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Related Concept Videos

Modeling in Therapy01:26

Modeling in Therapy

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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
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Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
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A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Conduct Disorder01:28

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Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
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Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
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Family Support Protocol for Adolescent Internalizing Disorders: Protocol for a Pre-Post Quantitative Treatment

Aaron Hogue1, Molly Bobek1, Nicole P Porter1

  • 1Family and Adolescent Clinical Technology & Science, Partnership to End Addiction, New York, NY, United States.

JMIR Research Protocols
|September 16, 2024
PubMed
Summary
This summary is machine-generated.

This study introduces Fam-AID, a new modular treatment for adolescents with co-occurring internalizing disorders and substance use disorders. Fam-AID integrates family engagement, CBT, and psychoeducation to improve treatment outcomes.

Keywords:
adjunctive treatmentadolescent anxiety and depressionadolescent substance usecooccurring disordersfamily-based interventionsusual care

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Area of Science:

  • Adolescent mental health
  • Clinical psychology
  • Addiction medicine

Background:

  • Internalizing disorders (IDs), such as depression and anxiety, are common in adolescents with substance use disorders (SUDs).
  • Treatments that do not address both SUDs and IDs concurrently are less effective for these adolescents.
  • Adolescents in community-based SUD treatment often have co-occurring IDs requiring integrated care.

Purpose of the Study:

  • To develop and pilot a modular adjunctive protocol, Family Support Protocol for Adolescent Internalizing Disorders (Fam-AID), for adolescents with co-occurring SUDs and IDs.
  • Fam-AID aims to complement existing SUD treatment without requiring significant changes to base practices.
  • The protocol is grounded in family engagement, transdiagnostic cognitive behavioral therapy (CBT), and family psychoeducation and safety planning.

Main Methods:

  • A quasi-experimental, two-stage study involving rapid-cycle prototyping and an interrupted time series design.
  • The pilot stage includes stakeholder input and cognitive interviewing to refine protocol delivery and fidelity.
  • The second stage compares treatment as usual (TAU) with TAU plus Fam-AID in 60 adolescents across two sites, assessing outcomes at baseline and 3- and 6-month follow-ups.

Main Results:

  • Study recruitment is scheduled to commence in April 2025.
  • The study will evaluate the acceptability and fidelity of the Fam-AID protocol through therapist and client interviews and fidelity data.
  • Comparisons will be made between TAU and TAU+Fam-AID groups regarding family treatment attendance and adolescent ID and SUD symptoms.

Conclusions:

  • Fam-AID is anticipated to comprise five modules: family engagement, relational reframing, functional analysis, CBT for ID symptoms, and psychoeducation/safety planning.
  • These modules can be sequenced to meet individual adolescent needs.
  • If proven feasible and effective, Fam-AID will provide clinicians with pragmatic interventions for treating co-occurring IDs in adolescent SUD clients.