When concerns about persistent aggression arise in a preschool child who attends both home and school, which professional should be contacted first to address potential underlying factors?

• A. Behavioral specialist
• B. Pediatrician
• C. School counselor
• D. Occupational therapist

Answer: (B)

When a preschooler shows persistent aggression across both home and school, the first step is to check for medical or developmental factors that could be driving the behavior. A pediatrician can conduct a physical and developmental review, assess sleep, nutrition, hearing and vision, and screen for medical or health-related issues that might be contributing. They can coordinate referrals to other specialists if needed and guide management that is appropriate across both environments.

Other professionals have important roles as the process continues. A behavioral specialist can help teach new skills and shape responses to reduce aggression, a school counselor can support behavior plans in the educational setting, and an occupational therapist can address sensory or motor factors that may be contributing. But the initial, most essential step is a medical evaluation by the pediatrician to identify or rule out underlying factors.