Ricki G Robinson, MD, MPH
Part of seeking real world solutions to real problems is how we think about the child and the questions we ask to determine what the treatment should look like for that child and family. The team treatment wheel, with the child and family at the center was discussed to illustrate this formulation. One of the more difficult issues facing parent and team members are the behaviors their child may have. These behaviors, such as social withdrawal, aggression, bolting and extreme irritability may come in patterns, some persisting over time, some changing as the individual grows and develops. Using these behaviors as a communication that there could be a disturbance in the external or internal environment for a child allows the team to problem solve and work out whatever issues are stimulating this response. This approach of “getting behind” the child’s behavior to understand the derailed comprehension and communication related to deficits in Foundational Capacities for Development (FCD’s™) and the anxiety that this causes was demonstrated through real case presentations.