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how long should a medication increase take to see an affect?
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<blockquote data-quote="klmno" data-source="post: 217895" data-attributes="member: 3699"><p>Well, like everything else regarding difficult child's, what works for some doesn't work for all kids and age and personality and specific underlying problems probably have a lot to do with what is effective. But with my difficult child, the behavior contracts made him worse. I look at it like 1) the contracts try to change behavior by working on the kid from the outside in and 2) they reward and punish but don't do one thing to <em>teach</em> the kid how to do anything any differently. (Think TEC here).</p><p></p><p>So, after getting the evaluation from a highly reknown psychiatrist (who specializes in adhd and mood disorders in kids) and getting it in writing that difficult child's underlying problems are not defiance and that she recommends cognitive behavioral therapy and supportive psychotherapy, and getting a therapist on board who actually paid attention to this report, that is what difficult child is getting. At least, it does appear to me that this therapist is backing that up. To me this is 1) helping difficult child from the inside out and 2) not setting him up for failure </p><p></p><p>My favorite analogy in this is comparing difficult child's issues to a child with dyslexia. Rewards and punishments alone, while continuing the teaching method that works with most kids, will NEVER teach the dyslexic child how to read. The teaching method has to change and the child has to learn how to circumvent the thinking pattern that leads them to read/write differently. Of course, my difficult child still has to have rules and still gets rewards and punishments, but that isn't the focus of his therapy. How frustrating would it be to a dyslexic child if a teacher kept saying "why don't you write like everyone else? I've gone over this 3 times for you and everyone else gets it, so you are going to suffer the consequences now"? The child would be set up for failure and would ultimately become more angry and give up in all likelihood.</p><p></p><p>It took some effort and a lot of talking to get people in difficult child's life to see that I was NOT trying to get the rules of the world to change for difficult child, but that he would never be able to live by those rules if he wasn't taught how to short-circuit his own impaired, negative thinking. Just like with a dyslexic child, the ultimate goal is for them to be able to learn to live and function in this world just like evryone else. Using a different method to get them there doesn't mean they end up in a different world with different rules.</p><p></p><p>I was thrilled when this therapist said to me "my house rules regarding video games, what I cook for dinner, and the other things typically negotiated in family therapy are not what caused these issues with difficult child and changing them will not solve the issues". Specifically, the objective with difficult child's therapy is to 1) help difficult child work through his issues regarding his father not being in his life and coming to understand that it's his father that made a stupid decision, not that difficult child is inherently bad 2) help difficult child to learn better coping skills and not make self-destructive decisions 3) learn to deal with mood cycling- triggers, preventative and maintenence techniques, 4) accept himself for who he is and not feel like a freak about it so that he can realize and tap into the potential he does have instead of concentrating on the things that make him feel different</p></blockquote><p></p>
[QUOTE="klmno, post: 217895, member: 3699"] Well, like everything else regarding difficult child's, what works for some doesn't work for all kids and age and personality and specific underlying problems probably have a lot to do with what is effective. But with my difficult child, the behavior contracts made him worse. I look at it like 1) the contracts try to change behavior by working on the kid from the outside in and 2) they reward and punish but don't do one thing to [I]teach[/I] the kid how to do anything any differently. (Think TEC here). So, after getting the evaluation from a highly reknown psychiatrist (who specializes in adhd and mood disorders in kids) and getting it in writing that difficult child's underlying problems are not defiance and that she recommends cognitive behavioral therapy and supportive psychotherapy, and getting a therapist on board who actually paid attention to this report, that is what difficult child is getting. At least, it does appear to me that this therapist is backing that up. To me this is 1) helping difficult child from the inside out and 2) not setting him up for failure My favorite analogy in this is comparing difficult child's issues to a child with dyslexia. Rewards and punishments alone, while continuing the teaching method that works with most kids, will NEVER teach the dyslexic child how to read. The teaching method has to change and the child has to learn how to circumvent the thinking pattern that leads them to read/write differently. Of course, my difficult child still has to have rules and still gets rewards and punishments, but that isn't the focus of his therapy. How frustrating would it be to a dyslexic child if a teacher kept saying "why don't you write like everyone else? I've gone over this 3 times for you and everyone else gets it, so you are going to suffer the consequences now"? The child would be set up for failure and would ultimately become more angry and give up in all likelihood. It took some effort and a lot of talking to get people in difficult child's life to see that I was NOT trying to get the rules of the world to change for difficult child, but that he would never be able to live by those rules if he wasn't taught how to short-circuit his own impaired, negative thinking. Just like with a dyslexic child, the ultimate goal is for them to be able to learn to live and function in this world just like evryone else. Using a different method to get them there doesn't mean they end up in a different world with different rules. I was thrilled when this therapist said to me "my house rules regarding video games, what I cook for dinner, and the other things typically negotiated in family therapy are not what caused these issues with difficult child and changing them will not solve the issues". Specifically, the objective with difficult child's therapy is to 1) help difficult child work through his issues regarding his father not being in his life and coming to understand that it's his father that made a stupid decision, not that difficult child is inherently bad 2) help difficult child to learn better coping skills and not make self-destructive decisions 3) learn to deal with mood cycling- triggers, preventative and maintenence techniques, 4) accept himself for who he is and not feel like a freak about it so that he can realize and tap into the potential he does have instead of concentrating on the things that make him feel different [/QUOTE]
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