Well.....the definition of "discipline" is *to teach*. It is not "to punish", which is what most people equate the word with and commonly use it as. 
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The first thing, to me and for my son, is to determine why he is screaming. Since he has some special needs, it often has to do with him feeling overwhelmed or unable to express or stand up for himself. I try to step in before he gets this far, but I have 2 kids..and sometimes I screw up and miss the early signs. When I can get there in time, I can teach him alternative behaviors. I can help him think through it better, so that next time...maybe, just maybe....he will be able to recall this moment and try something other than screaming. It's beginning to work more often, but it's taken a few years.  I can also teach him how to recognize when he is nearing that point of no return for himself...and teach him some coping methods for those times (like removing himself from the room as opposed to screaming bloody murder to make everyone else go away). Even young kids can be taught take themselves to a designated area where they can let it all out (don't we all need to vent sometimes?). Often, it's not the behavior itself that's the real problem for us parents--it's the location or the timing of the behavior. I don't mind if my son goes into his room when he can't take it and beats the daylights out of his stuffed animals or pillow and yells for 5 minutes, BUT I really mind if he decides to shriek and kick his brother and I in the middle of the grocery store! LOL
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If I don't make it in time and the screaming is on going....I try to minimize the damage....move his brother out of the way, send our fearful dog outside, and take him somewhere a bit more calm (or make the area more calm) until he can calm down himself. Sometimes, he can get it together faster if I hold him....sometimes, he can't even handle being touched. If I can talk to him without him shrieking back at me, I remind him in a very soft voice, that if he can try to stop screaming and listen to what I'm saying, I can help him. Someone can help him. He's getting it...more and more often. I do tell him when he's not so upset that it's really difficult and disturbing for others to hear all that and they can't help him if he's screaming.
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It's absolutely not fair for anyone to punish someone (or to even try to teach) when their brain is unavailable. It's impossible for an animal to learn when they are that upset (this applies to humans, dogs, cats, dolphins, etc), b/c the fight or flight response and area of the brain overrides everything else. Think of Maslow's hierarchy of needs. Stress directly impairs learning.
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I'm not trying to sound preachy or as if I don't understand how incredibly frustrating these screaming "fits" or "tantrums" are, only to give some behaviorial science perspective. It gets a lot easier if you look at the behavior more objectively and from a different angle. It's not the behavior itself that needs changing...it's the emotions that lead to the behavior. If you can start from there, you're likely to make a lot more headway in teaching your child (and mine, too!) how to manage his frustrations and upsets and how to reduce his reactions (and in turn, your own reactions).Â
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Just today, my older son got enormously frustrated today at the store (at his 2 y/o brother, who was being a snot and kicking him from the cart). He started to freak out and shriek, but I was able to intervene before he got out of control, and within a minute he was lecturing his little brother (very loudly, btw) on how he was "being really, really, really mean and not nice and needed a time out for being mean..." and on and on and on. He sounded like a Mommy giving a kid a lecture (so, clearly, I've done that behavior). It was HYSTERICALLY funny to everyone around me (and a bit embarrassing to me, b/c some of the things he said are not things I've said to my kids before!). BUT I was SOOO proud, b/c instead of shrieking for 30 minutes w/a crowd of onlookers, he was talking and making sense, even if it was a bit loud!
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Does that help a little bit?
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mrsfru
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