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Managing Challenging Behaviors in

Managing Challenging Behaviors in. Professional Background. Overview of Today. #1 Traditional ABA Understanding of Meltdowns #2 The Missing piece = Anxiety?. TRADITIONAL ABA VIEW OF CHALLENGING BEHAVIOR. TYPES OF CHALLENGING BEHAVIOR.

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Managing Challenging Behaviors in

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  1. ManagingChallenging Behaviors in

  2. Professional Background

  3. Overview of Today #1 Traditional ABA Understanding of Meltdowns #2 The Missing piece = Anxiety?

  4. TRADITIONAL ABA VIEW OF CHALLENGING BEHAVIOR

  5. TYPES OF CHALLENGING BEHAVIOR *Must determine what is motivating/rewarding the behavior: -Intrinsically Motivating -Desire/Gain -Escape/Avoidance -Attention -Communication

  6. TYPES OF CHALLENGING BEHAVIOR *Intrinsically Motivating

  7. TYPES OF CHALLENGING BEHAVIOR * Desire / Gain

  8. TYPES OF CHALLENGING BEHAVIOR *Escape/Avoidance

  9. TYPES OF CHALLENGING BEHAVIOR *Attention

  10. TYPES OF CHALLENGING BEHAVIOR *Communication

  11. CHALLENGING BEHAVIOR EXAMPLES *Screaming during circle time *Hitting another child *Running away from playground

  12. MISSING INFORMATION??????? Antecedent – Behavior – Concequence

  13. ABC EXAMPLES

  14. MOTIVATORS

  15. SOLVING CHALLENGING BEHAVIOR -Intrinsically Motivating=BLOCK & Teach More Appropriate Alternatives -Gain = DENY & Teach More Appropriate method of request & gain -Escape/Avoidance = PREVENT & Teach Alternatives & Tolerance -Attention = IGNORE & Teach Alternatives -Communication = Teach Alternative methods of communicating

  16. SOLVING CHALLENGING BEHAVIOR -Intrinsically Motivating=BLOCK & Teach More Appropriate Alternatives • Why this method will work • Examples of when to use • How to implement

  17. SOLVING CHALLENGING BEHAVIOR -Gain = DENY & Teach More Appropriate method of request & gain • Why this method will work • Examples of when to use • How to implement

  18. SOLVING CHALLENGING BEHAVIOR -Escape/Avoidance = PREVENT & Teach Alternatives & Tolerance • Why this method will work • Examples of when to use • How to implement

  19. SOLVING CHALLENGING BEHAVIOR -Attention = IGNORE & Teach Alternatives • Why this method will work • Examples of when to use • How to implement

  20. SOLVING CHALLENGING BEHAVIOR -Communication = Teach Alternative methods of communicating • Why this method will work • Examples of when to use • How to implement

  21. Review of previous ABC data examples

  22. SOLUTIONS Based on Data

  23. Anxiety = The Missing Piece of the Meltdown Puzzle?

  24. ANXIETY Overview * Definition of Anxiety *Symptoms of Anxiety *Assessing Anxiety *Causes of Anxiety *Supporting Children with Anxiety *Managing Challenging Behaviours *Reinforcement *Social Stories

  25. Defining Anxiety *A psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components *Anxiety is considered to be a normal reaction to a stressor. It may help an individual to deal with a demanding situation by prompting them to cope with it. However, when anxiety becomes overwhelming, it may fall under the classification of an anxiety disorder.

  26. Anxiety - Biology

  27. When is Anxiety Good?

  28. When is Anxiety Good?

  29. When is Anxiety Good?

  30. Types of Anxiety There are several recognized types of anxiety disorders, including: Panic disorder Obsessive Compulsive Disorder Post Traumatic Stress Disorder Social Anxiety Disorder Specific Phobias Generalized Anxiety Disorder

  31. Types of Anxiety There are several recognized types of anxiety disorders, including: Panic disorder : People with this condition have feelings of terror that strike suddenly and repeatedly with no warning. Other symptoms of a panic attack include sweating, chest pain, palpitations (irregular heartbeats), and a feeling of choking, which may make the person feel like he or she is having a heart attack or "going crazy."

  32. Types of Anxiety Obsessive-compulsive disorder (OCD) : People with OCD are plagued by constant thoughts or fears that cause them to perform certain rituals or routines. The disturbing thoughts are called obsessions, and the rituals are called compulsions. An example is a person with an unreasonable fear of germs who constantly washes his or her hands.

  33. Types of Anxiety Post-traumatic stress disorder (PTSD) : PTSD is a condition that can develop following a traumatic and/or terrifying event, such as a sexual or physical assault, the unexpected death of a loved one, or a natural disaster. People with PTSD often have lasting and frightening thoughts and memories of the event and tend to be emotionally numb.

  34. Types of Anxiety Social anxiety disorder : Also called social phobia, social anxiety disorder involves overwhelming worry and self-consciousness about everyday social situations. The worry often centers on a fear of being judged by others, or behaving in a way that might cause embarrassment or lead to ridicule.

  35. Types of Anxiety Specific phobias : A specific phobia is an intense fear of a specific object or situation, such as snakes, heights, or flying. The level of fear is usually inappropriate to the situation and may cause the person to avoid common, everyday situations. Generalized anxiety disorder : This disorder involves excessive, unrealistic worry and tension, even if there is little or nothing to provoke the anxiety.

  36. Anxiety - Biology

  37. Symptoms of Anxiety - 1 Feelings of panic, fear, and uneasiness Uncontrollable, obsessive thoughts Repeated thoughts or flashbacks of traumatic experiences Nightmares Ritualistic behaviors, such as repeated hand washing Problems sleeping Cold or sweaty hands and/or feet

  38. Symptoms of Anxiety - 2 Shortness of breath Palpitations An inability to be still and calm Dry mouth Numbness or tingling in the hands or feet Nausea Muscle tension Dizziness

  39. Diagnosing Anxiety -Clinical Psychologist • Guardian Interview • Child Interview • Teacher Interview • Standardized questionnaires (MASC example) -Developmental Pediatrician • Guardian Interview • Child Interview • Sometimes standardized questionnaires

  40. MASC -Clinical Psychologist • Guardian Interview • Child Interview • Teacher Interview • Standardized questionnaires (MASC example) -Developmental Pediatrician • Guardian Interview • Child Interview • Sometimes standardized questionnaires

  41. Causes - Research Approaches Research into the root causes has included: Electroencephalographic studies (EEG) Autopsy of brain tissue studies Neurochemical studies Magnetic Resonance Imaging (MRI) Genetic studies • Environmental Studies

  42. Supporting Children with Anxiety -Relaxation Tools for Home and School - Anxiety and Coping Tools for Home -Professional Intervention Services

  43. Supporting Children with Anxiety -Relaxation Tools for Home and School • Diaphragmatic Breathing • Progressive Muscle Relaxation • Visualization • Mindfulness Meditation

  44. Supporting Children with Anxiety -Relaxation Tools for Home and School • Progressive Muscle Relaxation • Social Stories • Orlick CDs • Taming Your Dragons

  45. Supporting Children with Anxiety -Relaxation Tools for Home and School • Visualization • Orlick CD • Taming Your Dragons

  46. Supporting Children with Anxiety - Anxiety and Coping Tools for Home • The Relaxation and Stress Reduction Workbook For Kids – Shapiro • I Bet I Won't Fret – Sisemore • Anxiety Workbook for Teens - Schab

  47. Supporting Children with Anxiety • Cognitive Behavioral Therapy • 1:1 with a Psychologist • Group Therapy

  48. CBT – Self Monitoring

  49. CBT – Self Calming “B”

  50. CBT – Self Calming “C”

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