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Behavior Modification Therapy For Adhd

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According to the Diagnostic and Statistical Manual of Mental Disorders—5th edition (DSM-5), attention deficit hyperactivity disorder (ADHD) is a “persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development, with symptoms present in two or more settings, and negatively impacts directly on social, academic or occupational functioning” (ADHD Educational Institute). The American Psychiatric Association divides ADHD symptoms into two categories; inattention and hyperactivity and impulsivity. These symptoms and behaviors can include failure to pay attention to details, fidgeting, inability to remain seated, and excessive talking (Attention Deficit/Hyperactivity Disorder 2013). Researchers seek …show more content…

Rosch, Fosco, Pelham, Waxmonsky, Bubnik, & Hawk (2015), described behavior modification therapy based on reinforcement and/or punishment as the leading psychosocial treatment for ADHD. In addition, behavior modification is also recommended by the American Academy of Pediatrics (American Academy of Pediatrics 2011). Behavior therapy lacks the harsh physical and mental side effects of medication. Despite less side effects, behavior modification therapy can prove to be quite a challenge. There is no standard or baseline “effective dose” of behavior modification. Furthermore, it can vary significantly from child to child. Behavior modification referred to in most studies, includes some system of rating to determine if a child’s ADHD symptoms improve after therapy. Researchers utilize techniques such as daily report cards, reward-cost or points system, and feedback to analyze and monitor the child’s behavior. Different levels of intensity were implemented in some studies such as Fabiano, Pelham, Gnagy, MacLean, Coles, Chacko, Robb et al., (2007) High Behavior Modification (HBM) included a point system and daily report cards. Teachers, counselors, or other administrators provided feedback such as corrections on assignments and explanations when a rule was violated. Low Behavior Modification (LBM) provided less intervention, but included feedback without the loss or gain of points. Participants also received less praise and rewards. In the No Behavior Modification (NBM) study weeks the children were given directions, rule violation was corrected and noted, but explanations were not given. Pelham, Carlson, Sams, Vallano, & Al (1993) referenced other scholarly journals and findings arguing behavior modification improved academic performance in ADHD children best when a negative consequence accompanies poor behavior, rather than a reward for task

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