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Pediatric Disorders of Regulation in Affect and Behavior, 2nd Edition

Book Description

Pediatric Disorders of Regulation in Affect and Behavior, second edition is a skills-based book for mental health professionals working with children experiencing disorders of self-regulation. These children are highly sensitive to stimulation from the environment, emotionally reactive, and have difficulty maintaining an organized and calm state of being. Children with these struggles often have difficulty adapting to changing demands at home and school. The child may additionally struggle with bipolar or mood disorder, anxiety, depression, obsessive–compulsive disorder, Asperger’s syndrome, eating or sleep disorders, and/or attention-deficit disorder. This book will help professionals integrate treatment strategies that address the individual’s regulatory, sensory integration, and mental health problems.

The book is organized with each chapter discussing a different form of dysregulation in eating, sleep, mood regulation, anxiety, attention, and behavioral control. Chapters begin with developmental and neurobiological underpinnings of the problem, include clinical observations, and close with diagnosis and treatment strategies. Recommended treatments integrate aspects of dialectical behavioral therapy, mind–body therapies and sensory integration techniques, and interpersonal therapy. Checklists for diagnosis and treatment planning are included at the conclusion of each chapter with an appendix of 20 skill sheets for use in treatment.

  • Practical skill-based treatment book for mental health and occupational therapists
  • Addresses eating, sleep, mood, attention, and behavioral control
  • Presents integrated treatment using sensory integration, DBT, interpersonal therapy, and more
  • Includes checklists and skill sheets for use in treatment

Table of Contents

  1. Cover
  2. Title page
  3. Table of Contents
  4. Copyright
  5. Preface
  6. Acknowledgments
  7. Chapter 1: Problems of Self-Regulation in Children and Adolescents
    1. Abstract
    2. 1. The concept of self-regulation and its development
    3. What is a regulatory disorder?
    4. 3. Clinical significance of regulatory problems in children
    5. 4. Outcomes of regulatory disordered infants
    6. 5. Early symptoms and their relationship to later diagnostic outcomes
    7. 6. Impact of early symptoms on later developmental outcome
    8. 7. Types of regulatory problems
    9. 8. Case illustrations of the different subtypes of regulatory disorders
    10. 9. Identifying problems of self-regulation in infants and children
    11. 10. Summary
  8. Chapter 2: Treatment of Irritability and Other Mood Regulation Problems
    1. Abstract
    2. 1. What is an emotion?
    3. 2. Cognitive appraisal
    4. 3. Physiological aspects of emotion
    5. 4. Expression of emotion
    6. 5. The socialization of emotions
    7. 6. Modulation of emotion and mood states
    8. 7. A developmental–structuralist approach to organizing sensory and affective experiences
    9. 8. Application of developmental–structuralist model
    10. 9.  of a child with difficulties in various emotional stages
    11. 10. Identifying causes of mood dysregulation
    12. 11. Treatment approaches
    13. 12. Case examples
    14. 13. Summary
  9. Chapter 3: Anxiety Disorders: How to Calm the Anxiety Cycle and Build Self-Confidence
    1. Abstract
    2. 1. Symptoms of anxiety
    3. 2. Neurobiological mechanisms underlying anxiety
    4. 3. Types of anxiety disorders in children
    5. 4. Posttraumatic stress disorder
    6. 5. Strategies to alleviate anxiety
    7. 6. Summary
  10. Chapter 4: Dealing with Depression
    1. Abstract
    2. 1. Types of depression
    3. 2. What causes depression?
    4. 3. Neurobiological bases for depression
    5. 4. Four portraits of depression
    6. 5. Effective treatments for children suffering from depression
    7. 6. Summary
  11. Chapter 5: Eating Disorders
    1. Abstract
    2. 1. The many facets of eating?
    3. 2. What can go wrong?
    4. 3. The developmental stages of eating
    5. 4. The assessment process
    6. 5. Treatment intervention
    7. 6. Case example 1: it’s a family affair
    8. 7. Case example 2: the impact of early deprivation and an attachment disorder on feeding
    9. 8. Case example 3: food aversions and behavioral resistance at mealtime
    10. 9. Summary
  12. Chapter 6: Sleep Problems
    1. Abstract
    2. 1. Sleep problems in children
    3. 2. Impact of sleep problems on development
    4. 3. Development of sleep–wake cycles
    5. 4. Stages of sleep
    6. 5. Self-soothing and the process of sleep
    7. 6. The sleep environment, cultural beliefs about sleep, and family sleep patterns
    8. 7. Sleep problems in children with dysregulation
    9. 8. Evaluating sleep problems in the child
    10. 9. Management of sleep problems
    11. 10. Summary
  13. Chapter 7: Obsessive–Compulsive Disorder: How to Build Flexibility and Budge Compulsive Thinking
    1. Abstract
    2. 1. What is obsessive–compulsive disorder?
    3. 2. Is there a difference between healthy rituals and obsessive–compulsive behavior?
    4. 3. What causes obsessive–compulsive spectrum disorders?
    5. 4. How can this disorder be treated?
    6. 5. Steps to overcome obsessive–compulsive disorder
    7. 6. Common pitfalls: things to avoid
    8. 7. Case example 1: facing a germy world
    9. 8. Case example 2: stuck in endless repetitions
    10. 9. Case example 3: compulsive checking
    11. 10. Summary
  14. Chapter 8: Treatment of Attentional Problems
    1. Abstract
    2. 1. Types of attentional problems
    3. 2. The processes that underlie attention
    4. 3. What is attention? Some historical perspectives
    5. 4. Arousal, alerting, and sensory registration
    6. 5. Sustained attention: attention getting and attention holding
    7. 6. The role of effort in attentional tasks
    8. 7. Selective attention: screening and selection
    9. 8. Motivation, persistence, and self-control
    10. 9. Treatment applications
    11. 10. Case example of child with attentional problems
    12. 11. The assessment
    13. 12. Case example: the plight of the procrastinator
    14. 13. Case example: when a whole family struggles with ADHD
    15. 14. Summary
  15. Chapter 9: The Sensory Defensive Child: When the World is Too Bright, Noisy, and Too Close for Comfort
    1. Abstract
    2. 1. What is sensory integration?
    3. 2. Sensory integrative dysfunction
    4. 3. The concepts of sensory defensiveness and sensory dormancy
    5. 4. Clinical assessment of sensory integrative dysfunction
    6. 5. The tactile system
    7. 6. The vestibular and proprioceptive systems
    8. 7. Sound sensitivities
    9. 8. Motor planning disorders
    10. 9. Case description: the gravitationally insecure child with developmental dyspraxia
    11. 10. Case example of treatment approach with child with pervasive developmental disorder
    12. 11. Case example of a child with severe sensory defensiveness: therapy spanning from infancy to adulthood
    13. 12. Summary
  16. Chapter 10: Addressing Attachment and Problems of Intimacy: How to Build Healthy Emotional Connections
    1. Abstract
    2. 1. Overall philosophy of treatment
    3. 2. Attachment patterns of children with dysregulation
    4. 3. Assessment
    5. 4. Treatment approaches
    6. 5. Case example of CCA with a dyad with a disorganized attachment disorder
    7. 6. Reparenting the client to provide nurturing and safety in the therapeutic relationship
    8. 7. Case example
    9. 8. Conclusions
  17. Appendix: All Skill Sets
    1. 1 Self-Soothing
    2. 2 Activities for Problems of Touch
    3. 3 Moving for Mood Regulation and Sleep
    4. 4 Improving Attention Span
    5. 5 Distractions for Emotional Regulation
    6. 6 Positive Self-Talk
    7. 7 Mindfulness: Stilling the Mind
    8. 8 Systematic Relaxation: Stilling the Body
    9. 9 Validation
    10. 10 Finding Pleasure and Making Connections
    11. 11 Creating Positive Life Experiences
    12. 12 Thinking With a Clear Mind
    13. 13 Increasing Personal Effectiveness
    14. 14 Observing Limits
    15. 15 Taking Control of Behavior
    16. 16 Keeping Track of Positive Behaviors
    17. 17 Eating Habits and Nutrition
    18. 18 Strategies for Improving Sleep
    19. 19 Installing Structure and Organization
    20. 20 Communicating Effectively With Others
  18. Index