DR. PETER JENSEN: Well we know that when you add behavior therapy to medication, we often get a little more bang for the buck. Parents really like it; teachers like it. And it often helps some other areas of the child's functioning, like self-esteem and social skills. It's basically a little reward system. And like you said, it's a little star—it's a gold star. It might literally be gold stars, but it might be also other rewards or consequences the child might actually have a role in selecting that he or she would want to actually work for and earn.
LISA CLARK: Dr. Quinn, in your practice you've talked about patients who come in and they say that they just feel like they're bad all the time. How do you help them get past those feelings of negativity with behavioral therapy?
DR. PATRICIA QUINN: Well Lisa, nothing succeeds like success. So what we try to do with these kids is, first of all, explain what the disorder is about. But then work with their parents on teaching them skills, on teaching them new behaviors in place of the old ones. For example, medication will help a child pay attention, but it doesn't teach them a new skill. He may bite other children. On medication, he's not impulsive and no longer bites other kids, but he doesn't know what to do instead in order to join in. So what we try to do then is work on various skills. And we can do that by working with the parents on helping them with a behavior management program.
LISA CLARK: I've heard that the Three C's are what's important in any behavioral program. Clarity of expectations, consistency of the direction and follow through, and calmness. Dr. Jensen, talk about how a parent or a teacher might implement these Three C's for a child
