A young couple with their first child named “Madison” started working with Dr. Shinar on how to handle her temper tantrums related to bedtime.  After conducting a thorough assessment of Madison’s daily routines and nightly behaviors leading to bedtime along with how her parents were reacting to her nightly tantrums, Dr. Shinar helped the young couple create a reward chart for Madison.  Techniques included teaching them how to create a chart that was age appropriate, choosing correct rewards, and how to administer the rewards correctly.   After 10 weeks, Madison started going to bed quietly with a 90% reduction in tantrums.

A couple with three children came to Dr. Shinar complaining about their youngest child, “Ryan” (age 10) who was throwing food, jumping on furniture, and destroying personal property.  In our PMT work, the emphasis was placed on parent psychoeducation to help them better understand the etiology of Ryan’s behavior and how their reaction to his behavior was increasing his bad choices.  We worked on seeing their typical punishment tactics as acts of attention for Ryan and replacing them with Positive Reinforcement methods designed to increase good behavioral choices.  We also focused on Ryan’s perceptions of himself in relation to his much better-behaved older siblings.  Ryan’s behaviors reduced by 75 % within 15 weeks of working together using PMT.

A single mother with 6-year-old twins named “Finnie and Kevin” had to stay home due to COVID related quarantine orders and soon developed increasing behavioral problems including, refusing to eat, aggression towards their mother, and destructiveness.  Using PMT techniques that involved positive attention instead of negative punishment, charting with appropriate rewards, and an age appropriate token economy, the twins began to reduce their COVID-induced bad behaviors and develop a daily routine that matched what a typical school day and home day would feel like.

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