Q:

A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes of her child

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A worried mother of a 4-year-old boy describing attacks of inconsolable crying episodes of her child, taking long time, she stated also that he prefers to play alone. Of the following, the MOST appropriate action is to


  1. reassures her that this is a normal phenomenon of temper tantrum
  2. seek more history regarding other skills and developmental domains
  3. refer her to pediatric psychiatry
  4. investigate social issues of the family
  5. nvestigate for the child abuse

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B). Classicaltemper tantrums of children usually result from fear, overtiredness, inconsistent expectations, or physical discomfort. Tantrums normally appear toward the end of the lst yr of life and peak in prevalence between 2 and 4 years of age. Tantrums lasting more than 15 min or regularly occurring more than 3 times/day may reflect underlying medical, emotional, or soaal problems. In the scenario the episodes takes long time to resolve and the mother paints to problem in soaal development. Here we need to investigate the developmental domains and to do systemic examrnationto checkoutfor any developmental/physicalproblem before referring the childto pediatric psychiatrist which the next most appropriate chorce

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