Challenging behaviors are a form of communication. Children tend to relay their feelings and needs by acting out rather than explaining. Hospital workers can inadvertently reinforce this pattern by paying close attention to disruptive behaviors while ignoring more desirable ones like playing quietly. While this makes sense for the worker, it can incentivize the creation of drama and angst to get attention. This class describes ways to promote and reinforce calm and pro-social behaviors while setting effective and practical limits when necessary.