Topic > Mental Health in Young People - Questions and Answers

For the sake of this assignment I will have to use the term “client” very loosely for this population. One interaction I can think of is with DB, an 8-year-old girl diagnosed with oppositional defiant disorder (ODD). ODD, as described in our text, is characterized by a pattern of defiant, hostile, and negativistic behaviors (Lambert, 2005; AACAP, 2009). For DB, he often exhibited behavior towards others of a vindictive and spiteful nature, threw temper tantrums on a dime, often behaved inappropriately by deliberately doing things that annoyed others, and was constantly testing boundaries, as well as being oversensitive or touchy about the feedback others give her. His behaviors disrupted his performance in daily functioning in various contexts, particularly in his home environment, interacting socially with peers during play, and in an educational setting. If I were an OT working with DB there would be intervention strategies I would want to focus on due to his unique needs, along with known strengths and interests. One strategy I would use for DB would be to incorporate a therapeutic board game such as the one discussed in our text “The Talking, Feeling, and Doing Game” (Lambert, 2005). This game would focus on a skill-building format that would include structure through predetermined rules, have an outlet for unexpressed feelings, begin to establish a sense of trust around sharing information with others, and promote discussion about appropriate problem solving . Another strategy would include observation and interactions in his or her home environment, where play would be more focused between parent and child and observation would be made regarding their dynamic and interactions with the environment. As an OT working with DB in his home environment, suggestions on adaptive strategies may be recommended in efforts to improve DB's maladaptive behaviors and to increase parenting interactions by providing suggestions for setting limits, models, structure, and routines.2. Based on your reading, identify 2 “play activities” that provide age-appropriate outlets for feelings and thoughts in children. Reflect on your experiences to date working with pediatric clients. Have you seen these types of “play activities” used in therapy? Did you think the goal was for the child to express feelings/thoughts? Write down a long-term goal of yours that you could work on with children who demonstrate behavioral problems.