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Hello and thank you for your question. I can understand why you would be concerned about your son and this behavior. It sounds like this was a one-time incident as you stated he has never once pulled out his hair before, but has twisted it on occasion. Many children will typically exhibit behavior like this in stressful situations as children have not developed the proper coping techniques to deal with stress, frustration, and anxiety yet. Given your son's response it would be best to help him vocalize his frustrations and stressors so that others can understand what he is feelings. Try to be welcoming in this, as you want to encourage him to communicate with others as we cannot read each other's minds, so we have to verbalize what we are feeling to help others understand. You also want to provide examples for yourself to tell him how you are feeling (happy and sad) so that he can model after (modeling is common with all children). In addition, you want to help him learn to control his anxiety/stress as well through more effective coping mechanisms like deep breathing, closing his eyes and thinking of a happy place, singing/humming a song, or even tapping his fingers to a rhythm can all help to lessen stress. Show understanding about what he did with his hair, but also emphasize that it probably hurt and may not be the best look for him (you want to make light of the situation in a way that he can laugh and feel comfortable), so that is why you want to teach him other ways to cope with his stress and anxiety. Overall, if this is a one time incident with your son and he has never pulled his hair before this than there is no reason to think that this will be a habitual behavior by him as many children exhibit some mild one time incidents of self-injurious behavior (e.g. banging head, scratching themselves, etc...) that is usually temporary and can be easily redirected with proper support.
I hope this answers your questions and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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