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Expert Q&A:
Why does my 2 1/2-year-old scream and cling to me when I leave him at day care?

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Lawrence Kutner
Answered by Lawrence Kutner Ph.D.
"I'm a clinical psychologist, a consultant, and a journalist," says Lawrence Kutner, "which is a great combination for someone who's nosy."

Lawrence Kutner, Ph.D. (www.drkutner.com), is a nationally known clinical psychologist who trained at the Mayo Clinic. From 1987 to 1994 he wrote the award-winning, weekly New York Times column "Parent &; Child," which was syndicated globally. From 1991 to 1999 he was the child behavior and "Ask the Expert" columnist for Parents magazine. He's also a former talk show host on KGO radio in San Francisco.

He is on the psychiatry faculty of Harvard Medical School and Massachusetts General Hospital, where he is co-director of the Harvard Medical School Center for Mental Health and Media. In addition, he's on the board of advisors to the Rosalynn Carter Mental Health Journalism Fellowship Program at the Carter Center in Atlanta.

Dr. Kutner has been a consultant to the Children's Television Workshop, the Johann Jacobs Foundation (Zurich), the Sexuality Information and Education Council of the United States, and to major universities and corporations throughout the United States and Europe. He is a frequent guest on national television and radio networks. He received his bachelor's degree from Oberlin College in Ohio and his Ph.D. in clinical psychology from the University of Minnesota. His recent books include Parent &; Child: Getting Through to Each Other, Pregnancy and Your Baby's First Year, Toddlers and Preschoolers, Your School-Age Child, Making Sense of Your Teenager, and Grand Theft Childhood: The Surprising Truth About Violent Video Games and What Parents Can Do.

Dr. Kutner is the father of a 18-year-old son as well as a 30-year-old foster son from Romania. He and his family live outside of Boston, Massachusetts.
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Question


Should I be worried about leaving my 2 1/2-year-old at day care? Every time I drop him off he screams and won't let go of me. Today, as I was taking his baby brother to the door, he started running down the street screaming.

Answer


 The first thing I'd do is talk to the child care providers at his day care center. Tell them how he's been behaving at home. Ask them what he's like while he's in their care. They may be able to provide you with some perspective. (If he's happy when you pick him up at the end of the day or when you drop by for a visit, things are probably good at the day care center; the problem lies elsewhere.)

There are many reasons why young children become reluctant to separate from their parents to go to a child care provider. Most of the time they have nothing to do with the child care provider but are reflections of other things going on in the child's life.



Family stress—a new baby in the house, a move to a new home, a pregnant mother, an ill grandparent—can trigger this type of reaction. So I'd begin by looking at what, if anything, changed at home around the time that he started acting this way.



If there has been a significant change in the stress he's feeling, reassure him in ways that focus on his underlying concerns. For example, if there's a new baby in the home, your son might be worried that he's being replaced. Tell him over and over, "I'm your mommy, and I'll take care of you and live with you forever and ever!"



Rarely, however, a child is frightened by something that's happening at the day care center. This may be anything from scary shadows in a hallway to actual abuse. If you're concerned, talk to other parents to see if they've had similar concerns. Talk to the director of the center about what's going on. If you have any concerns about your child's health or safety while there, find another day care center.

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