Oppositional%20Defiant%20Disorder%20

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Oppositional Defiant Disorder Conduct Disorder
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Bag of Goals Activity

• Outside
• Positive characteristics
• Activities you like or excel in (drawing, math)
• Personality traits (patience, caring)
• Inside
• Negative characteristics
• Activities they do not enjoy or excel at
• (attending therapy, swimming)
• Personality traits (impatient, uncaring)
• Inappropriate behaviors (fighting, hitting)

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Bag of Goals Activity

• Rationale
• Get to know you activity!
• Builds rapport
• Clients recognize that they have positive
  attributes among their negative traits.
• Perceived deficits are changeable
• Formulate goals based on recognized negative
  characteristics.

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Support Systems

• Therapist considers the support systems
• Family
• School
• Teachers
• Peers
• Community
• Multiple Level Interventions

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Effective Treatments and Interventions

• Multimodal
• Family based
• The availability and dependability of these
  outside supports are crucial.
• Challenges
• maintaining an effectual level of family
  involvement
• consistency
• monitoring

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Contributing Factors

• Psychosocial stressors
• Dysfunctional homes
• Ineffective parenting styles
• 1-parent homes
• SES
• Neighborhood
• Lack of positive peer relationships

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Recognized Evidence Based Programs

• The Incredible Years (Webster-Stratton)
  http//www.incredibleyears.com/index.htm
• Training Programs
• Strengthen protective factors
• Parenting competence
• Childrens social skills
• Home-school involvement
• Positive classroom environment

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Webster-Strattons The Dina Dinosaur Treatment
Program

• Early intervention for ages 4-8.
• The Child Training (CT)
• Developing positive interpersonal skills.
• The Teacher Training (TT)
• Handle misbehavior
• Build positive relationships among the parents,
  child, and peers
• Teach social skills.
• The Parent Training (PT)
• Parenting and interpersonal skills

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Webster-Strattons The Dina Dinosaur Treatment
Program

• Understanding and Detecting Feelings (Dina
  Triceratops Program)
• Language Delays
• Limited emotional vocabulary
• Strategies for changing negative (angry,
  frustrated, sad) feelings into more positive
  feelings.

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Webster-Strattons The Dina Dinosaur Treatment
Program

• Feeling Thermometer Intervention
• Illustrate how feelings change
• People react differently
• Metaphor of a feeling thermometer is used, and
  the children practice using real thermometers in
  hot and cold water to watch the mercury go from
  hot and angry to cool and calm

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Multi-systemic Therapy (MST)

• Extremely effective in severe cases of CD.
• Decreasing behavioral and emotional problems and
  increasing family functioning
• Specific interventions are tailored on an
  individual basis
• Safety net

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(MST) Marital Interventions

• Marital discord
• Divorce
• Renegotiating Family Relationships

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The End Thank you ?