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Health & Parenting

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Family Therapy Can Help Teens

Parental Involvement in Kids' Therapy Helps in Treatment of Conduct Disorders and Drug Abuse

Breaking Bad Cycles continued...

Josephson recalls a father who admitted being "furious" when his 8- or 9-year-old son pestered him and acted out when he came home from work.

The dad "sat down with the paper, he took his beer, and he wanted to watch TV, tired from work. And guess what the kid did. He didn't disappear. He kind of badgered his father. He stood in front of the TV. And then guess what the father did? He yelled at him, he rejected him. The child then had nothing else to do but kind of act out a little more," says Josephson.

"With some basic work, we were able to help [the dad] see that that cycle was not helpful, that [the son] interrupting him was [because] he wanted some connection. He wanted some time with his father. [The dad] did that immediately, and the child had better things to do after they spent some time together. So that cycle was interrupted."

Drug Abuse

Family therapy helps kids quit using drugs, stay in drug treatment, and avoid related problems like truancy, says Josephson, citing "at least 12-14 well-designed studies."

Parents who strongly show disapproval of illegal drug use also helps, he notes. "This is what these public information announcements in the last few years of parents as the 'antidrug' are about," says Josephson.

Depression, Anxiety, Eating Disorders

Family therapy for kids with depression and anxiety has been studied for a shorter time, but results look promising so far, write the researchers. Several new studies suggest that family treatment or treatment augmented with family therapy is effective for depression and anxiety, they write.

Studies about eating disorders have shown patients successfully gain needed weight when family therapy is part of the program, though family conflicts sometimes increase.

"The nonverbal behavior organizing around food now becomes verbal. But that's essentially progress, although families sometimes have trouble believing it," says Josephson.

Dealing With Attention Problems

Family therapy doesn't relieve the core symptoms of kids' with attention deficit hyperactivity disorder. But it can help families understand and handle the condition better, according to the report.

Josephson says while interviewing a family, he once heard a 6-year-old boy tell his mom to shut up. "I looked at [the parents] and said, 'Am I the only one that's got a problem with this?' They looked me straight in the eye and said, 'Well, you know, he has attention deficit disorder.' I took the time to educate them that in fact I think he did [have ADD], but those behaviors -- in this case, disrespect ... and he was running the family, as you might guess -- was not necessarily accounted for by this central nervous system disorder."

Parents interested in family therapy should first get their child's condition diagnosed by a psychiatrist or well-trained psychologist, and kids' treatment may also require medication, notes Josephson.

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