Parent Child Interaction Therapy

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Presentation transcript:

Parent Child Interaction Therapy & ADHD Karrie Lager, Psy.D. 16430 Ventura Blvd. Suite 203 Encino, CA 91436 310.869.4866 drkarrielager@gmail.com

PCIT & ADHD Research In PCIT studies, parents report a reduction in ADHD symptoms post PCIT treatment (Funderburk, et. al, 1998; McNeil, et. al., 1991; Seib, 2009). McNeil and her colleagues (1991) found that post PCIT treatment, children showed a reduction in oppositional behaviors at home and school, while ADHD behaviors in the school setting decreased only somewhat. Dr. Sheila Eyberg and her colleagues are conducting additional research examining the efficacy of PCIT treatment for young children with ADHD (Project Shape at www.pcit.org).

Labeled Praises targeting ADHD Reinforce positive behaviors that are the opposite of ADHD Praise becomes part of the children’s self-talk

Reflections Slows down children and helps organize their thoughts Models good listening skills

Descriptions Nicely paced descriptions can calm children Increases sustained attention on one activity Helps children learn to slow down and think about what they are doing.

Active Ignores & ADHD Avoids giving negative attention & avoids power struggles If the parent ignores minor misbehavior, the child might get bored and shift to more appropriate behavior The parent might need to redirect to an appropriate and fun activity

PCIT Rules …stay in your seat & play gently Provides structure and containment Opportunity to practice ignore and redirect Children can learn to remind themselves of the rules Good way to reinforce similar rules at home and school

Parent Directed Interaction Give specific commands “Please clean up the Legos quickly and gently.” Avoid repeating commands & just start counting Time out helps the child calm down, think, & make a better choice

Modulation slow them down Calm, indoor voice Speaking slowly with brief statements Model how to pause, relax, & think Recovery, Reconnect, Reset

Modulation keep them interested & contained Nice pacing of verbalizations Enthusiasm & humor Physical affection Interesting, creative, & interactive play

PCIT VIDEO “Slow Motion”