A clinical perspective by Dr. Gurbani Kohli
Child & Adolescent Psychologist · Founder & Clinical Director, HealG A Child Clini-ic · Senior Consultant Child Psychologist, Apollo Cradle
There is something I notice quite often in my clinical practice: we are usually very quick to describe a child's behaviour, but we don’t always stop to ask what is behind it.
A child who keeps getting up from the chair.
A child who is constantly touching things, jumping, crashing into furniture or seeking movement.
A child who becomes extremely uncomfortable with certain sounds, textures, crowded places or everyday situations.
We may describe such a child as restless, difficult, naughty, stubborn, or not listening.
But sometimes, the behaviour is communicating something else.
The child may be seeking sensory input — or struggling to process it.
What does sensory processing actually mean?
Sensory processing is the way our brain receives, organises and responds to information coming from our senses.
We usually think about the five familiar senses — seeing, hearing, smelling, tasting and touching. But children also receive important information from movement, balance and awareness of where their body is in space.
Most of us process this information without consciously thinking about it.
For some children, however, sensory information can feel very different.
A child may actively seek more sensory input — constantly moving, touching, jumping, spinning or making sounds.
Another child may become overwhelmed by sensory input — covering their ears, avoiding particular textures, becoming distressed in crowded environments or finding certain everyday experiences difficult to tolerate.
There is no single way sensory difficulties look. And this is one reason why simply looking at the behaviour is not enough.
When a child cannot sit in class for even two minutes
This is something teachers and parents bring up with me quite often.
A young child may find it extremely difficult to remain seated in class. They may get up repeatedly, touch other children, move around the classroom, seek constant stimulation or find it difficult to participate in activities that require them to sit quietly.
For a teacher managing a classroom of 30 or 40 children, this can be genuinely overwhelming.
We have to understand the teacher's reality too.
At the same time, repeatedly telling the child to “sit properly”, “listen”, “stop disturbing others” may not address the reason the child is struggling in the first place.
The more useful question is:
What is making it so difficult for this child to sit, listen and participate?
Sometimes, understanding the child's sensory needs can provide an important part of that answer. Depending on the child's individual needs, occupational therapy for sensory processing may be part of the support plan.
Behaviour is not always a choice
One of the biggest mistakes we can make is assuming that every difficult behaviour is deliberate.
A child who keeps moving may not simply be choosing not to sit.
A child who covers their ears may not be trying to be difficult.
A child who avoids a particular activity may not necessarily be refusing to cooperate.
And a child who becomes aggressive when overwhelmed may be struggling to regulate what they are experiencing or communicate it in another way.
This does not mean that every challenging behaviour is caused by sensory processing. It means that before we respond to the behaviour, we should try to understand it.
That distinction is important.
Parents often try everything before seeking an assessment
As parents, it is natural to try to solve a problem ourselves.
We change routines. We change schools. We try different activities. We speak to teachers. We try stricter discipline. We try rewards. We try avoiding certain situations.
Sometimes we keep hoping that the child will simply “grow out of it”.
I understand why this happens.
Seeking an assessment can feel frightening. Parents may worry that their child will be labelled or that something is seriously wrong.
But an assessment is not about putting a label on a child.
It is about understanding the child better.
When we understand what a child is finding difficult, we can make much more informed decisions about what kind of support may actually help. This may include psychological and developmental assessment when the concerns are persistent or affecting daily functioning.
Listen to the teacher
I strongly believe that teachers are an important part of this conversation.
Parents see the child at home. Teachers see the child in a completely different environment — with academic expectations, peers, transitions, noise, classroom routines and many other demands.
If a teacher repeatedly says, “Something seems difficult for this child,” that observation deserves to be heard.
It does not mean the teacher is diagnosing the child. It means the teacher is giving us valuable information about how the child is functioning in that environment.
And sometimes, educating teachers about sensory needs can be just as important as supporting the child.
Primary school teachers, in particular, are often among the first adults outside the family to notice that a child's behaviour is different from that of their peers. Teacher training and school support can help adults respond to these observations more thoughtfully.
Please don't label the child as “naughty”
A child who struggles to sit, listen, participate or regulate themselves can very easily acquire a label.
Naughty. Difficult. Doesn't listen. Attention-seeking. Problem child.
Labels can stay with a child for a very long time.
Instead of asking, “Why is this child behaving like this?”, I would encourage parents and teachers to ask:
“What is this behaviour telling us?”
That small change in the question can change the entire conversation around the child.
And sometimes the difficulty is aggression
Sensory and regulation difficulties do not always look like restlessness.
Sometimes a very young child may become extremely irritable or aggressive — hitting parents, pushing siblings, hurting peers or having very intense reactions to seemingly small situations.
Again, aggression should never simply be dismissed. But it also deserves to be understood.
What happened immediately before the behaviour?
Was the child overwhelmed? Was there too much noise? Was there a change in routine? Was the child tired? Was the environment demanding more than the child could manage at that moment?
Understanding these patterns can help us move from simply managing behaviour to actually understanding the child.
When difficulties continue into the teenage years
Sometimes a child manages to get through the early years without anyone fully understanding what they are experiencing.
As children grow older, the demands placed on them increase. Academic expectations become greater. Friendships become more complex. Social comparison becomes stronger. Children become increasingly aware of how they are different from their peers.
I have seen older children and teenagers who eventually begin to ask their parents:
“Why am I different?”
That question can be incredibly important.
It may be the first time the young person is able to articulate something they have been experiencing for years.
This is why early awareness matters.
Not because every difference needs to become a diagnosis, but because a child should not have to struggle for years before somebody tries to understand why.
What should parents do?
If you are noticing persistent sensory or behavioural difficulties, don't panic — but don't ignore them either.
Start by observing:
- When does the behaviour happen?
- What seems to trigger it?
- What environments are particularly difficult?
- What helps the child regulate?
- What does the teacher observe?
- Is the behaviour affecting learning, friendships or daily life?
If the difficulties are persistent or significantly affecting the child's functioning, consider discussing them with a qualified child-development or mental-health professional.
The goal is not simply to make the child “behave better.”
The goal is to understand what the child needs in order to function better.
Depending on the child's individual needs, this may involve further assessment, parent guidance, school-based support and/or appropriate therapeutic intervention.
For families living outside Delhi or India, remote assessments for children and NRI families may also be an option, depending on the child's needs and the assessment required.
There is no one-size-fits-all answer. Where broader developmental concerns are present, an autism assessment may also be considered when clinically appropriate.
A message to parents and teachers
As a child psychologist, what concerns me most is not that a child is struggling.
It is when a child keeps struggling for years without anyone understanding why.
Children communicate in many ways. Sometimes they communicate through words. Sometimes through play.
And sometimes, they communicate through behaviour.
We need to become better at listening.
If a child cannot sit, let's understand why.
If a child keeps seeking movement, let's understand why.
If a child becomes overwhelmed by sounds or textures, let's understand why.
If a child is becoming aggressive, let's understand what is happening underneath the behaviour.
Awareness is the beginning. Understanding comes next. And once we understand the child, we can begin to support the child in the right way.
Dr. Gurbani Kohli
Child & Adolescent Psychologist
Founder & Clinical Director, HealG A Child Clini-ic
Senior Consultant Child Psychologist, Apollo Cradle
PhD in Clinical Psychology · CISNE, Singapore · RCI Registered · 11+ Years of Experience
Website: drgurbanikohli.co.in



