title: Behavioral management of children's seizure activity. Intervention guidelines for primary-care providers.
abstract: We present behavioral treatment guidelines, based on empirically established behavioral interventions, for pediatric paroxysmal disorders. The guidelines include affirming the disability and normalizing the role of the environment; teaching the child anticonvulsant coping behaviors; giving caregivers guidelines to encourage independent functioning; and involving teachers and other supervising adults in treatment. The guidelines were developed for economic feasibility, time efficiency, and easy execution in any primary-care clinic. A patient report demonstrates significant reduction in drug-refractory seizures in an 11-year-old girl by implementing the guidelines. Discussion is provided on effective implementation of the behavioral guidelines in the primary-care clinic.
authors.affiliation: Department of Psychology, University of Nebraska Medical Center, Omaha, USA.
authors.forename: B R
authors.initials: BR
authors.lastname: Kuhn
authors.forename: K D
authors.initials: KD
authors.lastname: Allen
authors.forename: M D
authors.initials: MD
authors.lastname: Shriver
mesh_terms: D000223:Adaptation, Psychological; D001521:Behavior Therapy; D017028:Caregivers / Q000193:education; D002648:Child; D005194:Family Practice; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D019018:Imagery, Psychotherapy; D010353:Patient Education as Topic; D012064:Relaxation Therapy; D012640:Seizures / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*