Why Do Kids Have Trouble With Transitions?

 

Being asked to switch gears is a common trigger for problem behavior like whining and tantrums

by Katherine Martinelli

 

Humans are creatures of habit. Even when we welcome it, change takes more energy. So perhaps it’s not surprising that children often find it difficult to make transitions between activities, places and objects of attention. Being asked to stop one thing and start another is a very common trigger for problem behavior, especially for kids who have emotional or developmental challenges.

“Transitions are hard for everybody,” says Dr. David Anderson, senior director of the ADHD and Behavior Disorders Center at the Child Mind Institute. “One of the reasons why transitions may be hard is that we’re often transitioning from a preferred activity – something we like doing – to something that we need to do.”

What does trouble with transitions look like?

Difficulty with transitions can manifest in a number of ways depending on the child and the setting. It can take the form of resistance, avoidance, distraction, negotiation or a full-blown meltdown. Some of these reactions are the result of kids being overwhelmed by their emotions. And some are what they’ve learned works to successfully delay or avoid the transition.

A child told it’s time to leave the playground might throw a tantrum initially because he can’t manage his anger or frustration, but if he’s found that it has worked to delay leaving the park, he’s more likely to do it again. “It really depends on how the adults in his life have responded,” says Dr. Matthew Rouse, a clinical psychologist in the ADHD and Disruptive Behavior Disorders Center at the Child Mind Institute. Other kids may not tantrum but instead master the art of whining, distracting, or negotiating with the adults in their life.

What’s behind transition problems?

While transitions are triggers for lots of kids – what parent hasn’t gotten resistance from a child being asked to stop playing a video game and come to dinner? – they are particularly difficult for kids with emotional and developmental issues. And while the behaviors may be the same, experts point out that the reasons behind the behavior are different for kids with different challenges. Here we look at why children with ADHD, anxiety, autism and sensory processing issues, find transitions particularly difficult.

ADHD

For kids with ADHD, it all comes down to what they perceive as rewarding, says Dr. Rouse. While the disorder is described as an attention deficit, experts say it may be more useful to think about it as difficulty regulating attention – turning your attention to something you are expected to do, rather than something that you find rewarding.

“Kids with ADHD have fewer neurons in their reward centers, or neurons that aren’t as active in the reward centers of their brains, so they find things throughout their day less rewarding,” he explains. When they do find something rewarding, they tend to hyper-focus on it, which explains why someone with ADHD seems all over the place but then can play video games for hours. Ask them to do something less rewarding (like putting away Legos), and you might hit resistance.

Dr. Michael Rosenthal, a clinical neuropsychologist, adds that children with ADHD have a tougher time managing their emotions than other kids. “There’s also research that shows that the wiring in the brain centers that are involved in helping kids exercise control over their emotions are less developed, so you get bigger emotional displays from them compared to kids who don’t have ADHD.”

Autism

Although transitions can be similarly challenging for kids with autism, the reactions tend to be more extreme, and the issue is rooted in a different difficulty. “For kids with autism,” says Dr. Rosenthal, “the world is just an incredibly confusing and overwhelming place, so the need for sameness and predictability is adaptive,” or practical. It’s not simply that changing activities is upsetting, it’s that any deviation from the routine can feel like the rug is being pulled out from under them.

Dr. Rosenthal refers to this as cognitive inflexibility, and says that it also explains why those on the autism spectrum have hyper-focused interests and tend to prefer doing the same things in the same order. “Any unexpected changes or transition for a kid with autism disrupts their equilibrium.”

ADHD

For kids with ADHD, it all comes down to what they perceive as rewarding, says Dr. Rouse. While the disorder is described as an attention deficit, experts say it may be more useful to think about it as difficulty regulating attention – turning your attention to something you are expected to do, rather than something that you find rewarding.

“Kids with ADHD have fewer neurons in their reward centers, or neurons that aren’t as active in the reward centers of their brains, so they find things throughout their day less rewarding,” he explains. When they do find something rewarding, they tend to hyper-focus on it, which explains why someone with ADHD seems all over the place but then can play video games for hours. Ask them to do something less rewarding (like putting away Legos), and you might hit resistance.

Dr. Michael Rosenthal, a clinical neuropsychologist, adds that children with ADHD have a tougher time managing their emotions than other kids. “There’s also research that shows that the wiring in the brain centers that are involved in helping kids exercise control over their emotions are less developed, so you get bigger emotional displays from them compared to kids who don’t have ADHD.”

Autism

Although transitions can be similarly challenging for kids with autism, the reactions tend to be more extreme, and the issue is rooted in a different difficulty. “For kids with autism,” says Dr. Rosenthal, “the world is just an incredibly confusing and overwhelming place, so the need for sameness and predictability is adaptive,” or practical. It’s not simply that changing activities is upsetting, it’s that any deviation from the routine can feel like the rug is being pulled out from under them.

Dr. Rosenthal refers to this as cognitive inflexibility, and says that it also explains why those on the autism spectrum have hyper-focused interests and tend to prefer doing the same things in the same order. “Any unexpected changes or transition for a kid with autism disrupts their equilibrium.”

Katherine Martinelli is a journalist who has published internationally on a variety of topics including parenting, food, travel and education. She is also mom to an inquisitive toddler. Original

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