DDP note

Session Information Date of session: 1 November 2024 Therapist: Dr. Eleanor Vance Participants: Mother, Father Mode: In-person Type of session: Parent/carer consultation Session Focus Discussing strategies for managing child's anxiety and demand avoidance. Parent/Carer Presentation and Emotional State Mother appeared stressed and anxious, expressing frustration with recent meltdowns. Father was more reserved but expressed concern. Summary of Discussions Key themes discussed: Strategies for managing demand avoidance, understanding triggers for anxiety, and promoting emotional regulation. Reflections on PDA profile: Discussed the child's heightened sensitivity to demands and the need for flexibility in routines. Understanding developmental trauma impacts: Explored how past experiences might be influencing the child's behaviour. Parent/Carer Reflections and Observations Carers' observations of child’s behavior: Noted increased meltdowns in the mornings, difficulty transitioning between activities, and resistance to instructions. Carers' emotional experience: Mother expressed feeling overwhelmed and guilty, while the father felt helpless. Therapeutic Input and Psychoeducation Psychoeducation provided: Explained the principles of demand avoidance and the importance of creating a safe and predictable environment. Discussed the impact of trauma on emotional regulation. Parenting strategies discussed: Explored strategies such as offering choices, using indirect language, and providing advance warnings. Safety and co-regulation advice: Discussed techniques for co-regulation, including deep breathing exercises and creating a calm space. Therapist Reflections Therapist’s reflections on carers' attunement capacity, stressors, and relational stance: Noted the parents' willingness to learn and adapt, despite their own stress levels. Observed a strong desire to support their child. Next Steps and Plan Plan for future parent/carer work: Continue to explore strategies for managing demand avoidance and promoting emotional regulation. Provide support for the parents' own emotional well-being. Actions agreed: Parents to implement strategies discussed, including offering choices and using indirect language. Parents to practice deep breathing exercises. Focus for next session: Review the implementation of strategies and address any challenges.