How to Train Parents to Train Kids
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1 Chesapeake Bay Academy 4th Annual ADHD Symposium Saturday, March 24, 2018 Parents/Families/Caregivers Track 10:45-11:30 am How to Train Parents to Train Kids Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Peter M. Dozier, M.D. Division of Child and Family Guidance & Consultation Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors
2 Chesapeake Bay Academy 4th Annual ADHD Symposium Saturday, March 24, 2018 Parents/Families/Caregivers Track 10:45-11:30 am Peter M. Dozier, M.D. Division of Child and Family Guidance & Consultation
3 Chesapeake Bay Academy 4th Annual ADHD Symposium Saturday, March 24, 2018 Parents/Families/Caregivers Track 10:45-11:30 am Peter M. Dozier, M.D. Division of Child and Family Guidance & Consultation
4 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Objectives Does your child frequently refuse even the most simple adult requests? Is your child earning straight A s in argumentativeness, negativity, hostility, inflexibility and entitlement? Peter M. Dozier, M.D. Division of Child and Family Guidance & Consultation
5 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Objectives Does your child frequently refuse even the most simple adult requests? Is your child earning straight A s in argumentativeness, negativity, hostility, inflexibility and entitlement? Oppositional Defiant Disorder (ODD) symptoms in 40% of children with ADHD There is no medication for ODD Will review proven behavioral techniques which rapidly reduce these challenging behaviors Peter M. Dozier, M.D. Division of Child and Family Guidance & Consultation
6 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors ANTIODD
7 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors
8 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Out of Box Proactive Perspective Big Picture Proactive Method Science
9 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Proactive Method CHKD Comprehensive Mental Health Services Continuum
10 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors It s Only Behavior
11 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Thought Emotion Behavior
12 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Thought Emotion Behavior With permission, Antonio Meza, Akrobatas
13 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Thought Emotion Behavior With permission, Antonio Meza, Akrobatas
14 Out of Line Hurtful Evil Bad Lazy Spoiled Behavior Disrespectful Impolite Rude Selfish Just like your father
15 Thought? Intended Emotion? Behavior
16 Thought? Intended Emotion? Behavior
17 Identify & Isolate Inappropriate Behavior
18 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors It s Only Behavior Punishment Does Not Teach
19 Punishment BAD Behavior Hurt Happens Behavior Stops
20 Punishment BAD Behavior Hurt Happens Behavior Stops Behavior Returns
21 Punishment DOES NOT TEACH THE CORRECT BEHAVIOR BAD Behavior Hurt Happens Behavior Stops Behavior Returns
22 Punishment DOG S DOES NOT TEACH THE CORRECT BEHAVIOR
23 Punishment POSITIVE characterized by the presence of qualities rather than their absence
24 Punishment POSITIVE characterized by the presence of qualities rather than their absence Where is Positive?
25 Punishment POSITIVE FIND THE POSITIVE OPPOSITE
26 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors It s Only Behavior Punishment Does Not Teach Use Your Attention Tool
27 Use Your Attention Tool??? Behavior
28 Appropriate Behavior Inappropriate Your Attention
29 Deliver Your Attention to Desired Behavior
30 Behavior Anger What about her anger? Am I going to let her talk to me that way?
31 What about her anger? The "The conscious, human brain deliberative hasn't had mind a is hardware not the upgrade author of in important about 100,000 decisions years." Behavior Responds to Programming Terrence Sejnowski, a computational neuroscientist at Salk Institute
32 What about her anger? "The human brain hasn't had a hardware upgrade in about 100,000 years." Instead, "an Ancient Brain System called the basal ganglia, brain circuits that consciousness cannot access, pulls the strings Terrence Sejnowski, a computational neuroscientist at Salk Institute
33 What about his anger? What Can You Do? Why? Does Not Respond to Spoken Language
34 What about his anger? What Can You Do? Why? Does Not Respond to Spoken Language
35 What about his anger? What Can You Do? Why? Does Not Respond to Spoken Language
36 What about his anger? What Can You Do? Why? Does Not Respond to Spoken Language
37 Neuroanatomy Paradigm Thalamus High Road Child s Brain Hippocampus Sensory Cortex Yes, a threat By Design Amygdala Irrational Low Road Not a threat Mouth & Muscle Hypothalamus CRF Pituitary Fight / Flight / Frenzy/Freeze Sympathetic NS ACTH Epi/Norepi Adrenal Adrenal Cortex 30 Hormones Bloodstream
38 Neuroanatomy Paradigm Thalamus High Road Child s Brain Hippocampus Sensory Cortex Yes, a threat IrrationalLow Road Amygdala Not a threat Mouth & Muscle Fight / Flight / Frenzy/Freeze Activation Pathway
39 Behavior Anger What about her anger? Am I going to let her talk to me that way?
40 Appropriate Behavior Inappropriate Your Attention
41 Learning and Using Proven, Science-Based Strategies to Eliminate a Child s Most Challenging Behaviors Questions? It s Only Behavior Questions? Punishment Does Not Teach Use Your Attention Tool Chesapeake Bay Academy 4th Annual ADHD Symposium Saturday, March 24, 2018
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