18/11/2025
Some valuable reading and resources for parents/caregivers.
𧩠Aggression with Autism and ADHD in Children
đŠ Aggression and Impulse in Autism
- Aggressive outburstsâlike hitting, pushing, or shoutingâoften happen because the child canât communicate what they feel or need, or canât regulate feelings when overwhelmed by stress or sensory overload.
- These behaviours are more likely at home, where the child feels safe to let go after holding things together at school or elsewhere.
- Aggression is rarely intentional or spiteful. Itâs usually a signal that a child is in distress or trying to regain a sense of control.
- Common triggers include discomfort, hunger, needing the toilet, tiredness, sudden changes in plans, loud noise, crowded spaces, or not understanding whatâs expected.
- Creating routines and planning aheadâby offering snacks, encouraging regular toilet breaks, or making transitions more predictableâcan help prevent incidents.
đ§ Aggression and Impulse in ADHD
- ADHD-linked aggression is usually impulsive, âin the moment,â often as a reaction to frustration, boredom, overstimulation, or being told âno.â
- These behaviours can occur anywhere: at home, in school, or in public, since the core issue is with impulse control and regulation.
- Children with ADHD usually want to behave but struggle to pause before reacting.
- After an outburst, a child with ADHD is more likely to apologise or show remorse soon after calming down.
- Outbursts are often intense but short-lived, and the child may quickly return to normal.
đ© Emotional Responses and Empathy
- Children with autism might seem indifferent or react unusually to othersâ distress. This is a developmental difference in empathy and understandingânot a lack of care.
- ADHD children generally feel bad after lashing out and may try to make amends quickly.
- Both groups can struggle to manage âbigâ feelings, but the underlying reasons and patterns look different.
đš Safety and Risks
- Intense or unpredictable aggression at home can be stressful and may increase the risk of accidental injury.
- Setting routines, having a safe environment, and knowing when to get outside help are important for ongoing safety.
- Calm responses, predictability, and talking things through afterwards help reduce risk and prevent future problems.
đȘ How to Tell the Difference
- Triggers and patterns: Autism-related aggression often links to specific triggers like sensory discomfort or routines. In ADHD, aggression can appear anywhere, whenever the child is frustrated or bored.
- Where it happens: Autism-linked aggression is mainly at home or in safe, familiar places; ADHD aggression happens in any setting.
- Remorse and awareness: ADHD children usually realise when their behaviour was wrong and often apologise; autistic children may not recognise theyâve upset anyone or may seem confused.
- Empathy and social understanding: Autistic children may have difficulty with social cues and might seem unemotional; ADHD children usually care about others but act before thinking.
- What helps: Supporting triggers, routines, and communication work best for autism; impulse coaching, reset tools, and quick feedback work best for ADHD.
đ« Managing Big Feelings: Expressing, Breathing, & Mindful Tools
- Help your child learn to name their feelings (âangry,â âscared,â âtoo much,â âhungryâ). Use emotion cards, simple pictures, or role play if talking is tricky.
- Give âsafe waysâ to show big feelingsâsqueezing a cushion, stamping feet, drawing, or going to a calm-down space.
- Teach simple breathing: âSmell the flower, blow the candleâ (slow breath in through nose, slow breath out through mouth).
- Try guided breathing or mindfulness exercises (count to five, notice five things around you, body scan, gentle stretch).
- Model calm by showing your own âresetââdeep breaths, gentle tone, taking a break.
- Praise any effort at using words, asking for help, or trying a coping strategyâeven if itâs just for a few moments.
đĄïž Support đĄïž
I offer a flexible, accessible service with no referral criteria or waiting list. No diagnosis required. People I support have been waiting months for NHS care, fallen between services, or donât meet referral criteria.
With seven yearsâ experience across CAMHS crisis team, A&E, and the Intensive Treatment Team, plus two years in primary care, Iâm a registered mental health nurse and tier 3 advanced clinical practitioner specialising in behaviour, mental health, and neurodiversity.
I support children, adults, couples, carers, families, groups, and organisations dealing with complex challenges including ADHD, AuDHD, and autism. My approach blends clinical expertise, neurodiversity-informed practice, and lived experience to offer effective and timely support.
If you need expert guidance, training, or personalised support, Iâm here to help. For a free 15 minute consultation text or WhatsApp on the number below.
Joe Ramsay
Mental Health (RMN) & Neurodiversity Consultant
đ 07940 506909
Copyright © 2025 Joe Ramsay. All rights reserved.
â Resources For Parents and Carers
- The Meteor of Consequences: https://www.facebook.com/share/1C8h9MqhKG/?mibextid=wwXIfr
- Navigating Dysregulation: https://www.facebook.com/share/p/1EmFJCPuxV/?mibextid=wwXIfr
- Child Mindfulness and Breathing Techniques: https://www.facebook.com/share/p/16YCBV9yf3/?mibextid=wwXIfr
- Naughty or Neurodiverse: https://www.facebook.com/share/p/1JjRjKsjr1/?mibextid=wwXIfr
- Guiding Children Through Big Feelings: https://www.facebook.com/share/p/1FXtDMFRti/?mibextid=wwXIfr
- PDA (Pathological Demand Avoidance): https://www.facebook.com/share/p/16Kx82N9Ru/?mibextid=wwXIfr
- Subtle Signs of Autism: https://www.facebook.com/share/p/1BRxnMatKc/?mibextid=wwXIfr
- Meltdowns in Children: https://www.facebook.com/share/p/1D2vcSYnpv/?mibextid=wwXIfr
