Diagnosing Boys Who Behave Badly

Shelby Bauman, "Boy." Featured image at The Third Eve, "Diagnosing Boys Who Behave Badly," Nov. 2007

Earlier this week, I felt an unsettling mix of sadness and anger as I watched a little boy I know spiral into the dark void of doubt–a place where sensitive, artistic boys often land, or are pushed, when they are made to believe that their most beautiful and unique qualities are actually defects. In this case, the child’s teacher and parent became willing accomplices, reinforcing the painful and false message: Something is wrong with you.

Some truths should be obvious, yet they often go unspoken: Boys are different from girls. They begin differently, they develop differently, they behave differently in school–often to their own detriment. The disciplinary methods may have changed over time, but the outcome remains the same. Since publicly-schooled children can no longer be hit or shamed by teachers, punishment has taken a new form: Today, schools slap the child with a label instead of a ruler.

Without meaning to, schools and parents often fail boys in a system shaped by cultural norms, clinical diagnoses, pharmaceutical incentives, and institutional pressures. Instead of recognizing natural differences in development and temperament, they respond with punishment or misdiagnosis–labeling boys who struggle to conform as problems to be fixed rather than individuals to be understood.


What has happened over the past 20-30 years is that the schools and counselors have changed the labels they give little boys who don’t fit in, but they haven’t changed their intolerance for little boys–or big boys, for that matter. It’s been well-documented that boys develop differently and, in some disciplines, more slowly, than girls. Girls tend to be better academic performers because they are often good with language and details, and want to please the teacher. Boys tend to be better at athletics and feats of strength and daring, and want to please or impress other boys. This causes problems for the classroom teacher tasked with teaching and controlling 25-30 students, about half of whom are boys behaving badly (i.e., like boys).1


  1. Boy acts like usual self.
  2. Boy annoys teacher mightily.
  3. Teacher sends notes home.
  4. Boy annoys teacher more and, with other boys, disrupts classroom.
  5. Teacher sends notes home and calls parents.
  6. Boy has Incident and is sent to office, and parents are called.
  7. Teacher, parents, and principal meet.
  8. Behavior checklists and pre-diagnostic checklists are sent home.
  9. Parent fills out checklists; Teacher fills out checklists.
  10. School counselor meets with all, and it is determined that Boy is, in fact, the Spawn of Satan and must be Diagnosed, Medicated, and sent to the Specialist-Who-Tutors-the-Demonically-Possessed.
  11. Child is removed from classroom for several hours per day/per week/forever, and Teacher is now happy.
  12. Child has a special label to wear for the rest of his school years, which comes in handy whenever excuses are needed.

Interdisciplinary journal Frontiers in Psychiatry has published a series of seven articles focusing on ADHD.


The reasons a child doesn’t quite fit in are as varied as the number of children who feel or are perceived that way. As a culture, we are too ready to label and diagnose children, often making debilitating mistakes that harm them in the process. Not every child who seems out of step is diagnosable; their intellects, temperaments or personalities may be at either end of a bell curve. The child may be a budding artist, scientist, or reincarnation of Carl Jung or other luminary who doesn’t “fit in.” We may never know if we medicate the child into oblivion.

Another possibility is that the child who doesn’t fit in is what Elaine Aron calls a Highly Sensitive Person (she has also written a book about the highly sensitive child). A checklist for assessing whether your child is highly sensitive can be found here.

The highly sensitive child

  • Is aware of subtleties in the environment.
  • Is affected by the moods of others.
  • Tends to be sensitive to pain.
  • Needs to withdraw from too much stimulation.
  • Is especially sensitive to caffeine.
  • Can be overwhelmed by bright lights, strong smells, coarse fabrics, loud noises, etc.
  • Shows evidence of a rich inner life.
  • Is deeply moved by the arts or music.
  • Startles easily.
  • Is easily stressed.
  • Is sensitive to the suffering of others.
  • Is overwhelmed when too many demands are made of him.
  • Is troubled by violent movies or TV.
  • Doesn’t deal well with change, and needs help in new situations.

Sex, gender, personality or temperament may also explain behaviors that cause a child to move from the middle to either end of a spectrum, but they should never be grounds for labeling a child who started life within the normal range of human development.


I believe that the child who began life acting within normal behavioral limits may not remain there if we ignore our instincts and listen to others who aggressively insist they know better. We are especially prone to dismissing our instincts when our parents themselves were role models for doing the same. Some parents never develop or recognize their intuition, which bodes ill for the child at their mercy.

Even parents who do heed their instincts may devalue their inner wisdom when faced with a posse of educators and experts telling them there’s something wrong with their child. When a child is highly sensitive, exceptionally artistic, or highly intelligent—traits that make them stand out among their peers—it’s easy to succumb to the urge to label their unusual behaviors as problematic. The child suffers when parents ignore what their wise minds and instincts are telling them.

Parents, please listen carefully to your innermost selves. Don’t assume that the pit in your stomach is communicating that something is badly wrong with your child. Of course it’s possible that something is wrong; however, it’s just as possible that nothing is wrong with your child, and that everything is wrong with the situation, the environment, the caregiver, or the teacher. Your highly intuitive boy may need to live in La-La Land for another year, even if La-La Land is not a welcome part of the kindergarten curriculum. He may need three hours of preschool rather than six daily. He may benefit from a break from preschool for six or twelve months.


One of my sons was, by all accounts, a “bad” boy. His behavior was so disruptive that, during a week when his regular teacher was on leave, he reduced the fifth-grade substitute teacher to tears–every single day. This wasn’t an isolated incident, but the culmination of years in public school, during which I was summoned to the office nearly weekly to discuss his behavior with teachers and administrators. They pleaded with me to medicate him, insisting it was the only solution. But I knew better. He wasn’t suffering from a disorder–he was simply an unapologetically exuberant boy, one who landed at the extreme end of the bell curve in terms of energy and engagement.

Despite my certainty, I sympathized with the teachers and students who wanted order over spectacle. They deserved education more than they deserved entertainment. So I issued my son an ultimatum: If he made the teacher cry one more time, public school would be over for him. I would withdraw him and homeschool him until he learned to channel his energy into something productive. He tested me–I followed through.

After five years of homeschooling, that same bad boy returned to school–not as a troublemaker, but as a star basketball player and a remarkable young man. He remains a stellar human being to this day.



  1. McDonald, Kerry. “The ADHD overdiagnosis epidemic is a schooling problem, not a child one.” Foundation for Economic Education, Apr. 2019. ↩︎
  2. Miller, Jake. “The difference a year makes.” The Harvard Gazette, Nov. 2018. ↩︎
  3. Manos, Michael J., Kimberly Giuliano, and Eric Geyer, “ADHD: Overdiagnosed and overtreated, or misdiagnosed and mistreated?” Cleveland Clinic Journal of Medicine, Nov. 2017, 84 (11) 873-880. ↩︎



8 responses to “Diagnosing Boys Who Behave Badly”

  1. renaissanceguy Avatar
    renaissanceguy

    I just wrote a blog post on my dilemma of whether to narrow the focus of my blog or not.

    —–

    I think that we would do well to step back to square one with our educational system and make it more boy-friendly. Teachers need more hands-on training in classroom management that includes techniques for keeping boys motivated.

    I have seen some children–mostly boys–who have benefitted from ADD treatments. They not only were able to do their schoolwork better, but were more content all around with their new-found ability to filter sensory stimuli effectively.

    Having said that, I firmly believe that medicine is often prescribed (1) at too young an age, (2) by doctors who are not specialists, (3) to too many kids, and (4) before other interventions are tried.

  2. Mary Joan Koch Avatar

    Wonderful post as usual, Eve. I loved the observation that now the boy is slapped with a label, not a ruler. Fortunately, when my two older kids were young, we first had the option of a more open classroom in a creative public school where they thrived. Our two years in Maine they went to a wonderful school with 50 kids from 5 to 18, and four gifted teachers. Otherwise, I probably would have tried teaching my second daughter at home.

    You know I share your beliefs on medicating young children. Since, as a manic depressive, I have taken some of these medications prescribed to children, I am passionate about my beliefs. Have you noticed that once a psychiatric medication becomes generic, its ineffectiveness and dangerous side effects are suddenly discovered and a new wonder drug emerges?

    Eve replies: Mary Joan, I’d love to dialogue with you about the issue of medicating children, or read what you have to say about it on your blog.

    I read in the paper today about the huge recall of children’s cold medicine such as Dimetapp, Tylenol Cold, etc. for infants and children under age two. According to the newspaper article, there’s a great deal of evidence that the medicine was ineffective for children under age six years, and dangerous for children younger than two years of age.

    What was so interesting to me was that these medications have been given to children for years, and I remember a day when our pediatrician actually prescribed Dimetap for our kids. It confounds me that this type of thing keeps happening.

    So, yes, I notice exactly what you said, that once a med is generic, lo and behold, it has side effects and many are found to be dangerous. Let the consumer beware!

  3. bubandpie Avatar

    I had a conversation with the caregiver yesterday, and we agreed to reevaluate at the end of October – we’ll keep trying until then, and if we don’t feel good about where things are at by that time, I’ll have to find something else. Bub’s former caregiver had a baby a couple of weeks ago, so she tentatively plans to be reopening her home-care sometime in November – so that may be an option by then.

    As of today, I’m making a change that I hope will help. Bub is eating his lunch right now with me at home so that when he goes over to his day-care, he will have some time to play freely, rather than facing the immediate demand to sit at the table and eat food that is unfamiliar to him. I think that’s been setting the tone for the afternoon – not to mention the fact that he’s been going through the afternoon on an empty stomach. So I’m cautiously optimistic for now.

    Re: blogging. You have to evaluate your goals – are you aiming to generate a lot of Google traffic, or are you content to build relationships? I think most readers are prepared to read posts on a variety of subjects, but a more targeted blog definitely attracts more one-time random visitors.

    Eve replies: Bubandpie’s mom, what a great way to adjust to Bub’s temperament. I was one of those kids who really hated eating strange food or at strangers’ houses (not restaurants so much… just peoples’ homes). I have vivid memories when I was age 4-5 years of spending the night at a friend’s house, and feeling quite uncomfortable about how messy the home was, or its smells that were unusual or unpleasant to me. Her mom served us oatmeal for breakfast, but with the backdrop of a huge pile of laundry behind the kitchen table on the floor, I associated the oatmeal with dirty socks.

    I didn’t eat, and went home later quite distressed inside. I did hold it together at my friend’s house, though. This was the last time I agreed to a sleepover for several years. A few of my children are sensitive this way, too, and I try to be understanding. But it sure takes a lot of extra time and effort, eh?

    Re: blogging. I prefer relationships to traffic. I’ve had name-brand recognition throughout my career, so don’t feel a need for the ego-boost of traffic here. As a blogger and essayist, I’m thrilled to meet parents who are so dedicated to parenting well and living authentically. This gives me hope for the future, and hope that my children will one day find fellow healthy folk to marry. 😀

  4. Francesca (stuntmother) Avatar

    I was referred here by a blogfriend because I just wrote something similar yesterday. I am heartened to read your post. I need solidarity of this sort in the fight against the diagnosis of what is my child’s essential self, not his purported illness.

    My post is, if you’re interested: http://stuntmother.blogspot.com/2007/10/my-child-my-little-one-my-own.html

    Eve responds: Francesca, hello, and welcome to this place! I’m happy to meet you, so thank you for coming over and also thank you for the link to your post. I’m going to read it as soon as I finish this response.

    I have several children who are diagnosable or who have been diagnosed, having adopted kids with ‘special needs.’ Over time, I’ve learned that every doggone person in the world has special needs.

    Thus far, I haven’t medicated my children, which merely means that I’ve had to work harder and longer, and have sometimes wished that I had something I could take! LOL!

    Having said that, I’m not against medication for children if it’s necessary; I simply fall on the conservative side of what’s necessary. Being a big fan of Carl Jung, who thought even psychotic people and addicts showed meaning in their behaviors and were, in fact, attempting wholeness in such difficult ways, I tend to try to look past the manifestation to the meaning. To be sure, though, there are biologically-based problems that no amount of ‘searching for meaning’ can solve.

    Now I’m off to read your article!

  5. charlotteotter Avatar

    Eve, what a brilliant post. I have a little son following in the footsteps of two rather conscientious daughters and I will watch out to make sure his special boy energy doesn’t get constrained or labelled.

    I have always thought that people are far too ready to medicate “difficult” children, because it’s convenient to do so rather than find alternative ways to meet their needs.

    About blogging, I have also read that a blog needs to be focused. However, it’s your blog and you should include whatever material you like. I for one would be happy to find all kinds of different topics here. I do the same at my place and feel completely justified in doing so, because it’s my blog.

    Eve responds: Hi, Charlotte! Wow, it’s so great that you came over here to visit! I love your blog, so a compliment from you is a compliment indeed. Thanks. :o)

  6. the individual voice Avatar

    I like the way you talk about child-rearing on your blog. I’ve been searching for new links and I can tell you will not disappoint.

    Eve replies: TIV, wow, thank you for this tip of the hat from a colleague by profession and parenting. I’ve mulled over whether I should bring parenting issues into this blog or start another one, but I don’t like to splinter myself like that, y’know?

    You and others seem able to write about a variety of issues without seeming piecemeal, so I’ll try to follow your good example. I started out only focusing on the development of the whole self, but if parenting isn’t part of that, I don’t know what is.

    Did you find that what you posted changed over time? I’m new to blogging (obviously) and read somewhere that a blog ought to be focused. However, my life is kaleidoscopic so I’m not sure how to pretend it’s not in a blog that comes from the heart.

    (Advice appreciated!)

  7. bubandpie Avatar

    It’s hard when the need for “classroom management” comes into conflict with the needs of an individual in the class. That seems to be what’s happening at Bub’s home-care (even though it’s not a classroom). This morning, Bub refused to leave for nursery school, and it took me 10 minutes of negotiating to reverse that decision – I had to break it down into increments and secure his agreement for each step: Do you want to walk to the door, or do you want a ride? Do you want to put on shoes or sandals? Which book do you want to take with you? Ten minutes later, he left the house of his own free will.

    My sense, though, is that his home-care provider considers this kind of negotiation to be more individual attention than she can spare (there are two caregivers with eight kids). I think she tends to offer him one or two chances to comply, and if he doesn’t then they either force the issue (resulting in a meltdown) or simply accept his refusal so that he misses out on the walk/backyard/whatever is going on.

    It’s hard for me to be the parent who says “Give my child special treatment.” And the caregiver is concerned that Bub’s bad example will be catching – that the other kids will see his non-compliance and imitate it. So in the balance between his individual needs and the smooth running of the program, it’s the program that’s winning out.

    Forgive the long anecdote – I guess the application I’m seeing here is that it’s easy for caregivers and teachers to assume that when an approach works with all but one or two kids, it’s the remaining one or two kids who need to be altered, not the approach. And even if they’re willing to try alternate approaches, the resources also need to be there to support that.

    Eve responds: Bubandpie, your mom instincts are ‘spot on,’ I think, and your little guy is so lucky to have you. Sometimes parents can be like teachers, and try to get the kid to fit their approach, instead of reversing it; you seem to know your son very well. Not every parent works to achieve your level of understanding because it’s such hard work.

    What do you think will eventually happen with your caregiver? Will Bub win out, or stress out, develop more coping skills, or will you find another caregiver?

  8. renaissanceguy Avatar
    renaissanceguy

    Thanks for bringing up this important topic.

    I have a lot that I could say, but I need to think first.

Leave a Reply

Discover more from The Third Eve

Subscribe now to keep reading and get access to the full archive.

Continue reading