New developments in the management of violent children and adolescents

Paediatricians are often asked to see children and adolescents with behavioural disorders which include an element of violence directed at peers, family members or teachers. Inevitably this group of children poses a considerable management challenge, irrespective of the multiple aetiological contributions to the behaviours. This paper renews some of the evidence for a neurophysiological contribution to violent behaviour, provides a rationale for pharmacological treatment, and outlines a suggested management plan based on extensive clinical experience. The results of this regimen have been highly successful. This regimen is inexpensive, successful and empowers both patients and family through the development of positive interpersonal interactions.