Night Frights in Birds

Quick Facts

🏥 Condition Name
Night Frights
📋 Also Known As
Night Frights
📂 Category
Cockatiels
📁 Subcategory
N/A
🦜 Affects
Nervous system, behavior, feathers, wings
🏷️ Type
Behavioral
⚠️ Severity
Mild to Moderate
💊 Treatable
Yes with environmental management
🔄 Contagious
No
🧬 Hereditary
Species predisposition
🐦 Common In
Cockatiels, all ages

Night Frights Overview

Night frights are sudden episodes of extreme panic and disorientation that occur in cockatiels during nighttime hours, characterized by frantic thrashing, wing-beating, and vocalization within the cage. This behavioral phenomenon is remarkably common in cockatiels and represents one of the most characteristic species-specific conditions seen in these popular companion birds. During a night fright episode, the cockatiel awakens suddenly in apparent terror and reacts by blindly flapping and crashing around the cage in an attempt to escape from a perceived threat. These episodes can occur sporadically or frequently, and while the episodes themselves are brief, they can result in significant physical injuries and psychological distress.

The underlying cause of night frights in cockatiels relates to their natural prey animal instincts combined with the artificial lighting and sensory conditions of captive environments. In the wild, cockatiels roost in flocks where multiple birds can detect and respond to predator threats. Captive cockatiels retain these instinctive responses but often live singly or without the reassurance of flock members, leaving them vulnerable to startling at minor nighttime disturbances. Any unexpected stimulus during sleep, including sudden sounds, movements, lights, or even shadows, can trigger a full-blown panic response that results in dangerous thrashing within the confined space of a cage.

The impact of night frights on cockatiel health and welfare can be substantial, particularly when episodes occur frequently or result in injuries. Physical consequences commonly include broken blood feathers, damaged flight feathers, facial injuries from cage bars, and bruising or lacerations on wings and body. Severe episodes can result in fractured bones, particularly wing and leg bones, or head trauma. Beyond physical injuries, repeated night frights cause significant psychological stress that can affect the bird's overall wellbeing, potentially leading to chronic anxiety, behavioral problems, and compromised immune function. The distress extends to owners as well, who may be awakened by the commotion and worried about their bird's safety.

Night frights are a manageable condition when owners understand the underlying causes and implement appropriate environmental modifications. Prevention strategies focus on creating a secure, predictable sleeping environment that minimizes nighttime disturbances and allows the cockatiel to orient itself if awakened. Night lights, cage covers, strategic cage placement, and attention to potential triggers can dramatically reduce the frequency and severity of night fright episodes. For cockatiels that continue to experience problems despite environmental modifications, additional interventions may be needed. Working with an avian veterinarian helps ensure that any underlying health issues are addressed and that the most effective management strategies are employed.

Causes of Night Frights

The primary cause of night frights in cockatiels is their strong innate prey animal response, an evolutionary adaptation that helped their wild ancestors survive predator attacks during vulnerable sleeping hours. Cockatiels, like all prey species, are hardwired to react immediately and explosively to potential threats, and this survival instinct does not differentiate between actual predators and harmless stimuli in the domestic environment. When startled from sleep, the cockatiel's fight-or-flight response activates instantaneously, producing the characteristic frantic thrashing as the bird attempts to escape. The confined cage environment prevents normal flight and escape, intensifying the panic and resulting in the dangerous thrashing behavior.

Genetic and species-related factors make cockatiels particularly susceptible to night frights compared to many other parrot species. Cockatiels as a species appear to have lower thresholds for startle responses and may be more reactive to subtle environmental stimuli during sleep. This characteristic likely relates to their ecology as ground-feeding birds in the Australian outback, where predator pressure is significant. While all cockatiels share this predisposition, individual temperament varies considerably, with some birds being naturally more nervous or reactive than others. Young cockatiels and newly acquired birds may show increased vulnerability as they adjust to unfamiliar environments.

Environmental and husbandry factors play critical roles in triggering night fright episodes in susceptible cockatiels. Complete darkness in the cage area is a major contributing factor, as cockatiels cannot orient themselves or identify their surroundings when suddenly awakened in total blackness. Sudden noises from various sources, including household appliances, passing vehicles, other pets, weather events, or even settling house sounds, can startle a sleeping cockatiel. Light changes such as headlights from passing cars, flickering streetlights, or lightning flashes can trigger panic. Movement of shadows, curtains, or other objects near the cage may be perceived as predator threats. Even subtle vibrations or air currents can potentially disturb sensitive cockatiels.

Several risk factors increase the likelihood of night frights in individual cockatiels. Birds housed in rooms with more nighttime activity, noise, or unpredictable stimuli experience higher rates of night frights. Single cockatiels without the security of flock mates may be more reactive than those housed with companions. Cockatiels in new environments or those experiencing stress from other sources may have heightened sensitivity. Cage placement near windows, exterior walls, or high-traffic areas increases exposure to triggering stimuli. Seasonal factors can contribute, with episodes potentially increasing during storm seasons or when outdoor noise levels change. Prior traumatic experiences may sensitize some cockatiels to startle more easily.

The mechanism of night fright development involves the rapid activation of the sympathetic nervous system in response to a startling stimulus. When the sleeping cockatiel perceives potential danger, the amygdala and other fear-processing brain regions trigger an immediate stress response including adrenaline release, increased heart rate, and explosive muscle activation. The bird attempts to take flight, the natural escape response, but finds itself confined in the cage. Unable to achieve normal flight and escape, the cockatiel continues thrashing as panic intensifies. The disorientation caused by darkness compounds the problem, as the bird cannot see obstacles or orient itself to stop the dangerous behavior. The episode typically ends only when the bird exhausts itself or encounters something that interrupts the panic cycle.

Symptoms & Warning Signs

Early warning signs that a cockatiel may be prone to night frights can sometimes be observed during the transition to sleep or in the bird's general temperament. Birds that startle easily during daytime hours may be more susceptible to nighttime episodes. Restlessness during the evening hours as the bird settles in for sleep may indicate anxiety about the nighttime environment. Some cockatiels vocalize or appear unsettled as lights are turned off, suggesting discomfort with darkness. Owners may notice their bird positioning itself in unusual spots within the cage during sleep or appearing vigilant rather than fully relaxed. These subtle signs may predict vulnerability to night frights before dramatic episodes occur.

The common symptoms of a night fright episode are unmistakable and often alarming to owners witnessing them for the first time. The episode typically begins suddenly, with the sleeping cockatiel erupting into frantic wing-beating and thrashing. The bird may vocalize loudly with distress calls, screeches, or alarm sounds. Wings beat violently against cage bars, perches, toys, and walls in random, uncontrolled patterns. The cockatiel may fall from perches, crash into cage accessories, and repeatedly collide with the cage enclosure. Feathers may be dislodged and fly around the cage during the chaos. The bird appears completely disoriented and unable to stop or control its panicked movements.

Behavioral changes following night fright episodes reflect the psychological impact of these traumatic events. Immediately after an episode, the cockatiel may remain agitated, vocalize persistently, and have difficulty settling back to sleep. In the following days, some birds show increased nervousness, heightened startle responses, or reluctance to return to their cage at night. Behavioral regression, including decreased tameness or increased fear responses toward owners, can occur after severe or repeated episodes. Some cockatiels develop apparent anxiety associated with sleep time or show changes in their normal routines. Chronic exposure to frequent night frights can lead to lasting behavioral changes.

Physical signs of night frights become evident when examining the bird and cage after an episode has occurred. The most common physical finding is damaged or broken blood feathers, particularly on the wings and tail, which may show active bleeding. Bent, frayed, or missing flight feathers indicate collision damage. Facial injuries including scrapes, bruising, or swelling around the eyes and beak may be visible. The cage often contains loose feathers, seed debris, and evidence of disturbance. Blood spots on perches, walls, or cage bottom indicate injuries during thrashing. The bird may sit low on a perch or cage floor, appearing exhausted and disheveled with feathers in disarray.

Symptom progression varies based on the frequency and severity of night fright episodes and the effectiveness of interventions. Birds experiencing isolated episodes may return to normal quickly with no lasting effects. However, cockatiels that experience repeated night frights may develop cumulative injuries and psychological effects. Feather damage may not have time to heal between episodes, leading to chronic feather problems. Repeated injuries can result in permanent feather follicle damage, scarring, or deformities. Behavioral problems may worsen over time, with increased general anxiety and reactivity. Some cockatiels develop learned helplessness or depression-like states after prolonged exposure to frequent night frights.

Emergency symptoms requiring immediate veterinary attention include visible bleeding that does not stop within a few minutes, apparent broken bones indicated by wing drooping, leg instability, or abnormal positioning, head injuries suggested by disorientation persisting after the episode ends, labored breathing or open-mouth breathing following the episode, or any signs of shock including extreme weakness, pale skin, or collapse. Profuse bleeding from a broken blood feather constitutes an emergency requiring immediate intervention to stop the blood loss. Any bird that appears seriously injured, cannot perch normally, or fails to recover alertness within a reasonable time after an episode should receive urgent veterinary evaluation.

Diagnosis

The diagnostic process for night frights in cockatiels typically begins with a thorough history-taking to understand the circumstances, frequency, and pattern of episodes. Owners should provide detailed descriptions of night fright events, including timing, duration, apparent triggers if known, and any injuries observed afterward. The veterinarian will ask about the bird's sleeping environment, cage setup, room conditions, and any changes that may have coincided with the onset or worsening of episodes. Information about the bird's daytime behavior, temperament, diet, and overall health helps create a complete picture. Video recordings of the cage setup and, if available, footage of episodes can provide valuable diagnostic information.

Physical examination focuses on identifying any injuries resulting from night frights and assessing the bird's overall health status. The veterinarian will carefully examine all feathers, paying particular attention to blood feathers and flight feathers for evidence of damage. The wings, legs, and feet are palpated for fractures, swelling, or tenderness. The head and face are examined for scrapes, bruising, or eye injuries. Body condition and hydration status are assessed. The examination also looks for signs of underlying health problems that might contribute to increased startle responses or sleep disturbances. Baseline diagnostic tests may be recommended to rule out systemic illness.

Differential diagnosis for night frights considers other conditions that might cause similar nocturnal disturbances or the injuries associated with them. Seizure disorders can produce violent, uncontrolled movements that might be confused with night frights, though the pattern and circumstances typically differ. Respiratory distress from various causes might cause nighttime agitation and movement. Parasitic infections can cause nocturnal restlessness and scratching. Pain from undetected injuries or illness might cause nighttime disturbance. Toxin exposure can cause neurological symptoms including agitation. Careful history and examination help distinguish true night frights from other conditions requiring different treatment approaches.

Confirmation of night fright diagnosis relies primarily on the characteristic history and pattern of episodes, as there is no specific test for this behavioral phenomenon. The diagnosis is essentially made when the clinical picture matches the well-recognized pattern of sudden nighttime panic episodes in cockatiels without evidence of other underlying causes. Response to environmental modifications provides additional confirmation, as true night frights typically decrease significantly when appropriate preventive measures are implemented. Following diagnosis, the veterinarian will work with the owner to develop a comprehensive management plan addressing both immediate injury treatment and long-term prevention strategies.

Treatment Options

Emergency and immediate treatment following a night fright episode focuses on addressing any injuries sustained during the thrashing. If the bird is bleeding from a broken blood feather, immediate intervention is required to stop the blood loss. This may involve applying pressure to the feather base, using styptic powder or cornstarch, or in severe cases, removing the broken blood feather entirely. The bird should be carefully examined for other injuries while being held securely to prevent further panic. Keeping the environment calm, dim, and quiet helps the bird recover from the acute stress. Warmth support using a heating pad or heat lamp directed at part of the cage helps counteract shock. Limiting handling after initial assessment allows the bird to rest and recover.

Medical management for night frights primarily addresses injuries rather than the episodes themselves, as the condition is fundamentally behavioral and environmental rather than medical. Broken blood feathers may require veterinary removal if home treatment is unsuccessful or if multiple feathers are affected. Fractures require appropriate stabilization or surgical repair. Lacerations may need cleaning and possibly suturing. Pain management through appropriate avian-safe analgesics helps the bird recover comfortably. Antibiotics may be prescribed for wounds at risk of infection. In rare cases where cockatiels experience exceptionally frequent or severe night frights, veterinarians may consider short-term anti-anxiety medications, though this is not standard treatment.

Surgical intervention is occasionally necessary for severe injuries resulting from night frights. Fractures of wing or leg bones may require surgical repair with pins or other fixation methods. Severely damaged blood feathers that continue bleeding despite other interventions require surgical removal under proper restraint or sedation. Deep lacerations or wounds with tissue damage may need surgical debridement and closure. Eye injuries resulting from cage bar impacts may require ophthalmic treatment or surgery. These interventions address the consequences of night frights rather than the condition itself, underscoring the importance of prevention.

Supportive care following night fright injuries includes creating optimal healing conditions while implementing preventive measures against future episodes. A hospital cage or smaller, cushioned enclosure may be appropriate during recovery from serious injuries. Reduced perch heights minimize fall risk if the bird is unsteady. Soft, easily digestible foods support nutrition during recovery. Maintaining appropriate warmth and humidity supports healing. Stress reduction through minimal handling and quiet environment aids recovery. Follow-up examinations ensure proper healing and allow adjustment of treatment as needed.

Alternative and complementary treatments for night frights focus on environmental modifications that represent the primary treatment approach for this condition. Night lights providing dim, consistent illumination allow cockatiels to orient themselves if awakened and significantly reduce panic severity. Cage covers can provide security while also being designed to allow some light penetration. White noise machines or soft background music can mask sudden sounds that might trigger episodes. Positioning the cage away from windows and external walls reduces exposure to outside stimuli. Ensuring the cage contains no hanging toys or loose objects that might create frightening shadows or movements at night reduces triggers. These environmental approaches are highly effective and should be considered first-line treatment.

Treatment decisions for managing night frights consider the frequency and severity of episodes, the injuries sustained, the bird's individual triggers, and the practicality of various interventions for the owner. Mild, infrequent night frights in birds without significant injuries may require only basic environmental modifications. More severe or frequent episodes warrant comprehensive environmental assessment and modification. Owners must balance the bird's need for a secure sleeping environment with other practical considerations. Cost considerations are generally minimal for environmental modifications but can increase significantly if repeated veterinary treatment for injuries is needed. Working with an avian veterinarian ensures optimal strategies are employed and that any contributing health factors are addressed.

Recovery & Prognosis

The recovery timeline following night fright injuries varies depending on the type and severity of damage sustained. Minor feather damage typically resolves with the next molt cycle, which may be several months away. Broken blood feathers heal within a few weeks after the damaged feather is removed. Soft tissue injuries including bruises and minor lacerations generally heal within 1 to 2 weeks with appropriate care. Fractures require 4 to 8 weeks for healing, with longer recovery periods for complex breaks. Full recovery from severe injuries may take months, particularly if feather regrowth is involved. Throughout recovery, preventing additional night frights is essential to avoid reinjury.

Post-treatment care requirements focus on wound management, preventing reinjury, and implementing environmental modifications to reduce future episodes. Any wounds should be monitored daily for signs of healing and watched for infection indicators. Activity restriction may be necessary for birds recovering from fractures or significant injuries. Medication administration, including pain relief and antibiotics if prescribed, must continue as directed. Environmental modifications should be implemented immediately rather than waiting for recovery to complete. Gradual return to normal activities is appropriate as healing progresses, with attention to any signs that the bird is not tolerating increased activity.

Prognosis for cockatiels with night frights is generally excellent because the condition is highly manageable with appropriate environmental modifications. Most cockatiels show dramatic reduction in episode frequency when proper preventive measures are implemented. Injuries from individual episodes typically heal completely without lasting effects if treated appropriately. However, prognosis depends heavily on whether effective prevention is achieved, as continued frequent night frights can lead to cumulative damage, chronic stress, and behavioral problems. Birds with particularly severe or treatment-resistant night frights may have more guarded prognoses, though even these cases usually show improvement with comprehensive management.

Long-term outlook for cockatiels with a history of night frights depends on the success of ongoing preventive measures. Most cockatiels can lead normal, healthy lives with minimal episode frequency when their sleeping environment is properly managed. Environmental modifications typically need to be maintained indefinitely, as cockatiels generally remain susceptible to night frights throughout their lives. Periods of stress, environmental change, or lapses in preventive measures may trigger recurrence. Regular evaluation of the sleeping environment and attention to potential new triggers helps maintain low episode frequency. With appropriate management, night frights should not significantly impact the cockatiel's quality of life or longevity.

Prevention

Environmental prevention of night frights represents the most important strategy for protecting cockatiels from this common behavioral problem. Providing a consistent, low-level night light near the cage prevents total darkness and allows the cockatiel to orient itself if awakened, dramatically reducing panic severity. The light should be dim enough not to disrupt sleep but bright enough for the bird to see its surroundings. Cage placement away from windows prevents exposure to passing lights, shadows, and outdoor animal activity. Avoiding rooms with frequent nighttime activity, noise sources, or other pets that might disturb the sleeping bird reduces trigger exposure. Maintaining consistent nighttime routines helps cockatiels feel secure.

Quarantine and acclimation protocols for new cockatiels should include attention to sleep environment from the beginning. New birds are often more vulnerable to night frights due to stress and unfamiliarity with their surroundings. Providing night lights and covering the cage partially from the start helps establish a secure sleeping pattern. Gradual introduction to the new home environment, including sleeping location, reduces anxiety. Allowing new cockatiels time to acclimate before exposing them to stimuli that might trigger night frights supports adjustment. Monitoring new birds closely during initial nights helps identify any problems quickly.

Dietary factors do not directly prevent night frights but support overall health and potentially reduce nervous system reactivity. A balanced diet including adequate B vitamins and other nutrients that support nervous system function may help reduce overall anxiety levels. Avoiding stimulants and high-sugar foods, particularly near bedtime, prevents possible contribution to restlessness. Consistent feeding schedules support regular sleep patterns. Some owners report that chamomile tea offered occasionally helps calm nervous cockatiels, though evidence for this is anecdotal. Proper nutrition supports optimal health, which may indirectly reduce susceptibility to stress-related behavioral problems.

Regular health maintenance through avian veterinary care helps identify and address factors that might increase night fright susceptibility. Annual examinations include discussion of behavioral concerns and sleeping environment. Veterinarians can identify underlying health issues that might contribute to nighttime restlessness or increased startle responses. Maintaining records of night fright frequency helps track whether interventions are effective. Professional guidance ensures that the most appropriate preventive strategies are employed. Health screening helps ensure that symptoms attributed to night frights are not actually caused by other conditions.

Early intervention at the first signs of night fright problems provides the best outcomes. Implementing environmental modifications as soon as night frights are recognized, rather than waiting to see if they resolve spontaneously, prevents injury and conditioning of the panic response. Addressing any identified triggers promptly reduces episode frequency. Treating injuries immediately prevents complications. Adjusting management strategies if initial interventions are ineffective allows optimization of prevention. Working with an avian veterinarian or certified avian behavior consultant helps develop comprehensive prevention plans for cockatiels with persistent night fright problems.

Living With & Managing Night Frights

Daily management for cockatiels prone to night frights requires consistent attention to the sleeping environment and routine. Ensuring the night light is functioning and positioned correctly each evening prevents episodes caused by equipment failure. Covering the cage partially with a breathable cover can provide additional security while still allowing light penetration and air circulation. Establishing a consistent bedtime routine helps the cockatiel feel secure and know what to expect. Checking the cage area for potential triggers such as reflective surfaces, hanging objects, or new items before settling the bird for the night reduces risk. Maintaining consistent cage placement and room arrangement prevents confusion and insecurity.

Home environment modifications extend beyond the immediate cage area to the broader living space. Securing window coverings to prevent light intrusion from outside sources eliminates a common trigger. Removing or securing items near the cage that might create shadows or movements provides additional safety. Using timers for lights and appliances prevents sudden on-off cycles that might startle the bird. Considering soundproofing or relocating the cage if noise transmission is a problem addresses auditory triggers. Coordinating with household members to minimize nighttime disturbances near the bird's sleeping area creates a consistently calm environment.

Maintaining quality of life for cockatiels with night fright tendencies involves balancing protective measures with normal enrichment and socialization. Daytime activities and interactions should continue normally, as restricting activity does not prevent night frights and may increase overall stress. Providing adequate out-of-cage time, social interaction, and mental stimulation during the day helps cockatiels feel secure and confident. Maintaining the human-bird bond through regular positive interaction supports the cockatiel's overall wellbeing. Allowing normal foraging, play, and exploration activities keeps the bird mentally healthy. The goal is to minimize nighttime vulnerability while preserving daytime quality of life.

Monitoring and ongoing care for cockatiels with night fright history includes regular assessment of prevention effectiveness and the bird's overall wellbeing. Keeping a log of any night fright episodes helps identify patterns, triggers, or changes in frequency that might indicate the need for management adjustments. Regular physical examinations allow early detection of injury or health changes. Observing the bird's behavior for signs of chronic anxiety or behavioral changes provides insight into stress levels. Reassessing the sleeping environment periodically ensures that prevention measures remain effective and identifies any new potential triggers. Adjusting management as needed based on observations maintains optimal protection.

Caregiver support for owners of cockatiels with night frights acknowledges the anxiety and disruption these episodes can cause for the entire household. Understanding that night frights are a recognized, manageable condition rather than a sign of inadequate care reduces self-blame. Connecting with other cockatiel owners through online communities provides reassurance and practical tips. Preparing for episodes by having supplies available for first aid reduces panic when they occur. Implementing proven prevention strategies provides confidence that episodes will decrease. Knowing when to seek veterinary assistance ensures appropriate professional support is available. Recognizing that most cockatiels improve significantly with proper management provides hope for long-term success.

Species at Risk for Night Frights

Cockatiels are the species most commonly and characteristically affected by night frights among companion birds, earning this condition a reputation as a particularly cockatiel-associated problem. The high prevalence in cockatiels likely relates to their specific evolutionary background as ground-dwelling prey birds in the Australian grasslands, where vigilance during rest was essential for survival. Cockatiels retain these strong startle responses in captivity, making them more reactive to nighttime disturbances than many other parrot species. Individual temperament varies considerably, with some cockatiels being naturally more nervous and prone to night frights than others. All ages can be affected, though young birds and newly acquired individuals may be particularly vulnerable.

Other bird species can experience episodes similar to cockatiel night frights, though generally with lower frequency and severity. Budgerigars, as fellow Australian parakeets, occasionally experience nighttime panic episodes. Various small parakeet and finch species may show night fright behavior, particularly in new environments or under stressful conditions. Larger parrots generally seem less prone to classic night frights, though they can certainly startle from sleep and injure themselves, particularly in unfamiliar settings. Birds of any species recently moved to new homes or experiencing environmental stress may have increased vulnerability to nighttime panic.

Screening and risk assessment for night frights focuses on identifying environmental factors and individual susceptibility rather than medical testing. New cockatiel owners should be educated about night frights before or at acquisition, as prevention from the start is more effective than responding after problems develop. Evaluating prospective sleeping environments for trigger risks helps optimize setup before problems occur. Identifying individual cockatiels with particularly nervous temperaments allows for enhanced preventive measures. Monitoring during initial nights in new environments helps catch problems early. Working with breeders and avian veterinarians to understand an individual bird's history and temperament supports appropriate risk assessment and prevention planning.

Related Conditions

Night frights commonly co-occur with other anxiety-related behavioral conditions in cockatiels, reflecting shared underlying factors of nervous temperament and environmental stress. Feather destructive behavior, including feather picking and plucking, may develop in cockatiels experiencing chronic stress from frequent night frights or their aftermath. General anxiety and fearfulness may be present alongside night fright susceptibility, as these often reflect the same underlying temperament traits. Stress-related hormonal disturbances and associated health issues may develop in cockatiels subjected to repeated traumatic episodes. Addressing night frights as part of comprehensive behavioral and stress management helps improve overall wellbeing.

Several conditions produce symptoms that might be confused with night frights or that might co-occur with them. Seizure disorders can cause sudden, violent movements that superficially resemble night fright thrashing, though the pattern, timing, and circumstances typically differ. Respiratory distress can cause nocturnal restlessness and might be mistaken for or trigger night fright-like episodes. Parasite infestations causing nocturnal discomfort may produce restlessness and scratching that creates disturbance. Pain from undetected injuries or illness can cause nighttime disturbance and agitation. Careful veterinary evaluation helps distinguish between these conditions and ensures appropriate treatment.

Complications of night frights primarily relate to the physical injuries and psychological effects of repeated episodes. Chronic feather damage from repeated thrashing can lead to permanent feather follicle injury and lasting cosmetic problems. Repeated injuries may result in scarring, deformities, or chronic pain. Psychological effects of repeated trauma can include persistent anxiety, behavioral regression, and difficulty bonding with owners. Secondary infections can develop in wounds that are not properly treated. The cumulative stress of frequent night frights may compromise immune function and overall health. Preventing these complications through effective environmental management is far preferable to treating them after they develop.