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At baseline, he met criteria for ADHD, inattentive subtype, but neither he nor his mother endorsed any other Axis I disorders on the structured diagnostic interview. Some boys who commit illegal sexual acts have serious psychological problems, such as depression, autism or disorders on the autism spectrum or Post-Traumatic Stress Disorder. Tyler lived with his parents and siblings. Heart failure survival rates have barely improved in TWO decades: What was interesting about the second session, which both parents attended, was that the participant's father was able to discuss with his son his own symptoms of ADHD when he was growing up, and the difficulties he faced that he wanted his son to avoid. If items such as smart phones or white boards are too costly for the family, the therapist suggests lower cost alternatives.

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Jane reported that she was also able to use the adaptive thinking strategies to target some of her negative thinking regarding her anxiety, which she found helpful.

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When Your Son Thinks He Is Gay

To demonstrate some of the mechanics of the treatment, what follows is a brief description of three adolescents who participated in an open pilot of this intervention. On the other hand, like any clinical strategy, it may not be useful for all individuals; thus, a trained CBT therapist should employ clinical judgment to fit the modules to the relevance of the client. The abuse might have been recent, might be ongoing, or could be something that happened when they were much younger. Second, we found that it was important to work with adolescents independently, while also attending to the relationship between the parents and the adolescent. For example, how often is a phone necessary to check on a ride home, contact parents at work, check in with parents, etc.?

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Although she was not always using the strategies perfectly, her parents were able to see the level of effort it would require for her, and they became more supportive of her efforts. On the other hand, like any clinical strategy, it may not be useful for all individuals; thus, a trained CBT therapist should employ clinical judgment to fit the modules to the relevance of the client. In the third module of treatment, cognitive restructuring skills are implemented in order to maximize adaptive thinking during times of stress and to apply adaptive thinking skills to difficulties associated with ADHD. Lynn Margolies is a psychologist and former Harvard Medical School faculty and fellow, and has completed her internship and post-doc at McLean Hospital. Although medications have been widely used as an effective treatment for many years in children, adolescents, and adults, psychopharmacotherapy is inadequate as a sole intervention for ADHD. Other modifications in adapting the adult treatment protocol to adolescents included changing the examples used in the protocol to be more relevant to adolescents. Not all parents will have the resources to commit this much time and resources to their child's therapy.

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