This episode explores why children show disruptive behaviour in the consultation room — and how boredom or fear are almost always at the root. When we understand the emotional logic behind disruption, we can guide children toward cooperation with clarity and compassion.

We cover:

• Why children repeat the behaviour that gets them the most attention
• How boredom after the examination triggers restlessness and conflict
• Why siblings who aren’t the patient often become disruptive
• How to structure the consultation so the child knows what happens next
• Why giving the child a task (and a place to do it) prevents chaos
• How immediate praise reinforces the behaviour we want
• Examples of wanted behaviours to reward: coming when called, shaking hands, sitting in the chair, allowing the exam, playing independently
• Why rewards must be immediate, concrete, and frequent
• Why vague promises (“If you behave…”) and delayed bribes don’t work

Key takeaway:

The behaviour that triggers attention will be repeated. When we reduce boredom and fear, give structure, and reward cooperation in the moment, disruptive behaviour fades — and the consultation moves from fear to fun.