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[quote=Anonymous]My son was similar in 1st grade. He was diagnosed with OCPT... it's like OCD but without the repetitive stuff. So when we "open a can" that he wanted to open, he would freak because his brain was telling his that was not how it is supposed to happen.

We did CBT, it took about 6 months to break him of his OCD ways.

Also for temper tantrums imagine it is not a tantrum, imagine he is having an asthma attack and freaking out.  When you stop believing he can control it you stop blaming him and yourself.

What you need to do, is go to a quiet place, sit with him and read a book or magazine (this is so you are not giving attention for yelling), ever 30-60 seconds say, "is there anything I can do", "I am sorry you are upset",....

as he calms down say, "You are doing a good job" "I am proud of how you are able to calm yourself"

When I did this his tantrums that I had dealt with for a loooong time... they stopped within 1 month.

Later he learned breathing exercises from his therapist... kink of like meditation, in middle school he would listen to a meditation app to calm his anxieties. 
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