Pediatric Mental Health Referral

Pediatric Mental Health Referral

• A 9-year-old boy is experiencing inattention, hyperactivity, and impulsivity.
• The referral indicates a previous prescription of psychostimulant medication.
• Parents are in favor of short-term medication use but seek longer-term treatment alternatives.

Recommended Long-term Interventions

• Parent Management Training:
  • Empowers parents with techniques to manage their child's behavior effectively.
  • Focuses on reinforcement strategies and consistent discipline, leading to improved behavior and family dynamics.
• Relaxation Training:
  • Teaches the child coping mechanisms to manage stress and anxiety.
  • Can complement other interventions but may not be the primary long-term solution for persistent behavioral issues.

Less Relevant Interventions

• Interpersonal Therapy:
  • Primarily used for adult depression, less applicable for childhood behavioral issues.
• Supportive Counselling:
  • Offers emotional support but may not address the core behavioral challenges in a structured way.
• Exposure Therapy:
  • Primarily designed for anxiety disorders, not suited for hyperactivity or impulsivity.

Summary

• Parent management training is the most effective option for long-term intervention for the child's behavioral concerns.
• Relaxation training may be beneficial as an adjunct but does not replace comprehensive behavioral strategies.