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Kids' Health Questions: How Should I Do Time-Outs?

Aug 17, 2016
By Sarit Silver
Angry mother sitting with her daughter on the sofa

Question: What’s the right way to do a time-out when my child misbehaves?

Answer: There aren’t really hard and fast rules about the “right” way to do a time-out, but there are some good guiding principles. The main one being consistency!


During a recent office visit, a child was running around the exam room, pulling latex gloves out of the box and throwing them around, splashing water out of the sink, and just creating general chaos. I heard the mom say, “you’re about to be on time-out” three separate times, but the time-out never actually came. It was a very teachable moment: I encouraged the mom to follow through with the consequence and put the kid on time-out for two minutes. After that, the room-wrecking behavior stopped — the child just needed some structure and limit-setting.

Kids are smart and they’ll pick up on loopholes and contradictions really quickly. If you say you’re going to do something every time your child does a certain behavior, then you actually have to follow through every time they do the behavior.

Another helpful rule of thumb: time-outs should last as many minutes as your child’s age. So if your kid is 5 years old, time-outs should last five minutes. Kids don’t really understand the idea of time-outs until they’re at least 2 to 3-years-old, so there’s no need to start this kind of discipline until then.   

You should also always tell your child why they’re getting a time-out every time you enforce it, and be as specific as possible. Use a short, quick description of what they did. So instead of “you’re getting a time-out because you weren’t behaving in a way that aligns with our family values…,” try, “you’re getting a time-out because you threw a stick at your brother.” The end. Be short, straightforward, and transparent.

If you’re just starting out, the best way to introduce time-outs is to do a practice run. Let your child know that the next time they do a behavior they shouldn’t do (hitting, throwing a tantrum, etc.), they’ll have to have a time-out. You can say that sometimes we all get big emotions, and we need a few minutes to calm down; this is what the time-out is for. Then let them pick the location. Remember, consistency is key, so have them go to the same place for every time-out. It should be somewhere quiet, like in a corner or facing a wall (and obviously not in front of a phone, TV, or computer). Once they pick a spot in the house, say it’s time for a practice run. Make it clear that they’re not in trouble now, but you’re practicing what it feels like to go to the time-out spot so they’ll know what to do when it’s time. If they’re having “big emotions” outside the house and a time-out is in order, you can pick the exact location.

And remember, time-outs go hand-in-hand with time-ins. That means it’s crucial to give your kid as much specific praise as possible. Rather than saying, “you’re a nice girl,” emphasize the details: “you’re being such a nice girl because you cleaned up your toys right away,” or “you’re being a really nice boy for sharing the game with your sister.” With this kind of consistent, positive reinforcement, you’ll hopefully end up having more days full of time-ins than time-outs.

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Sarit Silver

As a pediatrician, Sarit listens carefully to both children and their parents in order to create a comfortable environment for care and build a trusting relationship with each family. She enjoys providing support and education for families during the growth and development of their children, offering advice for everyday issues like tantrums and picky eating as well as acute and chronic illnesses. To keep healthy, Sarit stays mindful about her food choices and enjoys hiking. She fosters stray cats and volunteers with Cat Town Oakland, a cat cafe and adoption program. Sarit graduated from New York University and completed her residency at UCSF Benioff Children's Hospital Oakland. She is certified by the American Board of Pediatrics.

The One Medical blog is published by One Medical, a national, modern primary care practice pairing 24/7 virtual care services with inviting and convenient in-person care at over 100 locations across the U.S. One Medical is on a mission to transform health care for all through a human-centered, technology-powered approach to caring for people at every stage of life.

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