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Online Therapists

Photo of Alex Guevara III - Excelsior Therapy, LPC, BA, MA, Licensed Professional Counselor
Excelsior Therapy
Licensed Professional Counselor, LPC, BA, MA
Verified Verified
Fort Worth, TX 76164
Excelsior Therapy works with individuals, couples, families, and groups, even offering adult and teen anger management classes. We believe that using cognitive testing and evidenced-based interventions with the collaboration of clients creates the most positive impact on helping clients meet their goals. In addition, to these therapeutic specialties, Excelsior Therapy is connected with a medical team that can assist with medication management that many clients have come to appreciate.
Excelsior Therapy works with individuals, couples, families, and groups, even offering adult and teen anger management classes. We believe that using cognitive testing and evidenced-based interventions with the collaboration of clients creates the most positive impact on helping clients meet their goals. In addition, to these therapeutic specialties, Excelsior Therapy is connected with a medical team that can assist with medication management that many clients have come to appreciate.
(817) 587-0335 View (817) 587-0335
Photo of Dr. Michael Contreras, LPC-S, LCDC, ADC, ICADC, DOT-SAP, Licensed Professional Counselor
Dr. Michael Contreras
Licensed Professional Counselor, LPC-S, LCDC, ADC, ICADC, DOT-SAP
Verified Verified
1 Endorsed
Bedford, TX 76021  (Online Only)
Waitlist for new clients
My client population includes children, adolescents and adults. I work with individuals as well as families. I facilitate numerous groups and skills training curriculum in various topics including adolescent first offenders, anger management, divorce and separation, parenting, and teen issues.
My client population includes children, adolescents and adults. I work with individuals as well as families. I facilitate numerous groups and skills training curriculum in various topics including adolescent first offenders, anger management, divorce and separation, parenting, and teen issues.
(817) 849-6835 View (817) 849-6835

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Oppositional Defiance (ODD) Therapists

What is the most effective treatment for oppositional defiant disorder?

The treatment of Oppositional defiant disorder (ODD) will involve multiple approaches designed to help both the youngster and their parents, sometimes including medication. A therapist will help a child learn ways to regulate their emotions, curb their impulsiveness, and counteract anger, defiance, and disruption, while showing parents ways to bring these lessons into their home. A technique designed for children with conditions like ODD, known as Collaborative and Proactive Solutions (CPS), may also be used. CPS addresses a child’s concerns and rewards appropriate responses while discouraging harsh punishment or criticism.

How does treatment for oppositional defiant disorder work?

Treatment for ODD addresses the issues underlying a child’s defiance and disruption, the emotional regulation and impulse-control skills they lack, and the way adults respond to them. ODD therapy is based on the idea that children with the disorder understand the difference between right and wrong, that they want to behave well, and that, with help, they can. By responding to the child with empathy instead of harsh criticism, ignoring nonviolent behaviors, and rewarding positive actions, a therapist, and the other adults in a child’s life, can help children improve their behavior.

How long does therapy for oppositional defiant disorder take?

Therapy for oppositional defiant disorder is not a short-term undertaking. Depending on the severity of a child’s symptoms, their age, the presence of other conditions like ADHD, anxiety or a mood disorder, and their family dynamic, it can take months before improvement is noted. The cooperation of parents and teachers is crucial, because the skills learned in therapy must be practiced in real-world situations, with all their potential triggers.

Does oppositional defiant disorder go away?

ODD can remit following treatment. ODD is often diagnosed in nursery school, and early intervention is essential for a positive prognosis. In two-thirds of children, according to the American Academy of Child and Adolescent Psychiatry, symptoms resolve within three years.