ADHD

_the defiant child_
order on Amazon or www.half.com
3rd-4th ed now

takes 9-10 weeks

important points:
noticing good behavior
incentives before consequences
consequences that are immediate, consistent, and specific

step 1: childproof home
step 2: learn to enjoy kids again; pay attention to child



Barkley vs. Carolyn Webster-Stratton - video and discussion before behavior plan

Other parent training books:
Parenting the Strong-Willed Child by Rex Forehand and Nicholas Long,
The Incredible Years by Carolyn Webster-Stratton,
The Kazdin Method for Parenting the Defiant Child by Alan Kazdin.
http://health.usnews.com/articles/health/living-well-usn/2008/06/12/good-parents-bad-results.html

Mary Alvord, a clinical psychologist in Rockville, Md., offers weekly group sessions using cognitive behavioral therapy to help children with ADHD improve their social skills. "We also mix in kids with social anxiety," Alvord says. "They provide excellent modeling opportunities and support for one another."

20% don't respond to drugs

only behavioral therapy proven. not talk or play therapy

Multimodal Treatment Study of Children with ADHD (MTA)
followed 579 grade-schoolers for 14 months.
1990s
Parents and teachers rated the medication-only group as having many fewer symptoms of inattention and hyperactivity/impulsivity.
But they rated the children who got behavioral treatment as doing better on aggressive behavior, peer relations, parent-child relations, and academic achievement.
ndeed, when the study ended and the extra monitoring stopped, the benefits faded for all groups, medicated or not.