Oppositional, Defiant and Disruptive Children and Adolescents: Non-Medication Approaches for the Most Challenging Behaviors – Scott D. Walls

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Children and adolescents with ODD, ADHD, Asperger’s, anxiety, mood, and disruptive disorders provide constant clinical and parenting challenges. Watch this recording and learn new, effective non-medication strategies for your clients’ most challenging behaviors including:

• Tantrums
• Running out/away
• Noncompliance
• Nagging
• Refusing to work/help
• Yelling/screaming
• Bullying
• Panic/anxiety reactions
• Lack of follow-through
• Not following directions

You will walk away with immediate strategies for out of control behaviors and techniques for emotional regulation along with long-term treatment strategies to help kids at home and school. Scott Walls is a clinical expert and has worked with the most challenging kids both in clinical and school settings. Through the use of case studies and action-oriented handouts, you will leave this program with solutions to turn your most challenging kids around.

1. Utilize clinical strategies to reduce the frequency, duration, and severity of behavioral episodes that challenge therapists, educators, professionals, and parents.
2. Implement both proactive and reactive strategies for oppositional, defiant and disruptive behavior in children and youth.
3. Discriminate between the clinical presentation of behavioral episodes & psychiatric symptoms to inform treatment.
4. Communicate how a skilled observation of behavior informs your treatment approach.
5. Develop clinical skills for establishing a therapeutic rapport to overcome treatment resistance in children and adolescents.
6. Effectively develop a behavior intervention plan and safety plan across all settings including home and school.

Behaviors that Make Us Crazy

• Tantrums
• Running out/away
• Noncompliance
• Nagging
• Refusing to work/help
• Yelling/screaming
• Bullying
• Panic/anxiety reactions
• Lack of follow through
• Not following directions

Disorders

• Oppositional Defiant Disorder
• ADHD
• Mood disorders
• Anxiety disorders
• Attachment issues/disorder, conduct disorder, autism spectrum disorders

Assessment – The Functions of Behavior

• Fear-based (Fight, Flight, Freeze, or Submit)
  • Escape
  • Attention
  • Sensory
  • Pain
  • Control

Mental Health Disorder or Behavior Problem

• The power of skilled observations
• The interview
• Comparison to the group
• The FBA – Incredibly powerful assessment tool
• The art of choosing a diagnosis (if you have to at all!)

Limitations of the Research and Potential Risks

Treatment Strategies Part I

• Proactive
  • Behavior plans
  • Motivational incentives
  • Set the stage for success
  • Remember the initial goal
  • Appropriately address the functions of the behavior
• Reactive
  • ?Corrective measures
  • It’s like playing chess in a tornado

Treatment Strategies Part II 

• Specific Strategies for the Following Behavioral Challenges:
  • Tantrums
  • Running out/away
  • Noncompliance
  • Nagging
  • Refusing to work/help
  • Yelling/screaming
  • Bullying
  • Panic/anxiety reactions
  • Lack of follow through
  • Not following directions

Treatment Strategies Part III 

• Specific Strategies for the Following Disorders:
  • ODD
  • ADHD
  • Mood disorders
  • Anxiety disorders
  • Working with unsafe behaviors

Treatment Strategies Part IV

• Special Populations & Circumstances
  • Asperger’s disorder
  • Divorce, separation
  • Abuse and neglect
  • Parent misbehavior
  • Foster care

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