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Temper tantrums, epilepsy and episodic dyscontrol

J Leicester

    The British Journal of Psychiatry : the Journal of Mental Science
    |September 1, 1982
    PubMed
    Summary
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    Temper tantrums in 17 patients were evaluated by neurologists. All cases were ultimately diagnosed as psychological, not organic, in origin, despite initial concerns about epilepsy or episodic dyscontrol syndrome.

    Area of Science:

    • Neurology
    • Psychiatry
    • Behavioral Science

    Background:

    • Temper tantrums can be challenging to diagnose.
    • Differential diagnosis often includes organic causes like epilepsy or episodic dyscontrol syndrome.
    • Psychological factors are frequently implicated in recurrent temper outbursts.

    Purpose of the Study:

    • To investigate the underlying causes of temper tantrums in a cohort of patients.
    • To differentiate between organic and psychological etiologies of temper tantrums.
    • To explore potential psychological theories explaining temper tantrum occurrences.

    Main Methods:

    • Seventeen patients presenting with temper tantrums were evaluated by a neurologist.
    • Clinical history and diagnostic assessments were conducted.

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  • Differential diagnoses, including epilepsy and episodic dyscontrol syndrome, were considered.

    • Main Results:

    • The final diagnosis for all 17 patients was temper tantrums of psychological origin.
    • Organic causes such as epilepsy and episodic dyscontrol syndrome were ruled out.
    • The patient group exhibited a diverse spectrum of underlying psychiatric disorders.

    Conclusions:

    • Temper tantrums in this cohort were consistently attributed to psychological factors.
    • Neurological evaluation is crucial for ruling out organic causes, but psychological assessment is key for definitive diagnosis.
    • Understanding the psychiatric underpinnings is essential for managing temper tantrums.