Recommended Approach: Since this is the most difficult type by far, you must take extraordinary means to help these children. Placating your child or “walking on eggshells” will only give you a momentary reprieve. Most parents of these children refrain from physical interventions, but may be using a good deal of restraining techniques. This again is a temporary solution. To begin with, you must seek professional help, in terms of both medication and behavioral interventions. You must maintain calmness in your interactions with these children. Only the most powerful reinforcers may be of some use. A highly structured environment with firmness is needed, along with great persistence and patience. Dealing with this type is something you don’t do alone.