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    What's this?
How to help a child recover emotionally after a dog bite
With guidance, children can overcome their fears, learn the warning signs and prevent future incidents.

By

Morieka Johnson
Tue, Apr 10 2012 at 6:16 PM
 12

Related Topics:

Pets
As a child, Ranjan Avasthi was once bitten by the family’s German shepherd. His parents responded quickly by separating the two, bandaging his wounds and gradually reintroducing healthy interaction with the dog. Fast-forward a few decades. Dr. Avasthi, an M.D., now has a wife, child and his very own German shepherd mix.
 
His toddler may be a bit young for cautionary tales, but Avasthi fully understands the risks and rewards of kids and pets sharing a household. As a doctor who specializes in child and adolescent psychiatry, he has seen kids transform in the presence of pets. He also knows that kids will be kids.
 
They love to grab ears, pull tails and simply rub pets the wrong way. While cats and dogs reside in roughly 84 million U.S. households without incident, accidents happen. The Centers for Disease Control and Prevention estimates that nearly half of the 800,000 medically treated dog bites each year involve children, mostly between the ages of 5 and 9 years old. Even with the most well-behaved fur kids, it’s best to avoid leaving children and pets unsupervised.
 
“Kids naturally do things that upset cats and dogs — hugging, staring, petting on the head,” says animal behaviorist Kristen Collins of the American Society for the Prevention of Cruelty to Animals (ASPCA.org). “These can stress animals, and any stressed animal is more dangerous.”
 
In a previous column, I offered tips to help kids and pets peacefully coexist. But it also helps to have an action plan just in case your child is bitten by a pet (yes, cats bite, too). Take measures to help prevent emotional scars after a pet bites or scratches your child. Collins and Avasthi offer expert advice:
 
Take swift action: Remove the pet immediately, then discuss why pets may have reacted negatively. “A lot of it is talking about what happened and asking, ‘Why do you think this happened?’” Avasthi says. “Allow children to discuss what can be done to prevent the situation from recurring.”
 
Teach kids to read a pet’s body language: Collins strongly encourages parents to discuss body language while watching pets. ASPCA.org provides guidelines, photos and safety tips to help kids and parents recognize signs — such as flattened ears or wrinkled forehead — that indicate distress.
 
Reinforce healthy interaction: Help kids understand how to safely approach a cat or dog. Start by asking human handlers if you can approach, then extend a closed hand for the cat or dog to smell. “It’s best if you let the pet come to you,” Collins says. “It can prevent a lot of bad situations.”
 
She also recommends that kids and parents practice the proper way to pet a cat or dog using stuffed animals. Focus on areas where animals like to be petted, such as their chest or side. “We sit with kids and talk about things dogs don’t like and cats don’t like,” Collins says. “It’s equally important to explain what they do like.”
 
Reintroduce pets slowly: Each situation differs, but psychiatrists often use exposure therapy to help patients deal with phobias, Avasthi says. The process resembles slow and deliberate steps that his parents took many years ago. Therapy may begin with kids seeing photos of puppies, then pint-sized pups and, eventually, larger dogs. During subsequent sessions, kids watch videos of pets and gradually interact with an adult cat or dog. The goal is to help kids overcome a fearful response when they think about the pet.  
 
Try a training class: Avasthi and Collins recommend training to build confidence — for kids and pets. Many dog trainers encourage kids to participate in group classes, setting the foundation for safe interaction at an early age. “Then the child is not afraid and doesn’t learn the wrong behaviors,” Avasthi says.
 
Collins also encourages games such as fetch, along with obedience and teaching trick training. These activities help kids learn positive interaction, and dogs learn that kids are great treat dispensers, she says.
 
Encourage a healthy respect for Mother Nature: “Educate kids that our house pets — even though domesticated and pets — they are animals,” Avasthi says. “Sometimes they may not mean to hurt us; they may be playing, irritated or even frightened.”
 
Respecting pets also means giving them space when they show signs of being distressed, overstimulated or tired.
 
All the best.
 
— Morieka Johnson
 
Continue the conversation by following @Soulpup on Twitter.
 
Got a pet question? Send it to pets@mnn.com or submit other questions to Mother Nature and one of our many experts will track down the answer. Plus: Visit our advice archives to see if your question has already been tackled.
 
Photo: Mr. Dtb/Flickr; MNN homepage photo tease via Shutterstock

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Comments: 12
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anonymous
Nancy Feb 27 2013 at 9:09 AM
I understand people love their pets but I am beyond sickened that children are often blamed when they have been bitten or attacked by dogs. My 5 year old daughter was attacked by a dog that was regarded as a softie. I was with my daughter and the attack was completely unprovoked. The owner of this particular dog seemed very responsible and the dog didn't lack any care or affection, however it turned. Part of being a responsible owner is knowing your pet is in fact an animal (don't even
.... More
get me started on the drug fueled idiots who love to roam the streets with unruly, unleashed mastiffs etc). If I wasn't assisted in holding a snarling, growling, angry dog off my child I can't bare to think what might have happened. All dogs should be muzzled while in public places. It would keep our children safe and your beloved pets safe.
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anonymous
R. Larry Schmit... May 26 2012 at 8:06 PM
In this article and across this topic there is a long-standing and profound disconnect. 99% of the articles are on education and prevention. Yet, more than 1000 dog bite cases, mostly children daily enter emergency departments in the US. How much longer must we wait before the medical profession appreciates the emotional impact of a dog attacking a child's head? Currently, only the most obvious PTSD following these attacks is recognized and treated. In most cases it continues to go unrecognized
.... More
as the child suffers, usually unobtrusively and silently. Why? Because the child notices that his parent(s) face sags in guilt, anger and/or sadness any time the topic is raised. All involved do not want to face the emotional residual. Consequently, out of ignorance it is avoided. The modulation, if not prevention, of such PTSD is inexpensive,often without the need of professional assistance. If the parents will repeatedly insist in the days and weeks post accident that all involved family members openly discuss their feelings during and after the attack the PTSD will vanish or significantly subside. Beginning with the emergency department MDs and staff insisting the parents participate in this secondary prevention with pediatricians and primary physicians following up with promoting such action this significant residual will be controlled. Want proof? Ask your friends and strangers if they were ever bitten by a dog as a child. If the answer is yes, where was the bite, how old were you, and at what age were you comfortable discussing it with your parents. You will have your proof that this is an unappreciated source of PTSD in children.
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anonymous
Peggy Bender May 22 2012 at 3:55 PM

Teach children how to interact safely with animals and they will be rewarded with years of furry friendships. The respect they learn for pets early on will help as they cultivate relationships with peers and adults throughout their lives.

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anonymous
Richard Apr 25 2012 at 8:38 PM

My grandson purchased a 4 month mongrel pup.She was fixed and is very playful like any 3-4 y.o child. But if you play wildly with the pup she acts up and starts to nip at your arm,hand,etc.

So, we have stopped exciting the pet,to try and control her getting too excited and then biting us for our prior actions.So we don't over play with her for everyone's benefit.

An experienced former pup/dog owner.

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anonymous
Felicia Luburich Apr 22 2012 at 11:04 AM
Talk about doing STUPID things : No professional dog person would allow ANY strangers around a young mom & pups. Non professionals should STOP allowing their PETS to have puppies. I've been breeding WELL BRED carefully selected dogs ( correct stucture, color, movement, etc & especially temperament) & never had one bite anyone unprovoked ( raised their hand to me) & then no blood drawn: a warning. They were all large protection breed dogs but bred to have discretion. 75% of all
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purebred in the USA come from pet shops, puppy farms & back yard breeders so it is no wonder there are so many dog bite cases. Those sources practice NO NO NO quality control & breed anything that will cooperate regardless of how many serious defects they have. In my boarding kennel it was the rare dog that was well bred & had a good temperament. The rest were either aggressive or high stung, nervous & lacking in confidence. VERY SAD !! It is not the dog's fault but the ignorant & stupid owners fault.
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anonymous
Marie Apr 21 2012 at 4:18 PM

Im 24 now but was bitten by 2 when i was around five. I was petting my dog when another dog came into the back yard and went after me. my dog tried to protect me but I ended up in the middle and have bite marks on my arm from each dog. I wasnt doing anything to either dog

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anonymous
elevenones Apr 11 2012 at 5:49 PM
The onus is on the wrong party in all of this. Overall, the theme of this article is that the children are at fault for riling a beast that is only there to be placated. The underlying tone of teaching children to behave properly around an improperly acting pet, is an affront to reason. Proper course for a dog attacking a child is killing the dog. To use the author's statistics, "...cats and dogs reside in roughly 84 million U.S. households without incident..." Therefore, the vast majority of animals
.... More
are safe, the ones that are not should be removed from the equation. This action is respectful of not only the child in question, but of people who care about the child and their welfare.
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anonymous
Guest Apr 23 2012 at 5:38 PM

Kill the dog? You are way out of line. I am so tired of people thinking that is the answer. If an animal defends itself, then kill it! That is just plain wrong. Kids often do mean things to animals and most of the time the dog will move away or do some other form of avoidance behavior. However, I have seen kids follow the dog and continue to tease and torment. This is the parents fault, not the dogs fault. The parents should be shot. Atleast that is the remedy following your logic.

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anonymous
Shane Apr 21 2012 at 7:13 PM

It is unrealistic to expect a sentient being to tolerate anything a child dishes out. There is a limit to a human's tolerance, and there is a limit to a dog's tolerance. Children should either learn to treat a pet nicely or they should avoid pets. Treating a pet roughly is asking to get bitten.

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anonymous
Duff Vet Apr 12 2012 at 12:00 PM

Would it be ok for a child to behave improperly because you are speaking a different language? That is what this article is explaining. That if we can teach our children to understand the language of animals, there would be less altercations. It is in no way pointing the finger at one party or the other, neither the child nor the pet is behaving improperly. They just do not understand each other.

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anonymous
Deborah Cottrell Apr 12 2012 at 11:01 AM
I don't believe he's talking about "attacks." He's talking about dogs nipping. Giving your child the right to do anything it wants to a living creature and not expect repercussions is how we have created a generation of kids who have the most unearned sense of entitlement in history. These are the same kids who expect a trophy for showing up. And it's sane and reasonable to teach your child how to read body language and interact with animals, whether you own one or not. By NOT doing so, you are endangering
.... More
your child.
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anonymous
Guest Apr 12 2012 at 2:12 AM
You've got to be kidding. This article is spot on. We had a lovely, gentle dog that would never harm anyone. She had puppies and we allowed the neighborhood children to see them when they were a week or two old. One of the children grabbed the box and started to shake it. Our dog growled and snapped at the kid. This was not the dog's fault and is hardly grounds for shooting the family dog. Children do all sorts of stupid and downright mean things to animals. Animals should not be expected to
.... More
quietly take the abuse nor be killed if they react to the abuse. Children need to be taught to respect strange dogs and cats, never to grab and pull, etc. There are certainly vicious dogs out there. But there are also vicious children. They should not get a free pass at the expense of someone's pet.
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