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Normal Behaviour Vs Behaviour that needs following up in Children & Adolescents

Finding Services

Questions???

  • Find a psychologist using APS: http://www.psychology.org.au/FindaPsychologist/

  • Find other community health services: http://www.gmsbml.org.au/hp_directory.php

  • Parenting Programs for Behavioural problems: http://www.123magic.com/,

  • Autism Service Programs: http://www.autismpartnership.com.au/ , http://www.autismqld.com.au/

  • Child and Youth Mental Health Service: http://www.health.qld.gov.au/metrosouthmentalhealth/resources/fact-sheets/cymhs.asp

What type of problem is my child experiencing?

Okay, so my GP and I have worked out what's going on, what's next??

  • Your GP will refer you to psychologist to further work out what the problem is and provide suggestions for intervention

  • Parenting Programs
  • Parenting programs
  • 123 Magic (we'll be talking about some of these strategies in other sessions).
  • Triple P

Okay, but what interventions are out there?

Behavioural

  • When something in the child's environment is rewarding the problem behaviour or keeping it going
  • e.g., attention may reward some tantrums

Behavioural problems -

Developmental

Autism - Applied Behavioural Analysis (ABA), social skills programs

Intellectual impairment - Individual learning programs to help child progress at their own pace

Mental

  • When something is different about the way a child is developing, which leads to the child's difficulties
  • e.g., Autism, intellectual impairment, learning disorders
  • Something is different in the child's brain
  • Child may have difficulty attaining the same skills as other children

Developmental Problems -

  • Something is different about the way the child thinks or perceives the world, which leads to distress
  • e.g., Depression, anxiety
  • Mental disorders are caused by a combination of differences in the child's brain and experiences the child has
  • No difficulties attaining skills, but may be difficulties with functioning
  • Psychologist
  • Group programs for things like social anxiety

Mental illnesses -

Why do we need to know what's normal and what needs following up?

  • Disruptive behaviour can be part of what needs to happen for our children to learn things, grow and develop (e.g., kids need to argue with siblings to learn social boundaries)

  • Disruptive behaviour can also be an indication that our children need extra support

  • We need to know the difference so we can tolerate the behaviour or get help to change it!!

  • What is normal or abnormal behaviour changes depending on age

Okay, so my child is doing some things that need following up, what do I do next?

Need to decide whether the problem is behavioural or mental or developmental

You don't need to know the answer to this - just go to the GP and they will help work it out

Normal

Normal vs needs following up in Infancy & Early Childhood (ages 0-5)

  • Settling difficulties when uncomfortable (e.g., wind, tired, hungry)
  • Difficulty sharing
  • Fear (of separation, dark, new situations)
  • Some aggression, kicking, biting, yelling

Needs following up

  • Withdrawing from caregivers
  • Not engaged (e.g., eye contact, smiling)
  • Always difficult to settle
  • Too frightened of familiar people
  • Too friendly with strangers
  • Excessive aggression with no trigger

What's normal Vs what needs following up in Adolescence?

Normal

Needs following up

  • Moodiness
  • Less attention toward parents
  • More self-involved
  • Peer conflicts
  • Worries about relationships
  • Testing limits (e.g., arguing about curfew)
  • Identity searching
  • Substance experimentation
  • Preoccupation with sex
  • Sexual promiscuity
  • Suicidal or homicidal thoughts
  • Self-harm
  • Withdrawal from usual activities
  • Huge changes in grades, hygiene, attitude, sleeping, eating
  • Delinquency
  • Excessive fighting/aggression
  • Many complaints of physical illness
  • Hearing or seeing things that other people can't

Normal Vs Needs following up in Childhood (6-12 years)

Needs following up

  • Excessively aggressive
  • Injuring self or others
  • Excessive fears
  • School refusal
  • Fire setting
  • Frequent excessive emotional reactions
  • Inability to focus for longer than 5 minutes
  • Delinquent behaviour
  • Violating other's rights

Normal

  • Arguments with siblings and peers
  • Curiosity about sexual body parts
  • Testing limits
  • Poor attention span
  • Lying
  • Worries about peer acceptance
  • Not taking responsibility for own behaviour
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