Behaviour & Development · 12 min read

When Your Own Child Hits You

By Muhammad Salman Afzal, Owner & Director · 23 August 2026

Written by the Inclusive Developmental and Therapy Center therapy team — our Speech & Language Therapist, psychology and ABA staff. Clinical reviewer for this site: Dr Muhammad Suffyan, MB BS (GMC 8023727) · Updated August 2026; this page has changed since our last clinical review.

Illustration of keeping a family safe while asking for help

A toddler who hits is a toddler. There is a page for that, and the answer is teaching.

This page is about something else: an older child or a teenager who hits you, threatens you, breaks things when refused, or has arranged the household so that nobody dares say no. You know the difference, because you have started planning your sentences before you speak.

If you are in immediate danger, or your child is, that comes first — before anything on this page. Get to safety, get other children out of the room, and involve someone who can be physically present. Everything below is for the ordinary weeks in between.

Illustration of keeping a family safe while asking for help
Illustration of keeping a family safe while asking for help

You are not the only house this happens in

A review in the French journal L'Encéphale opens by calling child-to-parent violence "a form of family violence that is still a well-kept secret". It describes exactly what families describe to us: parents who no longer dare contradict their child for fear of triggering something uncontrollable, families who stay isolated for a long time, and disclosure that is delayed even when the family is already sitting in a mental health appointment.

Read that last part again. Families who have already asked for help often do not say this part out loud for months. If you have been in an appointment and could not find the words, that is the documented norm, not a personal failure.

On how common it is, a 2025 systematic review and meta-analysis in BMC Public Health pooled 25 studies, with 12 in the prevalence meta-analysis, covering about 25,000 participants. It reported an overall child-to-parent violence prevalence of 34.8%, with physical violence at 10.0% and psychological violence at 82.6%.

We would treat that 82.6% with caution — it reflects broad definitions across the included studies, and almost any household with a teenager would meet some versions of it. The number to hold onto is the physical one: around one family in ten. Whatever the precise figure, this is not rare, and you are not the only one.

What these children are actually like

The same review describes something that surprises most parents, because it does not match the child they see at the worst moment.

Compared with other children who have disruptive behaviour difficulties, children who are violent towards their parents were found to have more difficulty with affect regulation, impulse control and interpersonal skills. They frequently had low self-esteem, struggled with peers, were often isolated and bullied, and felt more sadness than other children with disruptive behaviour. The review's phrase is that they use violence as a way to express emotion.

Oppositional defiant disorder, conduct disorder and ADHD were frequently found alongside.

None of that excuses being hit. It matters because it tells you what to aim at. A child who is powerful at home and powerless everywhere else is not a child who needs more power taken away — they are a child whose entire competence is concentrated in the one place they can dominate.

Where the difficulty actually sits

A 2026 study surveyed 1,064 young adults aged 18 to 25 still living with their parents, measuring anger, hostility, impulsivity, emotional dysregulation, substance use, having been a victim within the family, parental discipline strategies, perceived social support and deviant peer affiliation — separately for violence towards mothers and towards fathers.

Two findings are worth carrying:

  • Family-related variables accounted for the largest proportion of the variance across the models. Not peers, not personality — the family system.
  • Violence towards mothers was negatively associated with perceived social support and with maternal discipline support. The more supported, the less.

The practical translation is uncomfortable and hopeful at once: this is not simply your child's temperament, which means it is not simply immovable. What changes it is changing the system around it — and support for the parent is part of the mechanism, not a consolation prize.

What has been tested

The approach with the most research behind it is non-violent resistance (NVR) — a parent training method built specifically for this problem. It does not ask you to control your child. It asks you to resist the behaviour without escalating, and to rebuild what its authors call the anchoring function: presence, self-regulation, structure, and a support network.

Here is the evidence, both halves.

The positive trial. A randomised controlled study in European Child & Adolescent Psychiatry assigned 101 families of children aged 5 to 13 with ADHD to either 12 sessions of NVR or a waiting list. The NVR group reported significant improvements in the child's internalising, externalising and ADHD symptoms, and in parental helplessness and anchoring; the control group reported no change. At four-month follow-up, gains in externalising and internalising symptoms held, though gains in core ADHD symptoms did not. Maternal helplessness, anchoring and family chaos continued to improve after treatment ended. Dropout was 5%, and fathers' engagement was close to 100% — remarkable numbers for parent training, which usually loses both.

The negative trial. We are including this because leaving it out would be dishonest. A single-blinded randomised trial in France enrolled 82 parents of children aged 6 to 20 with severe tyrannical behaviour, comparing a 10-session NVR group against supportive counselling and psychoeducation. At completion, NVR was not superior on parental stress (effect size −0.19, confidence interval crossing zero). The authors reported positive outcomes appearing at follow-up and concluded that this population needs to be followed over longer periods.

So: real evidence, not a miracle. Both trials point the same way about timing — the useful changes show up over months, not in the first fortnight.

The principles that come out of it

  1. Stop trying to win the moment. Escalation is the mechanism. Whoever raises the stakes hands the child the tools. Say less, move slower, leave the room if you can do so safely.
  2. Do not negotiate under threat. Answer later, when it is calm — "we will talk about the phone at six" — so that the violence stops working as a method.
  3. Break the secrecy. This is the single most important item, and the hardest. NVR treats the support network as part of the treatment, not as gossip. One or two people who know exactly what happens in your house changes what is possible.
  4. Repair afterwards, without retracting the limit. Both things: the relationship is restored, the answer is still no.
  5. Give the child somewhere to be competent. Remember what the research found about self-esteem and peers. A child who has one place where they are genuinely good at something has less need of the place where they are feared.
  6. Get the other conditions looked at. ADHD, oppositional defiant disorder and conduct difficulties travel with this. Untreated ADHD in particular makes everything on this list harder — see ADHD or autism and oppositional defiant disorder.
  7. Protect the siblings. They are watching, they are frightened, and they are usually being asked to be no trouble. See brothers and sisters.

What makes it worse

  • Hitting back. Beyond the ethics: it teaches the exact thing you are trying to stop, and every version of the research on this points the same way. Our page on discipline without hitting or shouting is the alternative in practice.
  • Shouting matches. Same mechanism, slower.
  • Giving in to end the episode. Understandable, and it teaches that violence works — which is why the calm-time answer matters more than the in-the-moment one.
  • Keeping it secret. Isolation is documented as one of the defining features of these families, and it is the one you can act on today.
  • Humiliating the child in front of relatives. It buys a quiet evening and costs a month.
  • Parents who contradict each other. The trial with 100% father engagement is not a coincidence.

When to get help urgently

  • Anyone in the house has been injured, or weapons or objects have been used
  • Younger siblings or grandparents are being targeted or are frightened
  • Threats to harm themselves — that is a same-day matter, not a manipulation to be ignored
  • Substance use alongside the violence
  • You have started avoiding your own home, or planning your day around not triggering an episode
  • The pattern started suddenly in a child who was not like this

Where we fit

We are not an emergency service and we are not the police. If someone is in danger, that is where to go first.

What we do is the part that comes before and after: assessment of what is actually driving it, the attention and communication difficulties that so often sit underneath, work with you on responding without escalating, and — the part the research says is a mechanism rather than a nicety — being one of the people who knows. Nobody here will tell you that you have spoiled your child. Most of the parents who tell us this have been carrying it alone for years.

Our page on when your child hits or bites covers the younger child, where the answer really is teaching. The break you are not taking covers what this costs you.

A consultation is Rs 1,500 and lasts up to 50 minutes, we work in Urdu or English, and you do not need a referral.

Sources

  • Dahouri A, et al. Prevalence of child to parent violence and its determinants: a systematic review and meta-analysis. BMC Public Health. PubMed 40240997
  • Bousquet C, et al. Intrafamilial disruptive behaviour disorders in children and adolescents: present data and treatment prospects. L'Encéphale. PubMed 29153459
  • Burrai J, et al. Individual, family, and social risk factors for child-to-parent violence in non-emancipated young adults. Frontiers in Psychology. PubMed 42253584
  • Schorr-Sapir I, Gershy N, Apter A, Omer H. Parent training in non-violent resistance for children with attention deficit hyperactivity disorder: a controlled outcome study. European Child & Adolescent Psychiatry. PubMed 33528659
  • Fongaro E, et al. Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial. Frontiers in Psychiatry. PubMed 37215679
FAQ

Frequently asked questions

Is it normal for an older child to hit their parent?

It is far more common than the silence suggests. A 2025 meta-analysis pooling around 25,000 participants reported overall child-to-parent violence at 34.8%, with physical violence at 10.0% — roughly one family in ten. A review in L’Encéphale describes it as a form of family violence that is "still a well-kept secret", with families staying isolated for a long time and disclosure delayed even when they are already in a mental health appointment.

Have I caused this by spoiling my child?

That is the explanation you will be offered by relatives and it does not match the research. A study of 1,064 young adults found family-related variables accounted for the largest proportion of the variance — but the same study found violence towards mothers was negatively associated with perceived social support and with discipline support. Being under-supported is part of the picture; being indulgent is not the finding.

What are these children actually like?

Not what parents see at the worst moment. Compared with other children who have disruptive behaviour difficulties, children violent towards their parents were found to have more difficulty with affect regulation, impulse control and interpersonal skills, frequently low self-esteem, and to be isolated and bullied by peers — feeling more sadness than other children with disruptive behaviour, and using violence to express emotion. Oppositional defiant disorder, conduct disorder and ADHD are frequently found alongside.

Does anything actually work?

Non-violent resistance, a parent training method built for this problem, has the most evidence — and the evidence is real rather than miraculous. A randomised study of 101 families of children aged 5 to 13 with ADHD found 12 sessions of NVR produced significant improvements in the child’s internalising, externalising and ADHD symptoms and in parental helplessness and anchoring, with no change in the waiting-list control. Dropout was 5% and fathers’ engagement close to 100%.

Is there evidence that it does not work?

Yes, and it should be said. A single-blinded randomised trial of 82 parents of children aged 6 to 20 with severe tyrannical behaviour found NVR was not superior to supportive counselling and psychoeducation on parental stress at completion, with an effect size of −0.19. The authors reported positive outcomes appearing at follow-up. Both trials point the same way about timing: useful change shows up over months, not in the first fortnight.

What should I do in the moment?

Stop trying to win it. Escalation is the mechanism, and whoever raises the stakes hands the child the tools. Say less, move slower, and leave the room if you can do so safely. Do not negotiate under threat — answer later, when it is calm, so that violence stops working as a method. Repair afterwards without retracting the limit: the relationship is restored and the answer is still no.

Should I tell anyone?

Yes, and it is the single most important and hardest step. Non-violent resistance treats the support network as part of the treatment rather than as gossip, and isolation is one of the documented defining features of these families. One or two people who know exactly what happens in your house changes what is possible.

When is this urgent?

If anyone has been injured or objects or weapons have been used; if younger siblings or grandparents are being targeted or frightened; if your child threatens to harm themselves — that is a same-day matter, not manipulation to be ignored; if there is substance use alongside the violence; if you have started avoiding your own home or planning your day around not triggering an episode; or if the pattern started suddenly in a child who was not like this. If anyone is in immediate danger, get to safety first.

Take the first step

Worried about your child? Let’s talk.

A short, friendly conversation is the best first step. Call, text or WhatsApp us — we’ll listen and guide you, with no pressure.

MPS Road, Block A Model Town, Multan (near Bloomfield Hall School, Street No. 2) · Mon–Fri, 2 PM – 6 PM

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