· Review this week’s Learning Resources and reflect on the insights they provide. · View the media, Disruptive Behaviors. Select one of the four case studies and     assess the client. · For guidance on assessing the client, refer to pages 137-142 of the Wheeler text    in this week’s Learning Resources.

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As per the instructions, I have reviewed the Disruptive Behaviors media and selected the case of “Jack.”

Jack’s Observations

Based on the information provided in the Disruptive Behaviors media, it can be observed that Jack, a 14-year-old adolescent, exhibits symptoms of oppositional defiant disorder (ODD) and attention-deficit/hyperactivity disorder (ADHD). Jack is a troublemaker with adults. He refuses to obey rules or instructions and blames other people for his errors. He also struggles to pay attention and stay on task.

Therapeutic Approaches

Jack is exhibiting symptoms of ODD, ADHD and ADD. A multimodal treatment would be most appropriate. CBT (cognitive-behavioral) can assist Jack to identify the negative thoughts and emotions that trigger his disruptive behaviors. Jack can be taught social and problem-solving skills by the therapist, who will also use motivational techniques. Dialectical behavior therapy (DBT) is another approach which may be employed to help Jack manage his emotions and distress tolerance. Also, medication, including stimulants and non-stimulant drugs, can be used to treat his ADHD symptoms.

Expected outcomes:

Jack can learn CBT and DBT to help him manage his behavior, develop his problem solving skills, or better understand his emotions. Jack could experience an improvement in attention and concentration if medication is prescribed. Jack could be able maintain healthy relationships in the future with his family and friends. The outcomes depend on Jack’s willingness to engage in the therapy and the consistency of the therapy process.

Evidence-Based Literature:

Bass et al. Bass et al. (2014) evaluated the efficacy of DBT and four other therapy methods in treating adolescents. The researchers found that the four different approaches are effective at treating disruptive adolescents. McLeod, et. al. conducted a second study. The 2016 study found that the relationship between the therapists and clients is far more significant than any type of therapy or setting. Zilberstein’s (2014) study also highlighted the value of the attachment theory when treating adolescents and children with behavioral issues. A combination of medication and therapy can help in the treatment.