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Child Intervention
Micro-Level Treatment
| Question | Answer |
|---|---|
| A structured, time-limited, and evidence-based therapeutic approach that helps children and adolescents understand the relationship between their thoughts, feelings, and behaviors | CBT |
| By identifying and challenging dysfunctional thinking patterns, ________ promotes healthier emotions and behaviors, leading to improved mental health outcomes. | CBT |
| ___________ "No one likes me." _________________ Withdraws from friends. _____________ Sad and isolated. | Thought; behavior, feeling |
| Challenge and reframe thought patterns using cognitive ___________, thought _________________, and behavioral ____________, resulting in more prosocial behaviors and positive feelings | restructuring; records; experiments |
| I can’t believe I failed another math test. I always mess things up. | Distorted thought |
| Okay, I failed this test, but that doesn’t mean I always mess things up. That’s not really true. I did pretty well on my science project last month, and I’ve gotten good grades in English this year. | Reframed thought |
| CBT can help children practice replacing irrational or unhelpful thoughts with balanced, realistic alternative, using cognitive restructuring, problem-solving training, and coping skills development. T/F | True |
| In CBT with children and adolescents, _________ play an active and essential role in the therapeutic process. | parents |
| Techniques commonly used to engage parents include dedicated parent training sessions, joint family therapy sessions, and home practice ___________that allow parents to model and reinforce the skills their child is learning in therapy. | assignments |
| Specific CBT Interventions for Children and Youth (4) | 1) self-monitoring, 2) Priming, 3) self-instruction, 4) rational analysis |
| Track their own thoughts, feelings, and behaviors to increase awareness and identify patterns. Lays the groundwork for recognizing triggers and implementing coping strategies. | Self-monitoring |
| Rehearsing coping strategies in advance. Helps children feel more prepared and confident in handling difficult situations. | Priming |
| Teaches children to guide themselves through difficult situations by using positive self-talk or specific coping statements. Builds independence in coping and promotes emotional regulation. | Self-instruction |
| Rational Analysis | Encourages children to evaluate and challenge irrational beliefs, promoting logical and realistic thinking. Helps dismantle cognitive distortions, reducing anxiety and negative emotions. |
| CBT's effectiveness for Anxiety Disorders | Child-focused CBT has remission rates of 53%; family CBT shows 28%. Highly effective in reducing anxiety symptoms through cognitive restructuring and exposure techniques. |
| CBT's effectiveness for Depression | Individual CBT achieves a 64.7% remission rate in adolescents. Focuses on challenging negative thinking and promoting engagement in rewarding activities. |
| CBT's effectiveness for PTSD | Disorder (PTSD) Trauma-Focused CBT can lead to 92% of children no longer meeting PTSD criteria post-treatment. Involves processing traumatic experiences safely and building coping skills. |
| CBT's effectiveness for OCD | CBT reduces compulsive behaviors, often producing effects comparable to SSRIs. Exposure and response prevention (ERP) is a core technique. |
| CBT's effectiveness for Substance Use Disorders | Integrated CBT reduces heavy drinking and marijuana use. Effective at improving treatment retention and reducing drug use. |
| CBT's effectiveness for Chronic Pain | CBT helps youth manage pain perception and improve functioning through relaxation and cognitive restructuring. |
| Structural Family Therapy | focuses on strengthening family boundaries and redefining roles; ex. mother & son enmeshed, father emotionally distant, therapist might rearrange seating during sessions to encourage new patterns of interaction |
| Strategic Family Therapy | using paradoxical interventions to shake up dysfunctional patterns; if parents complain that their daughter refuses to do homework, a therapist might instruct them to insist she skip it—forcing the family to confront their deeper power struggles. |
| Cognitive Behavioral Family Therapy (CBFT) | blends behavioral science/family intervention; helps families identify and shift negative thought patterns,ex. teenager believes, parents don’t care, therapist guide family through structured exercises challenge perception, build healthier communication |
| Systemic Family Therapy | examines how family members influence one another within a broader social context. Using tools like genograms and circular questioning, therapists explore deep-seated beliefs and multigenerational patterns |
| Emotionally Focused Family Therapy (EFT) | hones in on attachment and emotional bonds. If a child lashes out because they feel unheard, an EFT therapist might help parents validate their emotions rather than just disciplining behavior. |
| Functional Family Therapy (FFT) | designed to address adolescent problems and improve family functioning, structured in 3 main stages Engagement, Behavior Change, and Generalization. Focuses on building rapport/trust w/families & promote positive behavior; proven success |
| Multidimensional Family Therapy (MDFT) | addresses four key domains: the adolescent, the parents, family interactions, and interactions with other agencies; 3 phases: Engaging Families;particularly effective in reducing substance misuse, emotional problems, and family difficulties. |
| Effective therapy techniques (3) | Enactment (role-play), reframing, homework assignments |
| Music therapy can: | lower anxiety, enhance mood, and even improve motor skills. |
| Art therapy can: | reduce stress, enhance emotional regulation, and improve social interactions. |
| Dance/Movement therapy can: | help process emotions, relieve stress, and foster a stronger connection between mind and body. |
| Drama therapy can: | provide new perspectives and emotional release. |
| Play therapy can: | help children communicate thoughts and feelings they may not yet have words for. |
| Antidepressants (SSRIs) | first-line treatment for depression and anxiety in children and adolescents; generally well-tolerated, require careful monitoring for side effects such as increased suicidal thoughts, especially in the initial stages of treatment. |
| Stimulants | highly effective in managing ADHD symptoms but can have side effects such as appetite suppression, insomnia, and increased heart rate. Long-term use requires careful monitoring. |
| Non-Stimulants | Alternative to stimulants in treating ADHD; generally less effective but have a different side effect profile, making them suitable for some children. |
| Antipsychotics | used to treat severe mental health conditions such as schizophrenia, bipolar disorder, and severe conduct disorders; block dopamine receptors in the brain; use in children closely monitored |
| Mood stabilizers | used to treat bipolar disorder and other mood disorders; require regular blood tests to monitor for side effects such as kidney and liver function. |
| Antidepressants can increase the risk of suicidal thoughts and behaviors in children and adolescents, though risk is relatively small (about 4% vs. 2% in placebo groups), but requires careful monitoring. T/F | True |
Created by:
hdemerly