TRATAMIENTOS EMPÍRICAMENTE VALIDADOS EN INFANCIA-ADOLESC

Fase
Bien Establecido Probablemente Observacion
experimental 
(Tipo 1) eficaz (Tipo 2) es
(Tipo 3)
 Terapi
 Análisis de
a
conducta aplicado para
hormonal
intervenciones globales
 Medic
Autismo  Análisis de ds
ación
conducta aplicado para
psicoactiv
intervenøs específicas
a

Depresión  TCC
infantil
 TCC
Depresión  Terapia de
 Terapia
adolescent Conducta de Levinsohn
interpersonal
e
 Tto  Tto.
Fobia Multicomponente de Multicomponente
social Hayward (otros autores)

 Técn Cogn-
 Modelado
Cdtual (otros
simbólico (otros
autores)
autores)
 Modelado simbólico  Técnicas
 EHS 
Timidez (O’Connor) operantes
 Técn Cogn-
 Exposición
Cdtual (Weinrott y
 Ttos no
Trianes)
cogn-cdtual

 Escenificaøs
emotivas
 Modelado no
 Modelado participativo  Imágenes
participativo  DS mov ocular emotivas
Miedos y
 Práctica reforzada  DS en  ds
fobias
 DS en vivo imaginación Psicoterapias
 Autoinstrucøs d
valentía
 Cuentos + juegos

 Terapia combinada

 Behavioral
interventions (any
combination) 
Psicoestimulantes
 Behavioral
 TCC
parent training  Programas
(BPT) orientados para
 Combined
TDAH  Behavioral padres y
training
classroom profesores
intervention
management
s
(BCM)
 Behavioral peer
interventions
(BPI)
 Organization
training
 Alarma
 Entrenamiento en  Farmacoterapia
Enuresis
cama seca

Encopresis  Tto.
 Multicomp
onente
(cdtual y
médico)

 Progra
mas
Psicopatía
educativos
y
cognitivo-
delincuenci
conductua
a juvenil
les

APA https://effectivechildtherapy.org/concerns-symptoms-disorders/
TDAH
 Behavioral interventions (any combination)
 BPT
Level One:
 BCM
Works Well
 BPI
 Organization training
Level Two:
 Combined training interventions
Works
Level Three:
 Neurofeedback training
Might Work
Level Four:
 Cognitive training
Unknown/Untested
Level Five:
 Social skills training
Tested and Does Not Work
ANOREXIA N.
Level One:  Family therapy-behavior (AKA, family-based
Works Well treatment or Maudsley family therapy)
Level Two:  Family therapy-systemic
Works  Insight-oriented psychotherapy (individual)
Level Three:
 None
Might Work
Level Four:  CBT (individual)
Experimental  Cognitive training (individual)
BULIMIA N.

Level One:
Works Well
Level Two:
Works
 Family therapy – behavioral (AKA, family-
Level Three:
based treatment or Maudsley family therapy)
Might Work
 CBT (guided self-help/individual)
Level Four:  CBT (individual)
Experimental  Supportive psychotherapy (individual)
ANSIEDAD <8

Level One:
 Family-based CBT
Works Well
Level Two:  Group Parent CBT
Works  Group Parent CBT + Group Child CBT
Level Three:
Might Work
Level Four:  Play therapy
Experimental  Attachment-Based Therapy
Level Five:
 Relaxation Training
Tested and Does Not Work
ANSIEDAD >8
  CBT
 Exposure
Level One:  Modeling
Works Well  CBT with parents
 Education
 CBT with medication
 Family psychoeducation
 Relaxation; assertiveness training
 Attention control
Level Two:
 CBT for child and parent
Works
 Cultural storytelling
 Hypnosis
 Stress inoculation
Level Three:  Contingency management
Might Work  Group therapy
 Biofeedback
 CBT with parents only
Level Four:  Play therapy
Experimental  Psychodynamic
 Rational emotive therapy
 Social skills
 Assessment/monitoring
 Attachment therapy
 Client-centered therapy
Level Five:  Eye movement desensitization and reprocessing
Tested and Does Not Work  Peer pairing
 Psychoeducation
 Relationship counseling
 Teacher psychotherapy
AUTISMO

 IQ or developmental
quotient
Individual, Comprehensive ABA  Parent-rated adaptive
Level One: Works Teacher-Implemented, Focused ABA + DSP functioning
Well
 Joint engagement in play
activities with caregivers
and teachers
 Use of picture symbols to
make requests
 Joint engagement in play
Individual, Focused ABA for augmentative & activities with caregivers
alternative communication and other adults
   Initiation of joint attention
Level Two: Works
 Imitation
Individual, Focused ABA + DSP  Language and cognitive
skills
 Communication with
caregivers
 Make-believe play
 Level Three: Might Individual, Comprehensive ABA + DSP  Developmental quotient
Work Comprehensive ABA Classrooms  Parent-rated adaptive
skills
 Examiner-rated ASD
symptoms
 Language
 Teacher-rated social
skills
 Use of spoken words for
joint engagement or
requesting
 Initiation of joint attention
 with teachers
 Engagement with objects
during interactions with
teachers
 Parent-reported adaptive
behavior
 Use of utterances or
words to communicate
Comprehensive ABA + DSP Classrooms
Level Four: Focused ABA + DSP Parent Training
Experimental
 IQ or developmental
quotient
Individual, Comprehensive ABA  Parent-rated adaptive
Level One: Works Teacher-Implemented, Focused ABA + DSP functioning
Well
 Joint engagement in play
activities with caregivers
and teachers
 ABA: applied behavior analysis
 DSP: developmental social-pragmatic
BIPOLAR

Level One:
 Family skill building plus psychoeducation
Works Well
Level Two:
 Dialectical behavior therapy
Works
Level Three:
 Omega 3 fatty acids
Might Work
Level Four:  Interpersonal and social rhythm therapy
Experimental  Multi-nutrient supplements
HABITOS NERVIOSOS

Trichotillomani Thumb
Levels Excoriation Nail Biting Cheek Biting
a Sucking
Level One:
Works
Well
Behavior
Level Two:
Therapy (HRT
Works
)
Level Three: Behavior
Might Work Therapy (HRT)
Behavior
Level Four: Behavior Therapy (HRT) Behavior
Experimenta Individual CBT Therapy (HRT Multicomponent CB Therapy (HRT
l ) T )

Level Five: Individual

Tested and massed
Does Not negative
Work practice
 CBT: cognitive behavioral therapy
 HRT: habit reversal therapy
DEPRESIÓN NIÑOS

Level One:
Works Well
Level Two:
Works
 CBT
 Comprehensive
Level Three:
 Group
Might Work
 Technology-assisted
 Behavior therapy
  Individual CBT
Level Four:
 Psychodynamic therapy
Experimental
 Family-based intervention
DEPRESIÓN ADOLESCENTES

 Overall CBT
 Individual CBT
level One:
 Group CBT
Works Well
 Overall IPT
 Individual IPT
Level Two:
 Group IPT
Works
Level Three:  Bibliotherapy CBT
Might Work  Family-based intervention
Level Four:
 Technology-assisted CBT
Experimental
COMPORTAMIENTO DISRUPTIVO EN ADOLESCENTES

Examples:
Multisystemic Therapy (targeting
youth involved in juvenile justice
system)
Combined Behavioral
Treatment Foster Care Oregon
Level 1: Works Well Therapy + CBT + Family
(TFCO); formerly
Therapy
Multidimensional Treatment
Foster Care (MTFC) (targeting
youth involved in juvenile justice
system)
Examples:
Aggression Replacement
Training + Positive Peer Culture
  (Equipping Youth to Help One
CBT Another) (targeting youth
Level 2: Works involved in juvenile justice
  system)
Solution-Focused Group
Program (targeting youth
involved in juvenile justice
system)
Examples:
Functional Family Therapy
Combined Behavioral Therapy + (targeting youth involved in
Level 2: Works juvenile justice system)
CBT + Family Therapy
Multisystemic Therapy

Examples:
Familias Unidas
Behavioral Therapy or Parenting
Level 3: Might Work
Skills
Non-Violent Resistence

COMPORTAMIENTO DISRUPTIVO EN NIÑOS: OPOSICIONISTA Y TT CONDUCTA

Examples:
Incredible Years Basic

Parent Management Training

Oregon (PMTO)
Level 1: Works Well Group parent behavior therapy
Communication Method program
(COMET)

Triple P (Level 4)

Level 1: Works Well   Examples:


Oregon Social Learning Center
Individual parent behavior
therapy with child participation
Intervention (Triple P Precursor)
Group parent behavior therapy +
Level 2: Works
group child behavior therapy
Group parent behavior therapy
Level 2: Works with child participation + Family
problem solving training
Group parent behavior therapy
Level 2: Works
with child participation
Individual parent behavior
Level 2: Works
therapy
Individual parent behavior
therapy with child participation +
Level 2: Works individual child behavior therapy
with parent participation +
teacher training
Level 2: Works Self-directed parent behavior
therapy
Communication Method program
training program (IVM; Incredible
Self-Directed Behavioral Family
Behavioral parent training
Parent Management Training
Oregon (PMTO)
program (OSLC)
Social learning parent training
(Hanf model)
Abbreviated Parent-Child
Interaction Therapy (PCIT)
Parent Management Training
Standard Behavioral Family
Examples:
Stop Now and Plan (SNAP)
Under 12 Outreach Program
Incredible Years Basic +
Dinosaur School
Example:
Multiple Family Group
Example:
Group Parent-Child Interaction
Therapy (PCIT)
Example:
Brief Parent Management
Training Oregon (PMTO)
Example:
First Step to Success
Examples:
Every Parent
(COMET)
Therapy program for children
with hyperkinetic and
oppositional problem behavior
(THOP)
1-2-3 Magic
Individually administered
videotape modeling parent
Years Precursor)
Incredible Years Precursor
 Intervention

Example:
Incredible Years Dinosaur
Level 2: Works Group child behavior therapy School

Example:
Group child behavior therapy + Incredible Years Dinosaur
Level 2: Works School + Teacher Training
teacher training

Example:
Level 2: Works Individual child behavior therapy Problem Solving Skills Training

Example:
Individual child behavior therapy Problem Solving Skills Training
Level 2: Works with in vivo practice
with parent participation

Example:
Level 2: Works Group parent-focused therapy Tuning Into Kids

Example:
Group child-centered play Group Activity Play Therapy
Level 2: Works
therapy
ENURESIS

Level One:  Urine alarm

Works Well  Dry-Bed Training
Level Two:
 Full Spectrum Home Therapy
Works
Level Three:
 Lifting
Might Work
Level Four:
Experimental
Level Five:  Hypnotherapy
Tested and Does not Work  Retention control training
ENCOPRESIS

Level One:
Works Well
Level Two:  Biofeedback
Works  Enhanced Toilet Training
TOC

Level One:
 Family-focused CBT
Works Well
Level Two:
 CBT (individual, Non face-to-face CBT)
Works
Level Three:  Group CBT (family-focused, non-family
Might Work focused)
Level Four:  Acceptance and Commitment Therapy
Experimental  Attachment-based therapy
TEPT

 CBT
 Individual
Level One:
 Group
Works Well
 Individual with parent
involvement
 Group CBT with parent involvement
Level Two:
 Eye movement desensitization and
Works
reprocessing (EMDR)
Level Three:  Integrated therapy for complex trauma
Might Work  Group mind–body skills
  Client-centered play therapy
Level Four:
 Mind–body skills
Experimental
 Psychoanalysis
Level Five:
 Group creative expressive + CBT
Tested and Does Not Work
ESQUIZOFRENIA

Multimodal therapy (includes components of many

of the other therapies for psychotic disorders)

Level One: Family-focused therapy

Works Well
CBT for psychosis

Level Two: Employment/Education programs

Works
Level Three: Omega-3 fatty acids supplementation
Might Work
Level Four: Social skills training
Experimental
Level Five: Insight-oriented therapies
Tested and Does Not Work
AUTOLESIONES Y PENSAMIENTOS SUICIDAS

Level One:
 DBT-A (DSH, SI)
Works Well
 DBT-A (NSSI, SA)
 CBT – Individual + Family (SA)
 Integrated Family Therapy (SA)
Level Two:
 IPT-A – Individual (SI)
Works
 Psychodynamic Therapy – Individual +
Family (DSH)
 Parent Training (SITB)
Level Three:
 Multiple Systems Therapy (SA)
Might Work
 CBT-Individual (SA, SI)
 CBT-Individual + Family (SI)
 Psychodynamic Therapy – Family-Based
(SI, SA)
 Integrated Family Therapy (NSSI)
 Family Therapy (SI, DSH)
Level Four:
 Multiple Systems Therapy (SI)
Unknown/Untested
 Brief Family-Based Therapy (SA, SI,
DSH)
 Support-Based Therapy (SI)
 Brief Skills Training (NSSI, SA)
 Motivational Interviewing (SI)
 Resource Interventions (DSH, SI)
 Eclectic Group Therapy (DSH, SI)
Level Five:
 Support-Based Therapy (SA)
Tested and Does Not Work
 Resource Intervention (SA)
 CBT: cognitive behavioral therapy
 DBT – A: dialectical behavior therapy for adolescents
 IPT – A: interpersonal psychotherapy for adolescents
 DSH: deliberate self-harm
 NSSI: nonsuicidal self-injury
 SA: suicide attempt
 SI: suicide ideation
 SITB: self-injurious thoughts and behavior (suicidal and nonsuicidal)
ADICCIONES

Level One:  CBT (individual, group, family)

Works Well  MET with CBT
  Family-based treatment – ecological
(with/without CBT and MET)
 Family-based treatment – behavioral
 Motivational interviewing/MET
 Combined family-based treatment-
ecological and contingency management
Level Two:
Works  Family-based treatment (behavioral,
ecological, contingency management)
with MET
 MET with CBT plus contingency
management
Level Three:
 Drug counseling/12-Step
Might Work
 CBT: cognitive behavioral therapy
 MET: motivational enhancement treatment