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LisaHe: I have learned that ADD (Attention Deficit Disorder) can precipitate ODD generic 20 mg paroxetine free shipping, Oppositional Defiance Disorder in teens quality 40mg paroxetine. This may be due to the constant negative feedback they get throughout their life that they are "lazy", "underachieving", that they could "do it if they try". So they see themselves as losers and celebrate their "outcastness". David: Another issue I want to touch on here, because like every teenager, an ADD teen wants to drive when he/she comes of age. What should parents be aware of here and what are your suggestions for handling the issues that come up? Benninger: Small steps, a lot of practice with an adult, a limited driving range, incentives for responsible behavior are all important. It could be that they will have to wait an extra year or so before they can drive independently. Graham: First of all, ADHD is a developmental disorder of impaired behavioral inhibition. These kids are up to 30% delayed in their ability to control their impulses. Your 16 year old who wants his/her license may have the control of an 11 year old. In our last newsletter, we listed some guidelines for letting add kids drive. Use the car as an incentive for responsible behavior. David: Just so everyone knows, at the top of the conference I mentioned that Drs. Graham and Benninger publish a newsletter entitled ADDvisor. You can subscribe to that by sending an email and putting "subscribe" in the header and body of the email and send to: This e-mail address is being protected from spambots. You need JavaScript enabled to view it, or you can simply send an email to: This e-mail address is being protected from spambots. Benninger, does it cost anything to subscribe or is it free of charge. Benninger: The newsletter is free (and very helpful). You can see it in behaviors, interests, socialization. Graham: Yes, Teresat, but it is in the area of behavioral inhibition. David: On the average, emotionally speaking, how many years behind is an ADD child from a child without Attention Deficit Disorder? He/she will be 3 or more years emotionally behind their age. But someone suggested to allow them to take the lessons because of the liability issues. Graham: Joan, whether you son takes responsibility for his actions or not, you remain consistent in your administration of appropriate consequences. Many ADHD kids were very problematic as teens but grew up to be productive, happy adults. Benninger: Alan is right - be consistent - try not to get worn down -continue to see the positive too. Michele1: Would you know of a coaching program through the net for add, adhd kids and teens, similar to the coaching program offered through The ADD Coach Academy. He has a newsletter and teleconference calls as well. David: Here are a few audience responses on successful parenting of teens: antmont: I found that my son who takes tae kwondo has learned to be more responsible for his actions. I and my son worked on getting a car to work and he earned his money to pay for his insurance and car repairs, and then I let him get his driving license. Nadine: My son is 5 and his teacher thinks he has Attention Deficit Disorder. Now he fidgets in class, interrupts, daydreams, he is totally unfocussed, shifts from one uncompleted task to another, appears not to be listening to what is being said, has difficulty playing quietly. Graham: Yes Nadine, it may be that your son has ADHD primarily inattentive type. It may be worthwhile to get an evaluation to help determine if what you are seeing is ADD or something else. Benninger: but you need to find a psychologist that specializes in ADHD for a evaluation. If medication is in the picture, this could be effecting things as well. Organization is an issue anyway, and it is being stressed further by this pattern.

Kathy: Yes order 20 mg paroxetine with mastercard, in my book purchase paroxetine 10mg otc, I call this the "Bully Cycle". Bev_1: Why is it that children of one who was bullied, also get bullied? Kathy: You mean, the parents were victims and so are their children? I was bullied so severely as a child that I developed social phobia as an adult. To this day, I still get picked on, no matter where I go. I notice that I send a vibe out that I am an easy target. Carter has helped many people with his "Center for Self-Esteem. And since you are suggesting that here, you know you are. David: We had a conference last week on self-esteem. There needs to be open communication to identify the problem. And focusing on the problem not the person, and attacking the problem not the person. Not walking away from a problem, but trying to openly discuss it and find a resolution. David: Kathy, do kids grow out of being bullies, or do they grow up to be big bullies? Kathy: That could go either way, depending on how many victims stood up to them, how many teachers or parents disciplined them, and if they finally realized how much they have been hurting people. David: Back to children victims, is there a difference between being a girl victim and a boy victim? And are there different methods used to handle bullies? I know the school violence with guns and bombs is the most serious issue today, but the most common is girl clicks. Girls tend to talk about each other and hang out in groups where they will ostracize each other. They tend to rely heavily on using put downs and gossip, however, most physical fights are between boys, and many girls have gotten quite good at it as well! David: Should girls use different methods to cope with bullies than boys? Kathy: No, they should both learn to stand up to the bullies, girls or boys. How do I get him to go without him getting so distressed about it? Kathy: Ask your son if he has any ideas on how he can change his situation. Encourage him to resolve it on his own to help improve his self-esteem and listen with an open mind and offer solutions. If his fear is great because of a particular bully, notify the teacher. Kathy: I know a lot of parents write me and have taken their kids out of school to either homeschool them or move them into another school. If the bullying is that bad, again, the police will get involved, and you need to file a report. Kathy: Yes, and even though the physical is the most life-threatening, the verbal will carry the deeper scars throughout life. Do you think schools should start teaching kids not to bully, name-call, and fight? Kathy: Yes, many schools have a "No tolerance" policy for those situations. David: Kathy, I always like to give our audience concrete things they can carry home with them from each conference. So I want to go over a few things here:First of all, if your child is the victim of a verbal bully, what would you suggest the child do and the parent do if the bullying continues to escalate? Kathy: If the bullying is verbal, the first thing to do is ignore it.

Ideally cheap 20 mg paroxetine with mastercard, a minimum of two sessions a week is desirable buy 10 mg paroxetine with mastercard, with the opportunity for prolonged sessions to work on upsetting materials and the understanding that crisis intervention sessions may be needed. Telephone accessibility is desirable, but firm nonpunitive limit-setting is very much in order. The pace of therapy must be modulated to allow the patient respite from an incessant exposure to traumatic materials. Most therapists feel rather changed by the experience and believe their overall skills have been improved by meeting the challenge of working with this complex psychopathology. Certain initial reactions are normative: excitement, fascination, over investment, and interest in documenting the panoply of pathology. These reactions are often followed by bewilderment, exasperation, and a sense of being drained. Many feel overwhelmed by the painful material, the high incidence of crises, the need to bring to bear a variety of clinical skills in rapid succession and/or novel combinations, and the skepticism of usually supportive colleagues. Many psychiatrists, sensitive to their patients isolation and the rigors of therapy, find it difficult both to be accessible and to remain able to set reasonable and non-punitive limits. They discover that patients consume substantial amounts of their professional and personal time. Often the therapist is distressed to find his preferred techniques ineffective and his cherished theories disconfirmed. It is difficult to feel along with the separate personalities, and to remain in touch with the "red thread" of a session across dissociative defenses and personality switches. Furthermore, the material of therapy is often painful, and difficult to accept on an empathic level. In the first, the psychiatrist retreats from painful affect and material into a cognitive stance and undertakes an intellectualized therapy in which he plays detective, becoming a defensive skeptic or an obsessional worrier over "what is real. Therapists who work smoothly with MPD patients set firm but non-rejecting boundaries and sensible but non-punitive limits. They know therapy may be prolonged, thus they avoid placing unreasonable pressures upon themselves, the patients, or the treatment. They are wary of accepting an MPD patient whom they do not find likable, because they are aware that their relationship with the patient may become quite intense and complex and go on for many years. As a group, successful MPD therapists are flexible and ready to learn from their patients and colleagues. They are comfortable in seeking rather than allowing difficult situations to escalate. They neither relish nor fear crises and understand them to be characteristic of work with MPD patients. Sometimes a structured environment is advisable for difficult phases of treatment; an occasional patient must seek treatment far from home. Such patients can be quite challenging, but if the hospital staff accepts the diagnosis and is supportive of the treatment, most can be managed adequately. An MPD patient rarely splits a staff splits itself by allowing individual divergent views about this controversial condition to influence professional behavior. MPD patients, experienced as so overwhelming as to threaten the sense of competence of that particular milieu. It is optimal for the psychiatrist to help the staff in matter-of-fact problem-solving, explain his therapeutic approach, and be available by telephone. The following guidelines emerge from clinical experience:A private room offers the patient a place of refuge and diminishes crises. Treat all alters with equal respect and address the patient as he or she wishes to be addressed. Insisting on a uniformity of name or personality presence on a uniformity of name or personality presence provokes crises or suppresses necessary data. Make it clear that the staff is not expected to recognize each alter. Alters must identify themselves to staff members if they find such acknowledgment important. Explain ward rules personally, having requested all alters to listen, and insist on reasonable compliance. If problems emerge, offer warm and firm responses, eschew punitive measures. As such patients often have trouble with verbal group therapy, encourage art, movement, or occupational therapy groups, as they tend to do well in these areas. Help the patient focus on the goals of the admission rather than succumb to a preoccupation with minor mishaps and problems on the unit.

Phyllis is our support group manager as well as a host for one of the anxiety disorders support groups on our site buy discount paroxetine 10 mg on line. She has been coping with moderate to severe anxiety for some time and has tried "Thought Field Therapy" with Dr buy paroxetine 10mg amex. Patton has a Doctor of Psychology degree from Baylor University. He is one of fourteen professionals worldwide trained in the use of TFT Voice Technology, the highest and most advanced level of TFT training. Patton also currently serves as a consultant nationwide to residential treatment programs for adolescents and their families. Thought Field Therapy (TFT) is supposedly a safe and effective technique for the elimination of emotional distress. It reportedly gives immediate relief for PTSD, addictions, phobias, fears and anxieties by directly treating the blockage in the energy flow created by a disturbing thought pattern. Can you please tell us a bit more about yourself and how you got into "Thought Field Therapy? Patton: After trying all treatment modalities, thought field therapy has emerged as the most powerful and effective. Working with adolescents in a treatment facility, we were pressed to find effective methods of dealing with explosive behavior and also the many traumas in their lives. We were interested in finding an effective treatment that would help them to overcome their anger and out-of-control behavior, thus we found thought field therapy. Patton: TFT is a gentle tapping method along the energy meridians of the body to eliminate negative emotions that are trapped in the thought field and can be released and then eliminate the root of the problem. Then, at the direction of the therapist, the patient taps with two fingers on various acupressure points on the body. During this process, the patient rates how they feel. The tapping is done according to a prescribed recipe pattern (algorithm). The algorithm is based on the particular emotions elicited by the upset. After the series of tapping, which takes only five to six minutes, the treatment is complete and the distress is reportedly eliminated. First of all, what types of disorders is TFT effective with? Patton: Any negative emotions such as anger, depression, anxiety, fear, guilt, obsessive thinking - any emotional problem that has distress attached to it can be treated with TFT. David: I know that TFT has only been around for about 20 years, a relatively short period of time compared to other forms of therapy. Patton: Success rates achieved with TFT are unprecedented. David: I also know that a lot of people in the audience are shaking their heads right now, going "Right! One owes it to themself to try this simple technique and then, by your personal experience, you will know if it works or not. David: In just a few minutes, Phyllis will be joining us. Patton: Do a web search on Yahoo or Altavista using the keywords thought field therapy and this will provide you with the names of some though field therapists. The cost is comparable to professional fees in the community. It is faster and more effective than traditional treatment and can be done by phone. David: So are you saying that it costs about $75-100 per session? We do make sure that the individual receives the results they are seeking. David: You mentioned TFT is used to treat anxiety, depression, OCD and other disorders. How many sessions before one would notice a significant improvement and approximately how many sessions until the treatment is concluded? Patton: Simple problems can be taken care of in one session. More complex problems require more treatment time, up to 5 hours for the most complex. Italiana: How can this "therapy" help an agoraphobic? The individual then is able move more freely without anxiety.