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Clinical Pediatrics, Vol. 34, No. 11, 570-575 (1995)
DOI: 10.1177/000992289503401101

Behavioral Management of Children's Seizure Activity

Intervention Guidelines for Primary-Care Providers

Brett R. Kuhn, Ph.D.

Department of Psychology. Division of Pediatrics, Meyer Rehabilitation Institute, University of Nebraska Medical Center. Omaha. Nebraska

Keith D. Allen, Ph.D.

Department of Psychology. Division of Pediatrics, Meyer Rehabilitation Institute, University of Nebraska Medical Center. Omaha. Nebraska

Mark D. Shriver, Ph.D.

Department of Psychology. Division of Pediatrics, Meyer Rehabilitation Institute, University of Nebraska Medical Center. Omaha. Nebraska

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.


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