AttentionDeficit and Hyper-reactive Disorder (ADHD) is a behavioral conditionthat mainly affects children and to some extent adults are notexcluded. The rate of infection is rapidly growing. It has mademedical practitioners come up with measures and methods on how tocontrol and regulate its spread. Several policies have been formed,but among them, AACAP guidelines stand to be the most recommended(Advocacy, 2016). By following the guidelines, it has been provedthat earlier identification of the disorder and quick responsetowards it regarding medication is of significant benefits to theaffected. It improves the long-term education work and brings aboutpositive social outcomes to the individual
ConcerningBilly who is adversely affected by ADHD, there are several approachesand methods that can be followed in administering medication to helpthe young child. The treatments applied are responsible for improvingthe symptoms thatBillyis suffering from, increase his functional performance, and finallyto help do away with the performance obstacles that he has.
FromBilly’s response towards behavioral therapies, it becomes easy togauge how fast or slow change is most likely to take place.Thepatient’s strengths are quickly realized. His strong passiontowards some aspects overcomes the power of lacking them. Forexample, finding so much fun in motorcycle rides is beyond that ofhim doing without it. Therefore, this knowledge when applied inbehavioral approaches such as time out technique makes it easy tonote Billy’s weaknesses. The goals of both medication andbehavioral methods are mainly to make the patient stay moreorganized. Various tools are equally used to achieve this. They mayinclude provision of a routine and schedule for Billy, one beingclear and consistent when handling him, as well as help him organizethe items he uses daily. This is done by making him put the rightthings in the right place.
Questionsasked and are expected to be responded to by Billy are crucial theygive an overview of who he is. Questions that can be asked are asfollows, what is the driving force behind his actions, for example,fighting his brother? What pleasure does he find in engaging inactions like talking aimlessly? Who does he feel is of greatinfluence towards him behaving in a manner that is not acceptable tothe parents? What does he necessarily plan to achieve in the long runafter acting in that way, for example, teasing the family dog?Through these questions, an overview of what severely affects thepatient can be established.
Recommendedmedication for the patient comprises of different treatments.Behavioral therapy in conjunction with medication stands to be thebest approaches towards this case. Medicines that are administered tothe individual and that are responsible for reducing the symptomsinclude psychostimulants such as methylphenidate, dextroamphetamine,and amphetamine salts (Advocacy, 2016). These are preferable drugsand they are approved by the US Food and Drug Administration.
Inaddition to medication, pharmacologic approaches can be administered.Behavioral therapy is one of them. The treatment gives children extrabenefits that are better than medication alone. Behavioral therapy isgiven to the patient by use of several techniques such as positivereinforcement. In this case, a reward is given to an affectedindividual if he/she responds to the desired performance. Taking anexample of Billy’s behavior of ever fighting, a prize is given tohim if he simply goes for several days maybe one week without beinghostile. Such a technique will slowly but progressively change hisattitude towards engaging the brother in a fight.
Anotherbehavioral technique that can be used is time out. It involves thewithdrawal of access to something due to the unwanted conduct. Forexample, a privilege such as playing computer games, which the childlikes a lot, is withdrawn from him if he happens to continueperforming poorly. Therefore, this makes him start becoming moreaggressive to studies so that he is not restricted from playingcomputer games. Also, access to motorcycles rides, which he likes somuch, can be denied. However, such a move may be applied if only hedoes not change his character. Upon stopping this bad behavior, heenjoys the privileges. Such measures will make him try as much as hecan to act in a manner expected of him by the parents. After sometime, Billy will be in a position to make a transformative change inhis behaviors.
Thetext reveals that the only way to get to know a child’s personalfeeling is by asking him or her private questions.However,this turns out to be so disturbing to ask the child confidentialquestions. As much as one wants to get to the bottom of the matter,it should not be the case.
Solutionfocused therapy with children talks about putting together thestrengths of the family to achieve a systemic change. Here, thefamily comes together and joins hands to help find a solution to aproblem (Selekman,2009).The advantage is that no burden is left to an individual. Instead,the burden is broken down and spread among the family members. Inreal life, this helps the child overcome several challenges in thesociety such as rejection and stigma. The reason for this is todiscuss the patient’s problems and realize possible solutions.
Otherthan ADHD, AACAP has other parameters such as child welfare. Here, itmainly touches on the wellbeing of the child regarding what isnecessary for his/her growth, for example, environment (Advocacy,2016). It also gives a guideline on what is healthy to be consumed bythe child to make him/her have a positive mental and physical growth.
Thetherapy that I prefer is time out approach this is because it willhelp me ensure that the patient behaves in a way that I want. Byworking on his fear of not enjoying the privileges accompanied bygood behavior, he will have no option but to abide by my terms. Thechild responds positively to the approach. He does what I expect ofhim. It is because he knows there is a reward in the end. The methodis effective given that it binds the child to play by my rules. If hehappens to go against them, he stands to lose. I would modify it bymaking the conditions tight and the rewards better. When the patientsees how great the reward is, he will do what is expected.
Advocacy.(2016). Aacap.org. Retrieved 7 November 2016, fromhttps://www.aacap.org/AACAP/Advocacy/Home.aspx
Selekman,M. D. (2009). Theadolescent and young adult self-harming treatment manual: Acollaborative strengths-based brief therapy approach.Norton