CLINICAL PERSPECTIVES: OUTPATIENT MANAGEMENT OF IMPULSIVITY, HYPERACTIVITY, AND AGGRESSION IN YOUNG CHILDREN (AGES 2-7)

Abstract

Young children often have limited coping abilities and tolerance for change, especially when faced with life stressors. Maladaptive behaviors resulting in impulsivity, hyperactivity, and aggression can impair daily functioning, cause caregiver stress, and occasionally necessitate emergency mental health interventions. This presentation is designed to enhance clinicians’ skills in the evaluation and management of young children presenting with disruptive behaviors, with whom ADHD is a possibility. Presenters will use a combination of reviewing current research literature and clinical best practices. In addition, some of the presenters have active research studies that examine elements of the topics outlined and will include relevant materials and new research when available. When applicable, AACAP Practice Parameters and Policy Statements will be reviewed and distributed to members who attend the session. The agenda is as follows: 1) assessment of young children with disruptive behaviors (Diane Misch, MD, Infant and Preschool Committee); 2) treatment guidelines for pharmacological management of disruptive behaviors and ADHD (Magdalena Romanowicz, MD, Infant and Preschool Committee); 3) long-term outcomes of Parent-Child Interaction Therapy on ADHD symptoms, including new research findings (Regina Bussing, MD, MSHS); 4) how mindful parenting can support caregivers in managing young children with ADHD, and a case presentation (Elizabeth Reichert, PhD, and Mari Kurahashi, MD, MPH); and 5) summary and discussion (Matthew Young, PhD). Participants will learn to identify childhood disorders presenting as disruptive behaviors and enhance their assessment and treatment planning skills. They will gain an appreciation for treatment strategies and acquire knowledge of de-escalation techniques and mindful parenting. Temper tantrums, hyperactivity, and impulsive aggression are common in the young child population with presumed ADHD. Early intervention can positively impact a child’s developmental trajectory. Clinicians working with preschoolers need to understand current evidence-based practice to ensure that their clinical needs are adequately met.