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What you need to know:

This refers to the development of your child's personality and how they form relationships with people they they interact with. They will mostly learn from this from play and also by watching you and how you interact with people in various situations, e.g. if they see you are angry and shout at them, then they will learn to shout when they are angry, whilst if they see you pause to calm yourself and then try to explain the situation then they will learn to deal with challenging situations in a more positive manner.

What might my child be doing?

Newborns 0-3 months

  • Emotions: From 6 weeks of age, your baby will smile back when their main carer smiles at them.
  • Behaviour: Your one-month-old will know your voice, and by 6 weeks of age, they will recognize you and respond to your voice and smile.
  • Play: In the early days, your face is the most interesting thing to your baby. They might also like looking at toys with contrasting colours (e.g. black and white).

Babies 3-12 months

  • Emotions: Your baby is starting to show more emotion—laughing, smiling, showing excitement when happy, or grimacing with frustration when denied what they want. From 9 months old, they may show separation anxiety (moving away from their carer) or stranger anxiety (getting upset around people they don’t know).
  • Behaviour: Your baby knows your voice and has a stronger attachment to you. By 6 months, they know that other people can also look after them and recognize and enjoy spending time with them.
  • Play: At 6 months, they will start to show enjoyment when you play with them (e.g. tickling, peek-a-boo, singing to them). From 6 months, your baby will explore objects by reaching to grab them and tasting them.

Toddlers 1-3 years

  • Emotions: Your toddler is experiencing many emotions without knowing how to express them, which may come out as temper tantrums when they can’t put feelings (frustration, sadness, anger) into words.
  • Behaviour: From 2 years old, separation anxiety should settle as your toddler understands that you will come back when you leave them.
  • Play: At 12 months, your toddler will love to explore their surroundings with you close by (e.g. crawling towards a cupboard and pulling out all the hidden items). From 18 months, they may start to engage in 'pretend play' (pretending to drink from a toy cup or talking on a toy phone). At 2 years old, they will start playing games with other children and having friends.

Preschool 3-5 years

  • Emotions: At 5 years old, children develop a sense of awareness, such as worrying about not being liked and knowing how to be funny to make people laugh.
  • Behaviour: By 4 years old, your child might enjoy tricking you (e.g. pretending to be asleep).
  • Play: By 4 years old, they understand how to share and take turns. Their imagination becomes quite dramatic in play (e.g. playing mums and dads).

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When should you worry?

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Advice and Guidance

How can I help?

  • Give your child lots of hugs and kisses to provide your child with a sense of comfort, safety and confidence.
  • Being nearby when they are trying new things out, to help them develop their independence and self-confidence.
  • play together and give them your full attention when doing so by smiling at them, giving eye contact, e.g. messy play, outdoor play, art-based play and roleplay.
  • if changing your child's activity is regularly met with protests, try giving successive warnings to your child that an activity is going to stop imminently e.g. 'we are going to turn off the TV in 10 minutes', followed by 'we are going to turn off the TV in 5 minutes/when the cartoon ends'.
  • Be you child's role model on how you would like them to behave with others e.g. if you have a child who interrupts persistently - be mindful of actively listening to the and allowing them to finish what they want to say before getting your own point across or focusing on something else. If you have a child who snatches - be mindful of asking for things politely and not grabbing things yourself.
  • Be more aware of how you speak to your child - if you are struggling with a child who says 'no' to everything - try to avoid using the word 'no' yourself and explain in short sentences why you are not giving permission now and when you would reconsider their request. Tell them what you would to do as opposed to telling them what no to do e.g. say 'please use kinds hands' instead of 'don't hit!' or try saying 'please use your quiet voice' instead of 'don't shout!'
  • Encourage your child's imagination by reading together, telling stories, singing songs etc.

When should I be concerned?

When your baby:

  • cries persistently without you being able to settle them
  • doesn't appear to like cuddles
  • doesn't pay attention to faces
  • doesn't smile back from 6 weeks old

By 2-3 years old, when your toddler:

  • seems to be in their 'own world' with very little interest in their general surroundings
  • can be very particular and infatuated about certain things
  • when they persistently and continuously can not listen or pay attention to adults requests/instructions

By 4-5 years old, when your pre-schooler:

  • doesn't look you in the eye to communicate with you
  • isn't interested in other children
  • doesn't do any pretend or imaginative play
  • enjoys obsessive, repetitive things e.g. lining things up, wanders around aimlessly, throws things
  • does not have a strong bond with their carers. Things that you may notice could include; not looking for comfort when upset, but will expect you to approach them, not appearing to enjoy praise for doing a good job, not running up to you after a period of separation, when they have routines that are near impossible to break or have purposeless rituals that they must do in order for them not to have a meltdown, etc.

You should be concerned at any age if your child stops doing what they were previously able to do.

Where can I get help?

If you think you are having trouble with your child's behaviour and emotions or finding it difficult to know how to play with them, discuss your concerns with a professional like a health visitor, GP, or a nurse/school teacher who can provide advice and consider what support might be appropriate.

Click here for information about ADHD

Click here for information about autism

Click here for a few tips from other parents

Self care and Prevention

Video Showcase

Related Conditions

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Further Information

A

Acute kidney injury

Acute kidney injury (AKI) is when the kidneys stop working over a short period of time – a few days or a few weeks. It is sometimes called acute kidney failure (AKF) or acute renal failure (ARF).

Allergy

Learn the basics about food allergies, their symptoms and how they are diagnosed. And if you have itchy eyes, a sneezy nose, wheezy chest or queasy stomach, you might have an allergy: find out more

Anaphylaxis

Anaphylaxis (pronounced ana-fill-ax-is) is a severe and potentially life-threatening allergic reaction. Learn more about what you can do to avoid having an anaphylactic reaction or what to do if someone else if having a severe allergic reaction.

Arthritis

Arthritis doesn’t just affect the elderly. Find out more about conditions affecting the bones and joints of children and young people; to hear the experiences of a young person with arthritis, click here. The Centre for Adolescent Rheumatology and the Children’s Chronic Arthritis Association provide extremely useful information for young people.

Asthma

Don’t let having asthma stop you living your life. Learn more about asthma and find ways to help you stay well.

Click here for videos on inhaler technique.

B

Brain tumour

Brain tumours are quite complex - at present, over 130 different types of 'high grade'(cancerous) or 'low grade' (non-cancerous) brain tumours are known. Find key information about brain tumours in young people including symptoms, diagnosis and treatments, and read advice on living with, or caring someone with, a brain tumour.

C

Cancer

7 young people are diagnosed with cancer every day in the UK. You don’t have to face cancer alone - find out about cancer types, treatments and living with cancer as a teen or young adult. This information has been written specifically for you and reviewed by other young people with cancer. Hear the stories of other young people with cancer.

Chronic Fatigue Syndrome

Chronic fatigue syndrome (CFS) is a complicated disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue may worsen with physical or mental activity, but doesn't improve with rest.

For more information on CFS and the Specialist Chronic Fatigue (ME) Service for children and young people anywhere in the UK, please click here.

Chronic kidney disease

Chronic kidney disease (CKD) is a lifelong condition. The kidneys gradually stop working as well as they should. This usually happens over many years.

Chronic pain

The Pain Toolkit is for people who live with persistent pain and Healthcare teams who support them. It helps people all over the world self manage persistent pain.

Cleft lip and palate

There are many young people in the UK who are born with a cleft lip or palate. Some of them have shared their stories about everything from school to surgery.

Coeliac Disease

Growing up with coeliac disease, especially in your teenage years, can have its challenges, especially as you eat out more with friends. Don’t be embarrassed about having coeliac disease; it’s part of you and your friends will understand.

Cystic Fibrosis

Cystic fibrosis(CF) is one of the UK's most common life-threatening inherited diseases. Cystic fibrosis is caused by a defective gene. As a result, the internal organs, especially the lungs and digestive system, become clogged with thick sticky mucus resulting in chronic infections and inflammation in the lungs and difficulty digesting food. Find out more…

D

Diabetes

Being a teenager is hard enough, without having Type 1 diabetes. Find out more about successfully living with Type 1 diabetes and getting through your teenage years. Listen to the experiences of young people with diabetes by clicking here. Or, to read a diabetes-inspired comic click here

E

Eczema

‘Why do I have eczema?’ is a question asked by a lot of the young people with eczema. Find out more about eczema or listen to the experiences of other young people with eczema.

Epilepsy

If you’re a teenager with epilepsy, you probably have all sorts of questions about how epilepsy could affect your life. For example, will you be able to go on holiday with friends, go to concerts and clubs and drink alcohol? Or maybe you have a friend, brother or sister who has epilepsy and you just want to understand more about it. Or you can listen to the experiences of a young person with epilepsy by clicking here. Young epilepsy provides great help and support.

F

FSGS and IgM nephropathy

Focal segmental glomerulosclerosis (FSGS) and IgM nephropathy cause nephrotic syndrome. This causes swelling in the body, especially in their face, legs and feet.

G

Glomerulonephritis

Glomerulonephritisis a group of conditions that cause inflammation (swelling) in the kidneys. Children with glomerulonephritis have blood and protein in their urine, and may have swelling in their body, especially in their face and legs. Find out more…

H

Haematuria

Haematuriameans there is blood in the urine (wee). If there is a lot of blood, the urine may be red or dark brown. In most children, haematuria is not serious. In some children, it is a sign that there is a problem with their kidney and these children may need special treatment. Find out more…

Haemolytic Uraemic Syndrome

In haemolytic uraemic syndrome (HUS), the small blood vessels inside the kidneys are damaged. There are changes in the blood and the kidneys stop working properly.

Haemophilia

By the time you are a teenager, you may already be used to living with a bleeding disorder. However not all people with bleeding disorders are diagnosed earlier on in life, and a bleeding disorder may be entirely new for you. The information here should be able to reassure you about your bleeding disorder, and let you get on with the enjoyment of being a teenager..

Heart conditions

If you have a congenital heart condition, you might feel like you don't want to know every detail because it scares you. In fact you're not alone - many adults feel the same way. Find out more…

Henoch- Schonlein purpura (HSP)

Henoch-Schönlein purpura (HSP) is a condition that affects different parts of the body. Tiny blood vessels in the body become inflamed or swollen.

HIV

It’s difficult being a young person with HIV but you’re not alone. Hear the experiences of other young people living with HIV. Find ways of accessing local support as well as the Body & Soul Beyond Boundaries programme.

Click here to watch a video from the BBC called HIV Positive: Seriously, you can't catch it from kissing.

Hydrocephalus

If you’re a teenager or young adult affected by hydrocephalus, it’s important to remember that you’re not alone. You’ll find useful information to help you overcome the different challenges you may face.

Hypertension

Hypertension means that your blood pressure is too high. In some children, hypertension can be a serious condition. It can increase the risk of getting other diseases, especially if the hypertension continues into their adult years. Find out more…

I

Inflammatory Bowel Disease

Crohn’s Disease and Ulcerative Colitis are the two main forms of Inflammatory Bowel Disease, affecting more than 300,000 people in the UK. Yet it is largely a hidden disease, and one that causes stigma, fear and isolation – it’s thought that many people with the condition go undiagnosed and suffer in silence. It doesn’t have to be like this. Learn more….

Info about your child's medication

M

Medical ID and alert products

Don’t let a medical condition change your life. Change the way you deal with it – by living as best you can with the security of a Medi band or Medic alert medical ID bracelet or wristband.

Metabolic conditios

Climb is the leading patient organisation for Inherited Metabolic Disorders, supporting thousands of families worldwide.

Mitochondrial disease

Mitochondrial Disease is a chronic, genetic disorder that can be inherited in a number of ways. Because there are many forms of mitochondrial disease and therefore Mitochondrial disease presents very differently from individual to individual.

When a person has Mitochondrial Disease the mitochondria in the cells are not producing enough energy. Sometimes they are not very efficient or they do not work at all. Depending on which Mitochondria are affected will depend on which organs are affected.

Activities like running, swimming, cycling or even simple ones likes walking or breathing can be difficult or completely impossible if you are suffering with Mitochondrial Diseases.

For help and for more information, visit the Abel Foundation website by clicking here.

Mitrofanoff

Bladder problems are not a subject that is openly discussed, hence there is a general lack of public knowledge on what it is like to have Mitrofanoff. Mitrofanoff Support offers emotional support and reassurance to anyone who may be about to have, or already has a Mitrofanoff and the people closest to them.

Multicystic dysplastic kidney (MCDK)

A multicystic dysplastic kidney (MCDK) is a kidney that has not developed normally in the womb. Instead of a working kidney, there is a bundle of cysts, which are like sacs filled with liquid. Find out more

Muscular Dystrophy

Living with a neuromuscular condition can be a steep learning curve, but support is available. Find out more…

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Nephrotic syndrome

In nephrotic syndrome, the kidneys leak too much protein into the urine, leading to a drop in the levels of protein in the blood. This causes swelling in the body, especially in the face, legs and feet. Find out more… About half of children with steroid-sensitive nephrotic syndrome (SSNS) have frequent relapses. This means that although the nephrotic syndrome gets better with steroids, it keeps coming back in a short space of time. Learn more about frequently relapsing nephrotic syndrome.

Neurofibromatosis

Neurofibromatosis type 1 is a condition that causes lumps called neurofibromas to grow on the covering of nerves. Although doctors sometimes call the lumps tumours, they are not cancer. This information sheets offers you some facts and advice to help you.

P

Post-infectious glomerulonephritis (PIGN)

PIGN causes inflammation (swelling) in the kidneys. Young people with PIGN have blood and protein in their urine, and may have swelling in their body, especially around their face and legs. Find out more…

Primary immunodeficiency

If you are a young person with a primary immunodeficiency, there are probably loads of questions you’d like to know the answers to, things you maybe feel a bit embarrassed to ask about or you simply don’t know who to ask. Learn more here…

Proteinuria

Proteinuria means there is an abnormal amount of protein in the urine (wee). Normally there is very little protein that is lost in the urine. Find out more…

R

Renal dysplasia

Renal dysplasia (or kidney dysplasia) means that a kidney does not fully develop in the womb.The affected kidney does not have normal function – which means that it does not work as well as a normal kidney. It is usually smaller than usual, and may have some cysts, which are like sacs filled with liquid. Find out more…

Renal hypoplasia

Renal hypoplasia (or kidney hypoplasia) means that part of a kidney does not fully develop in the womb. The kidney may only be slightly smaller than usual or it may be tiny. Because of its size, it may not work as well as a normal-sized kidney. Find out more…

S

Scoliosis

Advice on what you can do if you have scoliosis or if you have just been diagnosed with it. Find out more…

Sickle Cell Disease

Advice for young people living with sickle cell disease. You are not alone. Click here for more information.

Spina bifida

Spina bifida literally means ‘split spine’. A fault in the development of the spinal cord and surrounding bones (vertebrae) leaves a gap or split in the spine. The spinal cord has not formed properly, and may also be damaged. Find out more

Syncope

Syncope (pronounced sin-co-pee) is a medical term for a blackout that is caused by a sudden lack of blood supply to the brain. Reflex syncope is one of the most common forms of syncope. Find out more…

T

Thalassaemia

Thalassaemia is a complex condition affecting the blood that requires constant monitoring and treatment. However, it is no longer just a disease of childhood; with our current level of knowledge, of treatment, of support and care there is no reason for a young person with thalassaemia to not reach their full potential.

Tuberous Sclerosis

An estimated 1 million people worldwide have TSC. Some will be diagnosed with TSC very early in life whilst others may not be diagnosed until later childhood, adolescence or adulthood. Find out more…

U

Urinary tract infection (UTI)

A urinary tract infection (UTI) is a common infection that may cause you pain when you pee. Sometimes it can result in a kidney infection. Find out more…

V

Von Willebrand Disease

Von Willebrand disease is the most common type of bleeding disorder: it’s estimated that around 1% of the world population may be affected. It affects the blood’s ability to clot and can cause symptoms such as easy bruising, nosebleeds, and heavy periods. It may also be hard to stop bleeding after injury or surgery. Find out more…