Psychosocial Interventions Flashcards
Components of psychoeducation
Impacts of ADHD.
Strategy instruction, self-talk, organization skills.
Sleep management.
Anger management.
Aspects of behavioural intervention
Rewards / consequences
Response cost
Token economy
Point system
Environment management
ADHD Coaching / lifestyle changes
Educational / vocational accommodations
Academic remediation
Specialized educational placement
Workplace accommodations
Psychotherapy types
CBT
Interpersonal therapy
Family therapy
Expressive arts therapy
Play therapy
Supportive therapy
What environment is best for ADHD?
Consistent, structured, predictable environment.
Goals, expectations, consequences and incentives are visibly posted in a prominent location.
What types of consequences / reinforcement are best?
Immediate consequences
Positive reinforcement
Monitor success and failure
How to build good habits in ADHD?
Reinforce consistently. They may become automatic.
Promote routine, consistency and follow-through.
Focus on morning, after work / school, and bedtime.
Use checklists posted in prominent places.
Best rewards for small children?
Frequent, small, tangible and immediate.
Activities they can do, or items they can get.
What is the role of an ADHD coach?
Help the patient be accountable on specific behavioural agendas through weekly follow-up meetings and reminders.
Help make fundamental lifestyle changes by promoting good habits.
Evidence for relaxation techniques?
Meditation, deep breathing exercises, yoga or music can also be helpful.
Research is limited and findings are mixed.
Psychotherapy principles in ADHD
Emphasize the positive
Boost self-esteem
School accommodations for children.
See CADDAC (www.caddac.ca)
Position child away from distractions.
Close to good role models.
Movement breaks.
Fidget toys.
Potential work accommodations
Use of headphones to limit external noise.
Increased frequency of meetings with their immediate supervisor to evaluate progress.
Voice dictation software
Impact of comorbid anxiety in children with ADHD on behavioural treatment.
Improved response to behavioural treatment in the MTA study.
