Group therapy | NURS 6660 – Psychiatric Mental Health Nurse Practitioner Role I: Child and Adolescent | Walden University

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Your parent guide for ODD was very educational and presented a lot of useful information for parents. I specifically liked that your group included a lot of detailed information regarding psychotherapeutic approaches to treating this disorder. I found a lot of useful information about treatment options that would be beneficial as a parent. Given the elevated attrition rates of ODD in child psychotherapy, there is a great need for a wide-range of interventions tailored to meet the unique needs of each family to help increase familial engagement and positive outcomes for children with ODD (Prout et al., 2018). I also like that your group discussed risk factors for the disorder. Often adults think that their child is misbehaving for other reasons and often result to unruly punishments. Great job!

Two recommendations I have for your pamphlet is to include other evidence-based treatments available for children with ADHD and to discuss comorbid psychiatric conditions associated with ODD. According to Pout et al. (2018), Regulation Focused Psychotherapy for Children (RFPC) is an effective psychodynamic intervention for children with ODD.  Behaviors related to the disorder have a damaging impact on educational and functional performance as well as family and interpersonal relationships. Therefore, it is important that these families have a multitude of treatments available to them.  RFP-C is an evidence-based psychodynamic treatment approach for school-aged children with conditions such as ODD. RFP-C involves a 10-week treatment, with 16 individual sessions with the child and 4 parent sessions (Hoffman et al., 2016). To evaluate progress, parents have the task of completing weekly evaluations of the child’s ODD symptoms as the primary outcome measure across the 10 weeks of treatment (Hoffman et al., 2016). RFP-C aims to improve the child’s ability for indirect emotional regulation; therefore, reducing the need for disruptive behaviors.

Also, I feel it may be useful if you discuss the link between ODD and ADHD as there is a high correlation between the two. Children with ADHD are at a higher risk or comorbid conduct disorders and vice versa. Including this in your pamphlet may be helpful for parents to understand the correlation between the two. Also, listing differential diagnosis can steer parents in a direction if their child does not meet criteria for ODD. According to the APA (2013), differential diagnosis for ODD includes conduct disorder, ADHD, depressive and bipolar disorders, intermittent explosive disorder, and learning disabilities.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. References

Hoffman, L., Rice, T., & Prout, T. (2016). Manual of regulation-focused psychotherapy for children (RFP-C) with externalizing behaviors: A psychodynamic approach. New York, NY: Routledge

Prout, T. A., Chacko, A., Spigelman, A., Aizin, S., Burger, M., Chowdhury, T., Ramakrishnan, A., Peralta, S., Vardanian, M. M., Rice, T. R., & Hoffman, L. (2018). Bridging the divide between psychodynamic and behavioral approaches for children with oppositional defiant disorder. Journal of Infant, Child & Adolescent Psychotherapy17(4), 364–377. https://doi-org.ezp.waldenulibrary.org/10.1080/15289168.2018.1519755

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