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Managing the Oppositional Defiant Disorder (ODD) requires a complex analysis of the factors that affect a child and designing the environment in which the patient will not feel forced to challenge social norms. Therefore, in the case under analysis, it is required to use a combination of the Cognitive-Behavioral Therapy (CBT) and a parent training program (Herzhoff, Smack, Reardon, Martel, & Tackett, 2017). It is crucial to keep in mind that the use of the CBT will allow the patient to reconnect with her family and, thus reduce the degree of conflict that can be observed in the specified environment.
The parent training program is, in turn, exceptionally important since it will assist patients in establishing a method of communicating with the patient. Particularly, the training strategy for the parents should be based on the Sigmaplot program (Danforth, 2016). The proposed model involves a multistep approach toward assessing a specific instance of ODD in a patient. By reviewing the key aspects of a specific situation involving ODD, parents will be able to select an appropriate behavior that will lead to the child calming down and accepting the compromise offered by the parents.
Peers’ Suggestions: A Response
The parent management training, which seems to be the most common suggestion in the responses of my peers, appears to the optimum choice for the described situation. It is important to provide the parents with general knowledge about the disorder, yet it is also crucial to ensure that they can assist their child in managing the difficulties associated with ODD and her current condition. Thus, an intervention that places emphasis on parental involvement and suggests that parents should take control of the situation is very sensible.
The idea of involving Monica in the therapy process and inviting her for negotiations and the analysis of her issues, however, seems to be a questionable choice. Because of the emotional strain under which the patient currently is, she may be unable to engage in a meaningful discussion of her problems since she is likely to find it difficult to adopt an objective analysis of the situation (de la Osa et al., 2018). Nevertheless, the proposed strategy might work if the CBT strategy designed for assisting the patient in managing her condition is directed at developing meta-analysis skills in her. As a result, Monica may become ready to discuss her condition with the therapist and her parents.
Important Information to Consider
As explained above, the choice of a therapy or an intervention that will help address the issue depends heavily on the personal characteristics of the patient. Specifically, In addition, one will have to take the problems associated with adolescent growth and development into account. For example, the developmental issues that may have been the precursors of Monica’s current condition should be analyzed and evaluated properly. For this purpose, one will have to explore the patient’s history in depth, paying special attention to mental health concerns such as anxieties and stress that may have appeared on the record.
Moreover, the relationships between the child and her parents will need to be scrutinized. The presence of any issues and conflicts will indicate that the ODD issue should be seen as a symptom of a larger problem that will have to be addressed respectively (Grimmett et al., 2016). While the specified issues are not the only details of the patient’s case that may require further analysis, they are the main areas that contain the key to assisting Monica in developing healthier behaviors and communication techniques.
Danforth, J. S. (2016). A flow chart of behavior management strategies for families of children with co-occurring attention-deficit hyperactivity disorder and conduct problem behavior. Behavior Analysis in Practice, 9(1), 64-76. Web.
de la Osa, N., Penelo, E., Navarro, J. B., Trepat, E., Domènech, J. M., & Ezpeleta, L. (2018). Oppositional Defiant Disorder dimensions and aggression: The moderating role of hostile bias and sex. Psicothema, 30(3), 264-269. Web.
Grimmett, M. A., Dunbar, A. S., Williams, T., Clark, C., Prioleau, B., & Miller, J. S. (2016). The process and implications of diagnosing Oppositional Defiant Disorder in African American males. Professional Counselor: Research & Practice, 6(2), 147-160. Web.
Herzhoff, K., Smack, A. J., Reardon, K. W., Martel, M. M., & Tackett, J. L. (2017). Child personality accounts for oppositional defiant disorder comorbidity patterns. Journal of Abnormal Child Psychology, 45(2), 327-335. Web.