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Specific Intervention Ideas (Jannie's post moved)
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<blockquote data-quote="jannie" data-source="post: 114001" data-attributes="member: 2074"><p>I remember when difficult child was about 4 1/2 years old we made a chart that focused on being able to play a game without becoming upset when he lost. I think it said, "I played a game and didn't get upset when I lost." There may have also been a section for when he won he'd have to say "good job" to the opponent. The first chart had perhaps 5 boxes and when he lost five times and didn't get upset, he recieved a prize. We used this chart for quite a while because he really needed to work on losing....Now five years later, he still will becomes upset when he loses...but it is much improved. </p><p></p><p>I also made a chart for following directions right away. Each time he'd do something I asked he'd get a box filled in. I liked it because it was easy and I could use it as often as I liked. It just helped to reinforce listening right away. </p><p></p><p>We also had a strategy chart. This strategy chart included things he could do instead of getting angry. The included:</p><p>*jumping up and down and counting by 10s to 100 three times</p><p>*go outside and play basketball</p><p>*color</p><p>*watch tv (therapist suggested this...I was against it, however, if the rage/tantrum didn't happen because I allowed him to watch some tv to cool down--it was better than a tantrum</p><p>*take deep breaths</p><p>* do jumping jacks</p><p></p><p>Each time he used a strategy instead of getting upset we put a sticker next to the strategy used to calm down. This allowed him to get rewards for using strategies and it also helped us to see which strategies he was using. </p><p></p><p>Another big intervention was medication...this was a big decision and it wasn't easy....and it was very diappointing at first because I thought if I allowed him to be on medications things would be better...and I was blown away when the medications didn't work right away. I never expected to have to trial so many medications.</p><p></p><p>I also found a therapuetic nursery school program. This was not a special education program, but a program for kids who were struggling emotionally. At first, I thought....my kid doesn't belong here...these kids have so many problems....but you know what....my kid was having major problems. He was not being successful in preschool...and was having trouble with babysitters. This program taught him that no meant no..and that if he was upset and angry...because he couldn't do what he wanted..so be it...he could be upset and angry. They also worked on anger managment strategies and ongoing play therapy. It was an excellent program. They also worked really hard with self-esteem and understanding different types of feelings.</p></blockquote><p></p>
[QUOTE="jannie, post: 114001, member: 2074"] I remember when difficult child was about 4 1/2 years old we made a chart that focused on being able to play a game without becoming upset when he lost. I think it said, "I played a game and didn't get upset when I lost." There may have also been a section for when he won he'd have to say "good job" to the opponent. The first chart had perhaps 5 boxes and when he lost five times and didn't get upset, he recieved a prize. We used this chart for quite a while because he really needed to work on losing....Now five years later, he still will becomes upset when he loses...but it is much improved. I also made a chart for following directions right away. Each time he'd do something I asked he'd get a box filled in. I liked it because it was easy and I could use it as often as I liked. It just helped to reinforce listening right away. We also had a strategy chart. This strategy chart included things he could do instead of getting angry. The included: *jumping up and down and counting by 10s to 100 three times *go outside and play basketball *color *watch tv (therapist suggested this...I was against it, however, if the rage/tantrum didn't happen because I allowed him to watch some tv to cool down--it was better than a tantrum *take deep breaths * do jumping jacks Each time he used a strategy instead of getting upset we put a sticker next to the strategy used to calm down. This allowed him to get rewards for using strategies and it also helped us to see which strategies he was using. Another big intervention was medication...this was a big decision and it wasn't easy....and it was very diappointing at first because I thought if I allowed him to be on medications things would be better...and I was blown away when the medications didn't work right away. I never expected to have to trial so many medications. I also found a therapuetic nursery school program. This was not a special education program, but a program for kids who were struggling emotionally. At first, I thought....my kid doesn't belong here...these kids have so many problems....but you know what....my kid was having major problems. He was not being successful in preschool...and was having trouble with babysitters. This program taught him that no meant no..and that if he was upset and angry...because he couldn't do what he wanted..so be it...he could be upset and angry. They also worked on anger managment strategies and ongoing play therapy. It was an excellent program. They also worked really hard with self-esteem and understanding different types of feelings. [/QUOTE]
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