Why would a child be physically violent with his siblings and act out his anger?
Patient: My nephew is 7 yrs old and has been acting out his anger. He is on meds but this evening while at daycare, he kicked his 3 yr old brother in the side of his head, threw his 6 yr old brother across the floor and hit the daycare owners son. I am not sure of all meds he is on, but he needs help. Doctor: Hi,  Tantrums may happen when kids are tired, hungry, or uncomfortable; or because they can't get something (for example, an object or a parent) to do what they want.   Learning to deal with frustration is a skill that children gain over time.  Tantrums are common during the second year of life, a time when language skills are starting to develop.   Because toddlers can't yet say what they want, feel, or need, a frustrating experience may cause a tantrum. As language skills improve, tantrums tend to decrease.  This is what you can do to avoid or prevent tantrums -  1. Give plenty of positive attention  2. Try to give toddlers some control over little things  3. Keep off-limits objects out of sight and out of reach  4. Distract your child  5. Help kids learn new skills and succeed  6. Consider the request carefully when your child wants something  7. Know your child's limits.  Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology