An 11-year-old diagnosed with oppositional defiant disorder becomes angry over the rules at a residential treatment program and begins shouting at the nurse. What might be the best method to defuse the situation?
a. Say to the child, "Tell me how you're feeling right now.".
b. Take the child swimming at the center's pool.
c. Administer an anxiolytic medication.
d. Call staff to seclude the child.
B
Redirecting the expression of feelings into nondestructive, age-appropriate behaviors such as a physical activity helps the child learn how to modulate the expression of feelings and exert self-control. This is the least restrictive alternative of those listed and should be tried before resorting to more restrictive measures. A shouting child will not likely engage in a discussion about feelings.
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