Understanding Toddler Head Banging in the Crib

Head Banging: Causes, Solutions, and When to Seek Help

If your toddler is head banging in the crib, it can be both alarming and confusing as a parent. Head banging is defined by a child repeatedly (and forcefully) banging their head against the crib rail, slats of the crib, wall or mattress. This behavior, while unsettling, is more common than you might think and is often a part of normal development. In this blog post, we’ll explore why toddlers head bang, how you can help them stop, and when it’s time to seek professional advice.

When do children typically start (and stop) head banging

Head banging can start as early as 9 months, peaks between 18 and 24 months and is typically outgrown by about 3 years old.

Why Do Toddlers Bang Their Heads in the Crib?

Studies indicate that 15-20% of healthy children engage in some form of rhythmic movement, such as head banging, head rolling, or body rocking. Episodes often last for a few minutes to up to 15 minutes and are more common during sleep transitions. Head banging can also increase if the child is feeling anxious. The reasons children start head banging can include:

1. Self-Soothing

Many toddlers find rhythmic movements comforting. Head banging, along with rocking or rolling, can help them calm down or fall asleep. These movements may mimic the soothing sensations they experienced in the womb.

2. Sensory Stimulation

Some children engage in head banging as a way to provide sensory input. This is especially common among children with sensory processing differences who seek intense physical feedback.

3. Attention-Seeking

If head banging consistently elicits a strong reaction from parents or caregivers, some toddlers may repeat the behavior to gain attention.

4. Frustration or Stress Release

Toddlers who are unable to express their emotions verbally may use head banging as a physical outlet for their feelings.

5. Developmental Disorders

In rarer cases, persistent head banging can be a symptom of a developmental issue, such as autism spectrum disorder (ASD). However, it’s essential to look for other accompanying signs before jumping to conclusions.

How to Help Your Toddler Stop Head Banging

While most toddlers outgrow head banging on their own, there are steps you can take to reduce the frequency and ensure their safety:

1. Ensure a Safe Sleep Environment

• Padded Crib: Use a properly fitted breathable crib bumper or padding along the crib rails to reduce the risk of injury.

• No Hard Objects: Remove toys or other hard objects your child could hit their head against. Consider pulling crib away from the wall if your child stands and tries banging against the wall.

2. Address Underlying Causes

• Adequate Bedtime Routine: Establish a bedtime routine that includes active activities like playing in the bath and 5-10 minutes of active play with a parent before settling down and reading together.

• Sensory Play: Provide opportunities for sensory input during the day with activities like swinging, jumping, or using a sensory bin. Using one of these to get out last bursts of energy before bed - to make it fun, set a timer and see how many times they can jump in 60 seconds!

• Emotional Support: Teach your child simple words or gestures to express their emotions if frustration or stress seems to be a trigger.

3. Minimize Attention

When your toddler starts head banging, it’s easy to react out of worry, but giving it too much attention can actually encourage the behavior. Instead, try to stay calm and neutral. Acknowledge their feelings without giving the head banging more attention than it needs. If you stay relaxed, they might start to calm down too.

4. Provide Alternative Comfort Measures

Instead of head banging, give your child something to comfort them. A favorite stuffed animal or blanket can provide a soothing alternative. These comforting items can help them self-soothe, giving them a gentle way to feel calm and secure without resorting to head banging.

5. Introduce Positive Rhythmic Activities

If head banging is their way of seeking rhythm and movement, offer other activities that can fulfill this need in a safer way. Gentle rocking in a chair, dancing to their favorite song, or even a toddler-safe swing or trampoline can satisfy that urge for rhythmic motion. Make it fun by joining in on the action or incorporating it into their bedtime routine to help them unwind.

When to Seek Help for Your Child’s Head Banging

While head banging in toddlers is often a phase that they outgrow on their own, there are certain situations where it might be a good idea to seek professional guidance. It's all about noticing patterns and being proactive if you feel something just isn’t quite right - trust your gut feeling!

1. Frequency and Intensity

If your toddler is head banging frequently or with such intensity that it’s causing visible injury—whether it’s bruises, bumps, or bleeding—it's definitely time to reach out to your pediatrician. Even though most kids grow out of this behavior, if the head banging seems more extreme or persistent, it’s important to rule out any underlying health concerns. A pediatrician can assess the behavior and help determine whether further intervention is needed to prevent injury or address the cause.

2. Developmental Concerns

Head banging can sometimes raise red flags if it’s accompanied by other signs of developmental delays. If you notice that your toddler is struggling with speech, social interaction, or shows repetitive behaviors beyond head banging, it could be a sign that something more significant is at play. While many toddlers engage in rhythmic movements without long-term issues, behaviors like delayed language or difficulty making eye contact might indicate a need for further evaluation. Talking to a healthcare provider can give you clarity and ensure your child is on track developmentally.

3. Sleep Disruption

Head banging may be disruptive enough to affect your toddler’s sleep quality, and if that’s the case, it’s a good idea to seek professional advice. Sleep is essential for toddlers’ growth and development, and if the head banging is waking them up multiple times a night or preventing them from falling asleep altogether, it can take a toll. A pediatrician or sleep specialist can help identify whether the head banging is a symptom of another sleep disorder or if there are ways to modify the environment or routine to help them sleep more soundly.

4. Signs of Pain or Discomfort

If your toddler’s head banging seems to be linked with signs of physical discomfort—like ear pulling, frequent crying, or a change in appetite—it could indicate an ear infection, teething, or some other underlying medical issue. While head banging can be self-soothing, it might also be a toddler’s way of expressing discomfort. If you notice these other signs of pain, it’s important to consult your pediatrician to rule out any health issues and ensure that your little one is comfortable and not suffering from something that needs treatment.

Where to Turn for Help with Your Child’s Head Banging

If you’re concerned about your child’s head banging, here are some resources and professionals to consider:

1. Pediatrician

Your child’s doctor is often the first step in understanding what might be behind head banging. They can check for medical issues like ear infections, which could cause discomfort, or evaluate for developmental delays that might play a role. If they identify any concerns, they can guide you toward a specialist who can perform a thorough evaluation and provide tailored interventions to support your child’s development. This partnership with your pediatrician ensures that any underlying issues are addressed effectively and early.

2. Sleep Consultant

A pediatric sleep consultant can work with you to uncover sleep-related issues that might be contributing to head banging. Often, toddlers who aren’t getting enough sleep or are overtired can show this type of behavior. A consultant can provide tailored strategies such as creating consistent schedules, easing transitions to bedtime, and helping your child learn how to fall asleep more easily, so they can get the rest they need to feel calm and regulated.

3. Occupational Therapist

If you suspect that your toddler’s head banging might be related to sensory processing challenges, an occupational therapist can be an invaluable resource. These professionals specialize in helping children manage sensory issues, which can sometimes lead to behaviors like head banging as a way of seeking out intense sensory input. An occupational therapist can assess your child’s needs and offer a range of strategies to help them self-regulate in more positive ways. They might recommend sensory activities like weighted blankets, swing time, or textured toys that provide the sensory feedback your child craves. By collaborating with an OT, you can help your toddler engage in healthier coping mechanisms while ensuring they’re getting the right kind of stimulation.

4. Online Resources and Support Groups

Sometimes, knowing you're not alone in your parenting journey can make all the difference. Online resources and support groups provide a wealth of information and comfort from other parents who are going through similar experiences. Websites like HealthyChildren.org or Zero to Three are great places to start for research-backed advice from pediatric experts. Additionally, joining forums or social media groups dedicated to toddler development can help you connect with others who share insights, tips, and stories about dealing with head banging. While it's important to verify the credibility of any advice, online communities can be a great way to share your concerns and gather information as you navigate this challenging phase of toddlerhood.

The Bottom Line

Head banging in toddlers is usually just a phase that many children go through, and more often than not, it’s nothing to worry about. By understanding why it’s happening and making small adjustments to keep your child safe and comfortable, you’ll help them move through this stage with ease. Remember, you’re doing a great job, and if you ever feel uncertain or just want some reassurance, don’t hesitate to reach out to a professional. They’re there to support you and give you peace of mind, so you can both keep thriving!

Why Do Children Head Bang

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This post is for informational purposes only and may not be the best fit for you, your child and/or your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your child’s physician or medical professional before trying or implementing any information read here.