All children go through emotional ups and downs. Feeling sad, angry or frustrated from time to time is normal. Life-changing events can take a toll on kids, and lead to changes in their behavior. It’s important for parents to recognize the difference between normal “growing pains” and behavioral problems. Parents wondering if their child needs behavioral therapy should consider a few different factors: Age. Conflicts between children and their parents are a normal part of growing up. It can start when kids are toddlers, the infamous “terrible twos.” These struggles may continue through the teen years as children form their own identities. Level of development. Children are individuals with unique personalities and different dispositions, and this can affect their behavior. A child’s level of development also plays a role. Not all children develop at the same pace. Intelligence and social skills may progress differently. For example, social skills may develop more slowly in some kids who are very smart. Considering your child’s level of development can help you understand his or her actions. Environment. It’s important to consider when and where a child acts out. Some behaviors are out of place in certain situations. Home life can affect a child's behavior, so consider family dynamics. A child’s behavior can also change dramatically during times of emotional stress, such as losing a loved one or moving to a new house. Problems associated with major life changes usually get better over time, but some kids have more trouble adjusting than others. Warning Signs of a More Serious Problem Behavior problems that last for six months or more could be a sign that a child needs behavioral therapy. These problems are often more serious and can involve behavior that is aggressive or disruptive. Children with behavioral problems don’t seem to act their age. Signs that a toddler may have behavior disorder include: Head banging Repeated biting, hitting or kicking Older children who are violent or destructive need professional medical help. Other warning signs of trouble in any age group include: Constant fighting Damaging property Disrespect for authority figures Dishonesty Dramatic mood swings Engaging in early sexual activity Frequent nightmares Performing poorly in school Threatening to run away Skipping school Anxiety that interferes with normal activities, such as school work or social activities Significant changes in sleeping or eating habits Stealing Using drugs or alcohol Seek immediate medical care or take your child to the emergency room for a mental health assessment if: Your child has attempted or is threatening suicide or other forms of self-harm such as cutting. Your child is hurting or threatening to hurt others. What You Can Do for Your Child You may feel overwhelmed or even frightened at the thought of talking with someone about your child’s behavior. But any of these warning signs warrant a call to your child’s doctor or directly with a mental health professional, such as a psychiatrist. Another option is to see a developmental-behavioral pediatrician. This is a pediatrician with additional training and expertise in the social, emotional, academic and behavioral aspects of a child’s development. You can search Healthgrades.com for a psychiatrist or developmental-behavioral pediatrician in your area. Take the first step and schedule an appointment. Your doctor will consider your child’s symptoms and other factors and help you decide next steps, such as comprehensive mental health testing and evaluation. With a proper diagnosis, you can explore the treatment options, including behavioral therapy, that best fit your child’s needs.