Evidence-Based Therapies

Mental health care providers (psychologists, social workers, psychiatrists) use different treatment approaches to help children and adolescents who are experiencing mental health problems. Some treatment approaches have a strong backing in scientific evidence and other treatments have less evidence supporting them. Therapists who use treatments based on science engage in what is called “evidence-based practice” (EBP). If the treatments they use have scientific evidence supporting the effectiveness of the treatments, they are called evidence-based treatments (EBTs). EBTs are listed as ‘best practice’ and ‘preferred’ approaches for mental health symptom treatment by both the American Psychiatric Association and the American Psychological Association.

PARENT CHILD INTERACTION THERAPY



Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment for young children (ages 2-7) with behavioral problems. PCIT is conducted through "coaching" sessions during which you and your child are in a playroom while Alisha is in an observation room watching you interact with your child through a one-way mirror and/or live video feed. You wear a "bug-in-the-ear" device through which Alisha provides in-the-moment coaching on skills you are learning to manage your child's behavior.

 

PCIT is done across two treatment phases. The first phase of treatment focuses on establishing warmth in your relationship with your child through learning and applying skills proven to help children feel calm, secure in their relationships with their parents, and good about themselves. The second phase of treatment will equip you to manage the most challenging of your child's behaviors while remaining confident, calm, and consistent in your approach to discipline. In this phase, you will learn proven strategies to help your child accept your limits, comply with your directions, respect house rules, and demonstrate appropriate behavior in public. 

 

To schedule an appointment with Alisha to discuss PCIT, please call Delaware Psychological Services 302-703-6332.

For more information about PCIT - http://www.pcit.org

TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children and adolescents impacted by trauma and their parents or caregivers. Research shows that TF-CBT successfully resolves a broad array of emotions and behavioral difficulties associated with single, multiple and complex trauma experiences. 

 

TF-CBT is a structured, short-term treatment model that effectively improves a range of trauma-related outcomes in 8-25 sessions with the child/adolescent and caregiver.  TF-CBT is a highly effective treatment for PTSD symptoms and diagnosis. It also addresses many other trauma-related impacts including affective (depression, anxiety), cognitive and behavioral problems, as well as improving the participating parent's or caregiver's personal distress and the child's traumatic experience, effective parenting skills and supportive interactions with the child. 

More information at TF-CBT - https://tfcbt.org 

More information about Adverse Childhood Experiences (ACEs) -https://centerforyouthwellness.org

To schedule an appointment with Alisha to discuss TF-CBT, please call Delaware Psychological Services 302-703-6332.

COGNITIVE BEHAVIOR THERAPY

Cognitive-behavioral therapy is based on the idea that how we think and act both affect how we feel. By changing thinking that is distorted, and behavior that is dysfunctional, we can change our emotions. With younger children, focusing first on the behavioral part of CBT can be most effective. The goal is, essentially, to unlearn an avoidant behavior. One of the most important techniques in CBT for children with anxiety is called exposure and response prevention. The basic idea is that kids are exposed to the things that trigger their anxiety in structured, incremental steps, and in a safe setting. As they become accustomed to each of the triggers, in turn, the anxiety fades, and they are ready to take on increasingly powerful ones. Alisha has been trained in CBT with Children and Adolescents at the Beck Institute. 

 

For more information about CBT - Effective Therapies CBT

To schedule an appointment with Alisha to discuss CBT, please call Delaware Psychological Services 302-703-6332.

PEERS® for Adolescents is a 16-week evidence-based social skills intervention for motivated teens in middle and high school who are interested in learning new ways of making and keeping friends. This internationally acclaimed program, used in over 35 countries, was originally developed at UCLA by Dr. Elizabeth Laugeson. During each group session, teens are taught important social skills and are given the opportunity to practice these skills in session during socialization activities. Parents attend separate sessions at the same time and are taught how to assist their teens in making and keeping friends by helping to expand their teen’s social network and providing feedback through coaching during weekly socialization homework assignments. PEERS® may be appropriate for teens with Autism Spectrum Disorder, ADHD, Anxiety, Depression or other social and behavioral disorders. Parent participation is required. 

Teens will learn how to:

•    Use appropriate conversational skills

•    Use humor appropriately

•    Use electronic communication

•    Enter & exit conversations

•    Be a good host during get-togethers

•    Be a good sport

•    Handle arguments and disagreements

•    Change a bad reputation

•    Handle rumors and gossip

•    Handle rejection, teasing and bullying​​

©2018 by Alisha Fletcher, LCSW

contact@AlishaFletcher.com

Lewes LCSW, LLC

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