Am I Bad? -Hyperactivity and Impulsivity Being Misread as Aggression

Hyperactivity and impulsivity can be misread as aggression. Here are steps to take if your child has been called a bully.
When children with ADHD first come to see me, it is common for them to ask, “Am I bad?” It’s heartbreaking every time. Whether it is due to their hyperactivity or impulsivity, these kids sometimes take roughhousing too far and hurt others unintentionally. Although a child should always be held accountable for hurting another child, these kids aren’t usually reacting in anger; they’re offending by exuberance.

Telling a child that he is “lazy,” “aggressive,” or “a bully” doesn’t improve behavior. And if he hears it repeatedly, he comes to believe that it’s true. Eight-year-old Jake came to see me one week, dejected after he played “too hard” with his friend on the playground. He didn’t mean to be rough, but he got carried away. His impulsivity led to a serious punch to Joey’s shoulder. The teacher called in Jake’s parents and told them he was a bully. When Jake heard this, he wondered, “Am I really a bully?”

Learn About Self Control.
Of course, if a child frequently displays anger, parents should take steps to manage it. But if you believe that your child didn’t intend to lash out, move too fast, hug too hard, or knock someone over, lay off the labels. Instead, talk with the child about his good qualities and come up with a plan to improve his self-control.

Discuss the problem.
Jake’s parents talked to him about roughhousing. They were specific about the rules at school and at home — no hitting, no kicking, no rough play, stop if a friend asks you to stop, and no mean words. (Children with ADHD also get called bullies when they say things they think are funny, but that friends find hurtful or irritating.)

Identify “hot spots.”
Jake told his parents where and when he was most impulsive at school — standing in line, during recess, in the lunch room, and in PE class. They talked about these “hot spots” and became more aware of Jake’s challenges.

Limit potential triggers.
Jake and his parents made a list of kids who did not get him too roused and stimulated. They limited his play dates to those kids, instead of scheduling one-on-one time with more challenging friends.

Brainstorm and test strategies for each hot spot.
Jake made a list of ways to get control of his emotions. These included: walking away, taking a deep breath, staying close to the teachers, “freezing” like a statue for a second or two to reset his emotions, reading a book, and using positive “self talk.” Then he decided when each solution would be most effective.

> Jake often got frustrated at recess when he didn’t want to play the game his friends were playing. A few of them started taunting him for not wanting to play. Instead of getting angry or lashing out, he decided to use the “walking away” strategy. He found that, sometimes, he calmed down enough that he could circle back and participate in the games, even if it wasn’t the game he would have chosen.

> Jake tended to get excited during group work. He talked too loud, and classmates often thought he was angry. When this happened, Jake learned to take a deep breath or two before saying anything else. This helped calm him down.

> Jake noticed that he got the urge to push or touch classmates while they were waiting in line between classes and in the cafeteria. “Freezing” like a statue stopped Jake from jostling his classmates.

Jake’s classmates and teachers started to see him in a different light when he worked hard to control himself. They realized that he had not intended to be rough, but that his impulsivity often got the best of him. Jake came to realize that he wasn’t a “bad” child, he just lost control of his behavior. He worked at changing because he wanted his friends to feel safe around him.

"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Julie C.
"Dr. Matheis has a remarkable ability to understand the unique needs of her patients and address them constructively. She builds strong, meaningful relationships with patients and their families, encouraging trust and collaboration. When working with my son who struggles with autism-related anxiety, she created an environment in which he was able to calm down and open up to her in ways I had not seen before. She was able to reach him and helped him work through his crisis/problem. Most importantly, she empowered him to move forward."
- N.L.
"Dr. Matheis is amazing. She has tremendous resources and loads of energy. She is not willing to accept anything less than the most effective results for her clients. She made me feel as if my son was her top priority throughout the entire process. I would, without reservation, give her my highest recommendations.  Thank you, Dr. Matheis!"
- Anonymous
"Dr. Matheis has an amazing ability to read kids and connect with them. She has been an invaluable resource for our family over the past several years and has helped us with everything from educational consulting, to uncovering diagnoses as well as family therapy. Working with Dr. Matheis never feels clinical and most importantly, our children love and trust her. We can not thank you enough Dr. Liz!"
- Anonymous
"My teenage son had been seeing Dr. Matheis through his senior year of high school, as he was only diagnosed with ADHD at 16 years old.  Dr. Matheis came highly recommended from our pediatrician and she has done wonders for our son as well as our family, navigating new ways for him to deal with his diagnosis without the use of medication.  She taught him ways to organize himself and even when something did not work for him, she patiently continued teaching him new ways to keep himself on track.  She has also helped us as parents to understand how his mind works so that we did not continue to blame his lack of focus on him, rather on his unique way of thinking.  Thank you Dr. Matheis!!!!"
- LG
"Dr. Liz is the best! Our family was directed to her by our Pediatrician to assist with figuring out severe mood changes, severe anxiety, strange new fears and food aversion that had come onto one of our children literally overnight. After just a couple of visits, she suggested that the issues may actually be rooted in a physical issue and suggested we immediately take our child to be swabbed for strep, because Dr. Liz suspected PANDAS (a pediatric autoimmune disorder brought on by strep). The same Pediatrician that suggested Dr. Liz would not do the swab (they do not believe in PANDAS and we no longer go there) but I took my child to my doctor who did the swab and it was positive for strep. When our child went on antibiotics, within 24 hours all symptoms went away and our child was back :-) Dr. Liz then recommended a PANDAS specialist who helped us and our child is in complete remission and is happy and healthy. We are incredibly grateful to Dr. Liz for her knowledge of all things, even the most remote and unusual and for helping us so much! Thank you!"
- Anonymous
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Anonymous
"Thank you, Dr. Liz. Although we have told you countless times, it will never feel enough. You have listened when J could barely speak and continued to listen when he was sad, angry and confused. You've challenged him and directed us in our roles as parents. You've helped J face his fears while the list evolved and changed, and yet you've stayed committed to 'the course.' We pray that your children realize that time away from them is spent helping children learn and that vulnerability is a sign of strength and bravery."
- June I
"My son was admitted to an Ivy League school when only 2 years ago, you assessed him and saw his struggles, his Dyslexia. We are grateful that he no longer has to carry that deep feeling of inadequacy or shame that must have kept him so self conscious and from reaching his potential. He has the PERFECT program for him. He has A's in high math and economics. He became a Merit Scholar, a Boys State legislature, the HEAD captain of the football team and help a job ALL while studying and managing his classes and disability. I am PROUD of you, a young doctor, who knows and sees the vulnerability of children and helps them recognize "it's NO big deal" God bless."
- Anonymous

Learn More About Dr. Liz!

Subscribe to our Mailing List
Psychological and Educational Consulting Logo

513 W Mt Pleasant Ave, Ste 212,
​Livingston, NJ 07039