WORKSHOPS 27 — 30
Results: At the end of the workshop, attendees should be able to use ageappropriate, effective, evidence-based CBT strategies from the Taming Sneaky Fears program to help children (ages 4–7 years) with SM and/or SAD and their parents manage child anxiety symptoms. Attendees should also be able to provide support and psychoeducation to parents on recognizing and managing their child’s anxiety symptoms related to speaking and social situations and identifying and managing associated challenging temperamental traits and behavioral difficulties. Conclusions: This workshop provides practical information and step-by-step instructions for clinicians and researchers on how to use techniques of the Taming Sneaky Fears CBT program to work with children (ages 4–7 years) with SM and/or SAD and their parents in individual or group settings. The knowledge and techniques acquired, in addition to the handouts provided, should enable clinicians and researchers to treat and manage children (ages 4–7 years) with SM and/or SAD.
EBP, AD, CBT http://dx.doi.org/10.1016/j.jaac.2017.07.762
WORKSHOP 27 CREATING HOPE AND POSSIBILITIES: SOLUTION-FOCUSED APPROACHES WHEN TREATING MULTI-STRESSED FAMILIES Anne B. Lutz, MD, Lutz Child and Family Associates, PC,
[email protected] Objectives: This workshop will provide an overview of the fundamentals of the evidenced-based approach to solution-focused brief therapy. A special emphasis will be placed on how to use this approach to uncover resources and resilience factors with multistressed adolescents and their families. Participants will learn how solution building differs from problem solving and will learn practical tools to engage with multistressed children and families, building on their strengths and resources and using a system’s perspective to enhance goal negotiation. The workshop is designed so that participants will be able to immediately implement the practical skills learned. Methods: The course will be taught using a combination of didactics, interactive exercises, video examples, and case examples. The objective is for participants to leave with practical tools that can be used immediately with the clients they treat. Anne Lutz will teach the course; she is a board-certified child and adolescent psychiatrist, certified solution-focused trainer, director of training for the Institute of Solution-Focused Therapy, and author of the book called Learning SolutionFocused Therapy: An Illustrated Guide, published through the American Psychiatric Publishing company. There will be handouts, video examples, and ample practice opportunities to enhance the learning experience. Results: Participants will gain practical skills to uncover resources and use resources and resilience factors in adolescents and their families who suffer from multistressed environments. They will be involved in didactics, as well as interactive exercises focused on practicing the skills presented. In addition, there will be video examples used to demonstrate and discuss the techniques presented. Conclusions: Participants will be able to recognize the unique aspects of solution-focused therapy and how this differs from a problem-focused perspective, identify and understand solution-focused skills that assist in uncovering and utilizing resources with multistressed adolescents and their families, assist in goal negotiation, and use a system’s perspective to enhance resilience and hope.
FAM, PTSD, P http://dx.doi.org/10.1016/j.jaac.2017.07.763
Objectives: The workshop illustrates the clinical value of hypnosis as a psychotherapeutic facilitator. Methods: The workshop delineates the common role of dissociation in psychopathology. It then illustrates how hypnosis can help patients recognize and master dissociative capacity that can be either a passive vulnerability or transformed in treatment into an active therapeutic resource. Developmental factors influencing the hypnotizability of children and adolescents will be noted, as well as data elucidating the neurophysiological characteristics of dissociation. The Hypnotic Induction Profile, a brief and convenient clinical method of assessing hypnotizability, will be demonstrated with videotaped examples and opportunity for volunteer participation. Results: We will review the integration of hypnosis into treatment plans for specific clinical conditions. These include pain, psychophysiological disorders, somatic symptom disorders, dissociative disorders, PTSD, anxiety disorders, and habit disorders. Hypnosis enhances the therapeutic leverage of the transference to focus the patient’s attention on relevant goals and strategies. The therapist encourages associated shifts in the emotional and cognitive perspective of the patient geared to engender behavioral change. We will review results of clinical studies and illustrate the merits of integrating hypnosis with appropriate CBT, psychodynamic, and behavior modification modalities. Conclusions: Most children and adolescents are hypnotizable. Hypnosis constitutes a potentially powerful facilitator of therapeutic change, provided that it is integrated with a thorough diagnostic assessment and an appropriate, comprehensive treatment plan.
DIAG, DID, TREAT http://dx.doi.org/10.1016/j.jaac.2017.07.764
WORKSHOP 29 LEGAL AND ETHICAL CHALLENGES IN WORKING WITH LGBT YOUTH Andrew Clark, MD, 5 Sunhill St,
[email protected]; Sarah E. Herbert, MD, MSW, Decatur Family Psychiatry, sarah.
[email protected] Objectives: The objectives of this workshop are 1) to familiarize clinicians who work with lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth to the range of ethical and legal issues, which tend to arise in such work; 2) to introduce them to the published guidelines and underlying principles that frame the discussion; and 3) to help develop methods of approaching, discussing, and resolving legal and ethical dilemmas. Methods: The majority of the workshop will be organized around six challenging hypothetical cases; each case will be presented to the audience for reflection and discussion, with follow-up comments by the presenters. Time will be provided for discussion of participants’ own cases. Results: At the end of the workshop, the attendees will have achieved familiarity with cornerstone principles of medical ethics, guidelines of relevant professional organizations, and selected recent legal developments. They will have been exposed to ethical and legal dilemmas that arise frequently in the care of LGBTQ youth and will have enhanced their ability to frame, think through, and discuss such dilemmas in a productive manner. Conclusions: Clinical work with LGBTQ youth often raises novel ethical and forensic challenges.
ETH, FCP, SEX Sponsored by AACAP's Sexual Orientation and Gender Identity Issues Committee http://dx.doi.org/10.1016/j.jaac.2017.07.765
WORKSHOP 28
WORKSHOP 30
HYPNOSIS: A PSYCHOTHERAPEUTIC FACILITATOR
MOTIVATION IN THE TREATMENT OF ADOLESCENTS WITH ANOREXIA NERVOSA
Daniel T. Williams, MD, Columbia University Medical Center,
[email protected]
JOURNAL OF THE AMERICAN ACADEMY OF CHILD & ADOLESCENT P SYCHIATRY VOLUME 56 NUMBER 10S OCTOBER 2017
Anne Tr epanier, MD, Laval University, anne.trepanier.2@ ulaval.ca; Patrick Bordeaux, MD, FRCPC, Centre int egr e
www.jaacap.org
S355