Treatment Plan Behaviorally Defined Symptoms: Billy exhibits both inattention (e.g., short attention

Treatment Plan
Behaviorally Defined Symptoms: Billy exhibits both inattention (e.g., short attention span, difficulty sustaining attention on a consistent basis, noncompliance with instructions, easily distracted by external stimuli) and hyperactivity-impulsivity (e.g., high energy level, difficulty remaining seated, excessive motor activity, difficulty waiting his turn, blurting out answers in class, poor social skills). Billy’s symptoms were apparent before the age of 12, and occurred at home and in school.
Diagnostic Impression: Attention-Deficit/Hyperactivity Disorder, Combined Presentation
Long-Term Goal: Demonstrate marked improvement in impulse control.
Short-Term Goal 1: Discontinue taking stimulant medication and manage symptoms with behavior modification techniques.
Intervention 1: Billy’s psychiatrist will monitor the effectiveness of the medication and side effects every four weeks.
Intervention 2: Billy’s parents will attend six individualized “Parental Training” sessions and apply newly learned behavioral modification techniques in the home. Intervention 3: Billy will attend six “Social Skills” trainings to learn skills such as cooperation, speaking calmly, and making polite requests.
Intervention 4: Billy’s teachers will implement a “Token Economy” where he obtains tangible rewards in response to desired behaviors.
For additional information regarding Billy’s case history and the outcome of the treatment interventions, please see Dr. Remoc’s session notes under Case 16 in Gorenstein and Comer’s (2015), Case Studies in Abnormal Psychology.