Pediatric Disorders of Regulation in Affect and Behavior: A Therapist's Guide to Assessment and Treatment, Second Edition, presents state-of-the-art coverage of the latest theory, research, and treatment strategies for infants and children with problems of regulation. This comprehensive book, designed for mental health professionals and occupational therapists working with infants and children, provides the most recent advances on how to address disorders of self-regulation. Grounded in research, the development of self-regulation from infancy through early childhood is presented. Screening and assessment procedures are described in detail to help the reader evaluate self-regulation, attention, sensory processing, and parent-child interactions in infants and children. Clinicians will how to address different types of regulatory problems in infants and children by working through the parent-child relationship. Specific treatment approaches for problems of mood regulation, sensory processing, attention, sleep, feeding, and play and social interactions are described in detail. Detailed case presentations are included in each chapter to demonstrate this innovative and integrated treatment approach. Full of practical advice, this book is a valuable resource for early intervention programs, day cares and preschools, and infant/child mental health programs. Contains comprehensive content updated to reflect the DSM-V Covers disorders of infancy through childhood Incorporates screening and assessment procedures Discusses evaluation of attention, sensory processing, and parent child-interactions Provides treatment for issues of mood, sleep, feeding, play, and social interaction Contents: Table of Contents Preface Acknowledgments Chapter 1: Problems of Self-Regulation in Children and Adolescents Abstract 1. The concept of self-regulation and its development What is a regulatory disorder? 3. Clinical significance of regulatory problems in children 4. Outcomes of regulatory disordered infants 5. Early symptoms and their relationship to later diagnostic outcomes 6. Impact of early symptoms on later developmental outcome 7. Types of regulatory problems 8. Case illustrations of the different subtypes of regulatory disorders 9. Identifying problems of self-regulation in infants and children 10. Summary Chapter 2: Treatment of Irritability and Other Mood Regulation Problems Abstract 1. What is an emotion? 2. Cognitive appraisal 3. Physiological aspects of emotion 4. Expression of emotion 5. The socialization of emotions 6. Modulation of emotion and mood states 7. A developmental–structuralist approach to organizing sensory and affective experiences 8. Application of developmental–structuralist model 9. of a child with difficulties in various emotional stages 10. Identifying causes of mood dysregulation 11. Treatment approaches 12. Case examples 13. Summary Chapter 3: Anxiety Disorders: How to Calm the Anxiety Cycle and Build Self-Confidence Abstract 1. Symptoms of anxiety 2. Neurobiological mechanisms underlying anxiety 3. Types of anxiety disorders in children 4. Posttraumatic stress disorder 5. Strategies to alleviate anxiety 6. Summary Chapter 4: Dealing with Depression Abstract 1. Types of depression 2. What causes depression? 3. Neurobiological bases for depression 4. Four portraits of depression 5. Effective treatments for children suffering from depression 6. Summary Chapter 5: Eating Disorders Abstract 1. The many facets of eating? 2. What can go wrong? 3. The developmental stages of eating 4. The assessment process 5. Treatment intervention 6. Case example 1: it’s a family affair 7. Case example 2: the impact of early deprivation and an attachment disorder on feeding 8. Case example 3: food aversions and behavioral resistance at mealtime 9. Summary Chapter 6: Sleep Problems Abstract 1. Sleep problems in children 2. Impact of sleep problems on development 3. Development of sleep–wake cycles 4. Stages of sleep 5. Self-soothing and the process of sleep 6. The sleep environment, cultural beliefs about sleep, and family sleep patterns 7. Sleep problems in children with dysregulation 8. Evaluating sleep problems in the child 9. Management of sleep problems 10. Summary Chapter 7: Obsessive–Compulsive Disorder: How to Build Flexibility and Budge Compulsive Thinking Abstract 1. What is obsessive–compulsive disorder? 2. Is there a difference between healthy rituals and obsessive–compulsive behavior? 3. What causes obsessive–compulsive spectrum disorders? 4. How can this disorder be treated? 5. Steps to overcome obsessive–compulsive disorder 6. Common pitfalls: things to avoid 7. Case example 1: facing a germy world 8. Case example 2: stuck in endless repetitions 9. Case example 3: compulsive checking 10. Summary Chapter 8: Treatment of Attentional Problems Abstract 1. Types of attentional problems 2. The processes that underlie attention 3. What is attention? Some historical perspectives 4. Arousal, alerting, and sensory registration 5. Sustained attention: attention getting and attention holding 6. The role of effort in attentional tasks 7. Selective attention: screening and selection 8. Motivation, persistence, and self-control 9. Treatment applications 10. Case example of child with attentional problems 11. The assessment 12. Case example: the plight of the procrastinator 13. Case example: when a whole family struggles with ADHD 14. Summary Chapter 9: The Sensory Defensive Child: When the World is Too Bright, Noisy, and Too Close for Comfort Abstract 1. What is sensory integration? 2. Sensory integrative dysfunction 3. The concepts of sensory defensiveness and sensory dormancy 4. Clinical assessment of sensory integrative dysfunction 5. The tactile system 6. The vestibular and proprioceptive systems 7. Sound sensitivities 8. Motor planning disorders 9. Case description: the gravitationally insecure child with developmental dyspraxia 10. Case example of treatment approach with child with pervasive developmental disorder 11. Case example of a child with severe sensory defensiveness: therapy spanning from infancy to adulthood 12. Summary Chapter 10: Addressing Attachment and Problems of Intimacy: How to Build Healthy Emotional Connections Abstract 1. Overall philosophy of treatment 2. Attachment patterns of children with dysregulation 3. Assessment 4. Treatment approaches 5. Case example of CCA with a dyad with a disorganized attachment disorder 6. Reparenting the client to provide nurturing and safety in the therapeutic relationship 7. Case example 8. Conclusions Appendix: All Skill Sets 1 Self-Soothing 2 Activities for Problems of Touch 3 Moving for Mood Regulation and Sleep 4 Improving Attention Span 5 Distractions for Emotional Regulation 6 Positive Self-Talk 7 Mindfulness: Stilling the Mind 8 Systematic Relaxation: Stilling the Body 9 Validation 10 Finding Pleasure and Making Connections 11 Creating Positive Life Experiences 12 Thinking With a Clear Mind 13 Increasing Personal Effectiveness 14 Observing Limits 15 Taking Control of Behavior 16 Keeping Track of Positive Behaviors 17 Eating Habits and Nutrition 18 Strategies for Improving Sleep 19 Installing Structure and Organization 20 Communicating Effectively With Others Index About the Author: Georgia DeGangi, Ph.D., OTR, FAOTA, is a clinical psychologist and an occupational therapist. She currently works in private practice at ITS (Integrated Therapy Services) for Children and Families, Inc., in Kensington, Maryland, and has worked at the Reginald S. Lourie Center for Infants and Children in Rockville, Maryland, as the Director of Research for the past ten years. She has over 25 years' experience working with infants, children and their families. She has extensive experience with diagnosis and treatment of a range of developmental, sensory, behavioral, and emotional problems. Dr. DeGangi has conducted research for many years to examine the most effective ways of treating children as well as examining how problems in infancy related to self-regulation, sensory processing, attention, and social interactions develop as children grow older. Among her publications are theTest of Sensory Functions in Infants, the Infant/Toddler Symptom Checklist, and theTest of Attention in Infants. Dr. DeGangi is internationally recognized as a leading expert in the assessment and treatment of sensory processing, attention, and interactional problems in infants and children. She was the 1992 recipient of the A. Jean Ayres award from the American Occupational Therapy Foundation and has been distinguished in the roster of fellows of the American Occupational Therapy Association. She serves on the faculty at the Infant/Child Mental Health program of the Washington School of Psychiatry and is associate editor of the Journal of Learning and Developmental Disorders. |