Behavior
Therapy for ADD/ADHD in Children
Behavioral
therapy, as the name implies, is a technique designed
to modify behavior. Behavioral therapy is beneficial
for any child with disciplinary problems, and this
therapy is sometimes appropriate for children with
ADHD. For example, behavioral therapy can be used
for organizing schoolwork, doing chores, or dealing
with frustration.
The
American Academy of Pediatrics has found that, in
some cases, behavioral therapy is particularly effective
for children with ADHD. One key difference with an
ADHD child is that behavioral therapy is more successful
when parents try to modify only one behavior at a
time. In doing so, the chief goal of behavioral therapy
is to increase the frequency of good behavior and
decrease the frequency of undesirable behavior. To
achieve this goal, behavioral therapy uses a system
of rewards and negative consequences.
First,
positive feelings are enhanced between the parent
and the child. Parents set aside a certain amount
of time each day, such as 30 minutes, to bond with
the child. During the child’s “special
time,” the parent focuses solely on having fun
with the child by allowing the child to choose an
activity to do together. The goal of “special
time” is to make the child more motivated in
pleasing the parent and behaving properly.
The
second step is positive reinforcement. Parents use
rewards to encourage good behavior. For example, when
a child completes his or her chores and homework,
positive reinforcement might be time on the computer
or watching TV.
The
third step is negative consequences for misbehavior.
The “punishment” for bad behavior might
be time-out in a quiet room (to calm down) or withholding
privileges.
Finally,
as parents use behavioral therapy with their children,
it’s important to stay calm and be consistent.
ADHD children are very sensitive to their parents’
stress. ADHD children also do best when they know
exactly what will happen in any given situation, which
means parents must remain committed to behavioral
therapy in all situations.
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