OHSU

Treatment

Evaluate What’s Going On

All care begins with a careful assessment of why help is being sought. Sometimes patients/families come to us because they have questions about their child’s behaviors and wonder if there is a condition present or if they should be worried about what’s going on. For example, sometimes people come asking, “Does my child have a tic disorder?” Or, at other times, they come with questions like, “Should we be worried that my child is still wetting the bed?”

In these situations, we focus on helping parents learn more about the concern and informing them about:

  • whether a condition exists,
  • if treatment seems needed and if so,
  • good treatment options.

At other times, youth and families come to us already knowing that treatment is a good idea. In these situations, we start by learning about those concerns so that we can best develop a treatment plan to meet the patient and family’s needs.

Treatment

We provide “evidence-based care.” This means we take what we know from the best research out there, what we have learned from working with kids and families, and a family’s expertise in their children and situation to come up with the best treatment plan. Our goal is to help within as few sessions as possible, spread out over time; however, we remain committed to care until treatment goals are met.

Treatment focuses on:

  • Specialized behavioral intervention strategies
  • Habit Reversal Therapy for habits
  • Comprehensive Behavioral Intervention for Tics
  • “Bio-behavioral” treatments for bedwetting and soiling
  • Behavioral treatments for bedtime and sleep issues
  • Anxiety management strategies for fears (e.g., of using the toilet, of needles)
  • Ways that youth can self-monitor their own behavior, and use self-management strategies
  • Motivation and consequence systems/programs
  • Tracking progress to make sure we’re helping
  • Focus on individual and family members, as needed

Consultation

To make sure we address all important issues, we are happy to regularly talk with pediatricians, pediatric health care providers, and/or clinical staff from referral sources, as needed and appropriate. For example, we may talk to pediatricians about dosages of laxatives for kids who are constipated, help the pediatrician figure out how to best monitor if medications are helping tics, and so on.

Referral

Children and families who need either a different or more intensive assessment or treatment plan will be given referrals, either within the CDRC Psychology Treatment Program, or beyond.

Training the Next Generation of Providers

We want to make sure that we prepare the next generation of providers to effectively address the kinds of concerns we see in this treatment program. Therefore, we have different trainees involved in our program. Please visit our training page for more information on our trainees.