What therapy works for a 4 year old child with perseveration?

Doctor's Answers (1)

Perseveration is what happens when a child is "stuck" with a particular idea or action. The best treatment is via a combination of judicious medication (such as serotoninergic antidepressants, antipsychotics) and psychotherapy. Some tips that may be useful for you:

i) Talking about it: talk to the child when he is not perseverating, describe the observed behaviour and situations in which it causes problems.

ii) Empathic understanding - this will reduce anxiety and calming down may help in getting the child unstuck

iii) Self-monitoring to learn and identify potential triggers and also what helps him to stop

iv) Create a "stuck signal" - a simple phrase or action to let him know when he is stuck.

v) Create a plan to get "unstuck" - identify things he can do when the "stuck signal" is given. Eg. a time-out, doing another activity etc.

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