on a long term plan for\u00a0 supporting the behaviour.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This article is based on inputs from <\/span><span style=\"font-weight: 400;\">consultant Neuro-developmental Pediatrician, Dr Ajay Sharma. He has offered expert advice and guidance in consolidating this information.<\/span><span style=\"font-weight: 400;\"> It will also help you in understanding the difference between a tantrum and a meltdown and in learning the ways to support the behaviour crisis in children<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You might also want to read this<\/span> <a href=\"https:\/\/nayi-disha.org\/hi\/blog\/disability-doesnt-excuse-behavioural-problems-blog-swaddle\/\"><span style=\"font-weight: 400;\">\u092c\u094d\u0932\u0949\u0917<\/span><\/a> <span style=\"font-weight: 400;\">written by a parent of a special needs child on identifying and managing behavioural crises<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><b>What is a Behavioural Crisis?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Autism Spectrum Disorders (ASD) or autism is a neuro developmental\u00a0 condition often characterised by a delay in communication and limited social interaction. Children with autism therefore find it difficult to regulate their emotions often leading to behavioural concerns. Sensory sensitivities, additionally make it difficult for children to regulate themselves in overwhelming situations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A behavioural crisis refers to prolonged episodes of severe behavior that is often difficult to manage. During this the child may be upset and aggressive, placing themselves or others at immediate risk. It is therefore extremely important to identify the underlying factors that may cause these behavioural outbursts. It will be helpful to <\/span><span style=\"font-weight: 400;\">prepare and prevent the triggers and work on a long term plan for managing the behaviour<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><b>What can be done?<\/b><\/h2>\n<ul>\n<li aria-level=\"1\"><b>The root causes of the behavioral outburst:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is important to identify what triggers the child and results in a behavioural outburst. Be mindful that each child is different and therefore each child\u2019s reaction to a situation or their coping mechanism will be vastly different.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Among incidents leading to a behavioural crisis, two commonly occurring events are tantrums and meltdowns. They may look similar but are entirely different. In order to help support children during a behavioural crisis, it is extremely important to understand the differences between a meltdown and a tantrum.<\/span><\/p>\n<p><b>Tantrums<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Often when a child with autism is unable to get what they want, or in order to gain attention, they may often exhibit behaviours that can be characterised as a tantrum.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Such tantrums can also be observed in neurotypical children, but in children with autism, there might be other underlying factors that result in such behaviours.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A tantrum might result when a child wants something.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It also might be an expression of an unmet need of the child. It may manifest as a result of the frustration, when the child is denied what they want.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A tantrum can also be a way to get the attention of people around.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They are often for short durations, and may stop once the child gets what they want.<\/span><\/li>\n<\/ul>\n<p><b>Meltdown<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meltdowns may often look like tantrums but are vastly different.\u00a0 Unlike tantrums, meltdowns are not aimed at receiving anything.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They are often a response to overwhelming emotions or stress or due to a sensory overload.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They last for long periods of time, as the child does not understand how to cope, and may last even when the stressor is removed.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Recognising Signs:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is often difficult to differentiate between a tantrum and a meltdown. In such situations, it may help parents if they look for apparent signs by asking themselves the following questions.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Was the child denied something that they wanted?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Were they trying to get the adult\u2019s attention?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Was the child asked to do something that they were not willing to?<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If the answer to these questions is a yes, then in all probability the child is having a tantrum, where the child is angry or upset as a result of things not going their way.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, this is not the case in a meltdown, where parents or caregivers should think about the following questions.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is the child having a stressful day, or was there stress in situations preceding the meltdown?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have there been any sudden changes in the usual routine of the child?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is there a sensory overload on the child, resulting in the meltdown?<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If yes, then the child\u2019s response is to a situation arising from overwhelming sensory differences or stress. There is little that the child can do to cope in such situations and often need strong support to support them.<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>Preparing and Preventing:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Once parents identify if the child is having a tantrum or a meltdown, they often look for the best possible way to address and deal with their child\u2019s behavioural outbursts.\u00a0<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>Stay Calm:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Before addressing the child\u2019s outburst, parents should try to remain calm and not panic. Address the child using a calm but firm voice.<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>Identify Early Signs:<\/b><\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It is important to identify any events that might have happened resulting in the child having a tantrum or a meltdown.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If the parent anticipates any situation that may be likely to be upset, distracting the child to other activities might be helpful.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If there is a sensory trigger that might overwhelm the child, removing the stressor wherever possible might be helpful too.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Offer the suitable sensory stimulus to help the child feel better, in case of a meltdown.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Acknowledge the changes:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ensure the child that you as a parent understand their emotional state using a calm voice to reassure the child.<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>Support and Management:<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is essential to manage the child\u2019s outbursts appropriately to ensure the wellbeing of the child. Different approaches can be used to manage a tantrum or a meltdown.<\/span><\/p>\n<h2><b>What to do during a tantrum?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\"><strong>Communication<\/strong>: Help the child communicate their needs by using any form of communication such as gestures, pictures or speech. Encourage and praise for using communication skills instead of having a tantrum.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Ignore behaviours<\/strong>: Unless the child is at a danger of harming themself or others around them, it is best to ignore any behaviours directed at gaining attention. This will help the child understand boundaries and what&#8217;s acceptable in situations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Offer Alternatives<\/strong>: Offer an alternative that the child can engage in that moment, such as an alternative activity or an alternate form of communication when the child is too upset.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Do not reinforce<\/strong>: Offering rewards or other things of attraction may often lead to a child believing that this display of behaviour is the only thing to get things. Therefore do not reinforce uncontrolled behavioural outbursts.<\/span><\/p>\n<h2><b>What to do during a meltdown?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Stay Calm: Utmost care should be taken while handling a meltdown. Speak in a calm and soothing voice that is reassuring to the child.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Reduce and Remove: Identify and remove any stressors that might be causing the meltdown. Any sensory triggers likely to cause an overload such as loud sounds, bright lights should also be reduced. This will help in the child feel calm and settled.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Use Calming Methods: Use methods that you know can calm the child down.These can be breathing exercises, the child\u2019s favourite activities such as singing etc.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Offer Space: Unless it appears that the child may be in any form of immediate danger, it may be wise to give the child some space to decompress without any added pressure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Choosing a method suited to the child and offering alternatives can go a long way in addressing a behavioural crisis.\u00a0<\/span><\/p>\n<h2><b>What NOT to do during a crisis<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">It is important to understand that as caregivers, it&#8217;s our duty to make sure that the child does not feel threatened or overwhelmed but feels safe and calm by our responses. It is therefore, important that parents:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not argue with the child<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not criticise the child<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do not try to teach the desired or appropriate behaviour during the crisis<\/span><\/li>\n<\/ol>\n<h2><b>Long Term Planning and Management<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Behavioral crisis, whether a tantrum or a meltdown can have a huge impact on not only the child, but the emotional and social well being of the family as well. It is therefore important to work towards preventing such outbursts in children by adapting coping mechanisms that can offer children a safer alternative to emotional outbursts.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">After the crisis, when the child has calmed down<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Talk to the child about the incident in a calming and reassuring tone.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Talk about what is unacceptable like breaking things or hitting people.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It is also important to reflect on the incident and try to identify if there were any triggers that might have caused the event.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Work on removing such stressors to prevent outbursts in future.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Create a sensory friendly environment based on the child\u2019s needs. Removing sensory triggers from the child\u2019s day to day activities, wherever possible will largely help the child cope without being overwhelmed.\u00a0<\/span><\/li>\n<\/ul>\n<h2><b>Establish and Follow a routine<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Children do well when they have routines. This gives them structure and predictability.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Having visual schedules in place helps guide the child through different activities during the day. Visual schedules can also help the child transition from one activity to the next, reducing chances of anxiety and fear.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Working on the child\u2019s communication will also go a long way in managing behavioural outbursts. Teach the child to use different means of communication to convey their needs.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">These can be through signing, visual aids like Picture Exchange Communication System (PECS) or by using their words.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The child should understand that communication will be more effective than displaying behaviours such as screaming or throwing things.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">This can be done by reinforcing positive behaviours like asking, sharing or giving.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Also, find and practice other activities that can be used as replacement of demands.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">These activities should be based on the child\u2019s preferences like a sensory toy, or an activity the child enjoys such as listening to music or a tool that reduces sensory overload such as noise-cancelling earphones.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Be aware of possible triggers that can lead to the child being overwhelmed and work on reducing them as far as possible.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For example, go to places at times when they are not too crowded, try to give the child frequent breaks to help calm them down.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Practicing these methods to prevent and manage overwhelming situations will gradually help the child cope with unfavourable situations and help prevent or minimise events leading to a behavioural crisis.<\/span><\/p>\n<p style=\"font-weight: 400;\"><em><strong>\u0938\u094d\u0935\u0940\u0915\u0943\u0924\u093f:<\/strong><\/em><strong>\u00a0<\/strong>Special thanks to Consultant Neuro-developmental Pediatrician, Dr Ajay Sharma who has offered expert advice and guidance in consolidating this information.<\/p>\n<p style=\"font-weight: 400;\">Additionally, do listen to Dyslexia Therapist and Counsellor, Afshaan Jabeen, discussing the\u00a0<a href=\"https:\/\/www.youtube.com\/watch?v=tfxm7hkmP-A\">main causes for behaviour challenges in children with developmental disabilities<\/a>. Another interesting and helpful conversation with Pediatric Neurologist, Dr Ram Kairam, on the use of medications to manage mood swings and anger, can be accessed\u00a0<a href=\"https:\/\/www.youtube.com\/watch?v=cAJosQI4cbY\">here.\u00a0<\/a><\/p>\n<p style=\"font-weight: 400;\">If you have questions about Autism, Down Syndrome, ADHD, or other intellectual\u00a0disabilities, or have concerns about developmental delays in a child, the Nayi Disha\u00a0team is here to help. For any questions or queries, please contact our FREE Helpline at\u00a0<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=918448448996&amp;text&amp;app_absent=0\"><strong>844-844-8996<\/strong><\/a>. You can call or send us a message on\u00a0<a href=\"https:\/\/bit.ly\/3tXtwdR\">WHATSAPP<\/a>. Our counsellors speak different\u00a0languages including English, Hindi, Malayalam, Gujarati, Marathi, Telugu, and\u00a0Bengali.<\/p>\n<p style=\"font-weight: 400;\"><strong>DISCLAIMER:\u00a0Please note that this guide on managing behavioural crisis is for information purposes only. Please consult a qualified health practitioner for safe management.<\/strong><\/p>","protected":false},"excerpt":{"rendered":"<p>A behavioural crisis is a severe\/or prolonged outburst of behaviour during which the child may appear upset, angry or aggressive. During this the child may prove to be a danger to self or others. It is therefore important to recognise signs of the outburst, prepare and prevent the triggers. It is also important to work [&hellip;]<\/p>","protected":false},"author":26459,"featured_media":164143,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3211],"tags":[2402],"conditions":[2694,2699,2696,2802,1156,2703,2698,2695,2702,2700,2704],"age_group":[2739,2738,2737],"article_group":[2765],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Autism Behaviour Crisis: Causes, Signs and How to Manage It<\/title>\n<meta name=\"description\" content=\"Learn how to understand and manage behaviour crises in autistic children, including tantrums and meltdowns, with practical strategies for parents &amp; caregivers.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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