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Autism & ADHD

Meltdown or tantrum? How to tell the difference in an autistic child

In short

A tantrum usually has a goal behind it and stops once the goal is met or clearly off the table. A meltdown is an involuntary reaction to overload, so your autistic child can't stop it because you've asked. Tantrums settle with calm, steady limits. Meltdowns need less talking, more space and someone safe nearby, and afterwards some thought about what was building up.

On this page
  1. How a tantrum and a meltdown differ
  2. What helps during a tantrum
  3. What helps during a meltdown
  4. Spotting the build-up earlier

Your child is on the floor by the tills in Tesco, people are stepping round you, and someone mutters about discipline. To everyone else it’s a tantrum. You may have sensed it was something else, and it’s worth knowing which, because each needs something different from you.

How a tantrum and a meltdown differ

A tantrum is usually about something your child wants, like the sweets at the checkout or another five minutes at the park. It’s loud and wearing, but there’s a point to it, and you’ll often catch your child glancing up to see whether it’s working.

A meltdown happens when your child’s nervous system has taken in more than it can manage. It might be the noise of a busy shop, or hunger, or a change of plan nobody warned them about. Often it’s a whole day at school spent holding it together. Your child has very little say in it, and asking them to stop won’t help, however calmly you ask.

Tantrum Meltdown
Is there a goal? Usually something they want No, it’s a reaction to overload
Does your child check your reaction? Often Rarely, and they may not seem to hear you
Does it stop if they get what they want? Usually No
What sets it off? A “no”, a limit, a frustration Sensory overload, change, stress that has built up
How does it end? Fairly quickly once it’s resolved Slowly, and often followed by exhaustion

Plenty of children don’t fit neatly into one column, so use the table alongside what you know of your own child.

What helps during a tantrum

Stay calm and a bit boring, with a low voice and very few words. You can hold the limit and still be kind about it, with something like “I know you really want it. The answer’s still no.” Saying what you think they’re feeling (“You’re cross that we have to leave the park”) usually helps them settle sooner. When it’s over, let it be over. A cuddle and getting on with the day does more good than a talk about behaviour on the way home.

What helps during a meltdown

  1. Cut down on what’s coming in. Talk less, dim the lights if you can and find somewhere quieter. Even kind questions like “what’s wrong?” add to the load.
  2. Keep everyone safe by moving breakable or dangerous things out of reach. Give your child room, and only hold them if safety needs it.
  3. Stay nearby without saying much. A calm adult close by still helps, even if your child doesn’t seem to notice you.
  4. Wait. Reasoning or bargaining tends to make a meltdown last longer.
  5. Expect them to be worn out afterwards, and sometimes embarrassed or tearful too. Water and a rest come first, and letting them know nobody is cross. Talking about what happened can wait for another day.

Spotting the build-up earlier

Most of what helps happens well before a meltdown starts. Notice when they tend to come, whether that’s a certain time of day, straight after school, when your child is hungry, after somewhere busy, or when they have to switch from one thing to another. Jot it down for a couple of weeks and a pattern often shows itself.

Then build some recovery into the day. That might be half an hour of quiet after school before anyone asks how it went, ear defenders for the Saturday shop, or a picture timetable on the fridge when plans change. Small adjustments like these add up to fewer days when your child spills over.

Other questions parents ask

Can a child who isn't autistic have meltdowns?

Yes. Any child can get overwhelmed, particularly when they're tired or unwell, or somewhere noisy with a lot being asked of them. Many autistic and ADHD children have meltdowns more often and more intensely, because their nervous systems take more in and take longer to recover.

Should I punish my child after a meltdown?

We'd say no. A meltdown isn't a choice, so a consequence only teaches your child that being overwhelmed gets them into trouble. Once they're calm again, a gentle chat about what built up and what might help next time will do far more good.

My child holds it together at school and melts down at home. Why?

We hear this from parents all the time. It's often called restraint collapse, and masking is part of it. Getting through the school day takes an enormous effort, and home is where your child feels safe enough to let go. That says something good about how they feel with you, though it may also mean school hasn't realised how much your child is carrying.

Sources and further reading

Written by

Gitta Strassman, MBACP

Gitta is the lead counsellor at Young Minds Grow in Manchester. She is an integrative counsellor specialising in play-based work with autistic and ADHD children aged 3 to 18. She has 25 years' experience, holds a Foundation Degree in Children and Young People, and sees children at our clinic, in school or online. Registered member of the BACP, no. 406991.

More about Gitta
How we can helpCounselling for autistic and ADHD children in Manchester, in school or onlineFind out more

This article is general information, not a substitute for advice about your own child. If you are worried, speak to your GP, your child's school, or book a call with us.

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