Photo of Holly Tofanelli, Marriage & Family Therapist in 55105, MN
Holly Tofanelli
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Saint Paul, MN 55105  (Online Only)
Holly holds a master's degree from the Minnesota School of Professional Psychology at Argosy University. She welcomes working with adults, teens, couples, and families regarding relationship conflicts, anxiety, depression, grief and loss, substance abuse, communication, addictive behaviors, aggression, GLBT issues, parenting and emotional dysregulation. As a group facilitator, Holly is both dynamic and engaging. She is trained in Brainspotting, EMDR, Gottman method, as as well as Aggression Replacement Training. Holly has also worked with Alzheimer's/Dementia, and family caregivers at the University of Minnesota and Fairview Hospital.
Holly holds a master's degree from the Minnesota School of Professional Psychology at Argosy University. She welcomes working with adults, teens, couples, and families regarding relationship conflicts, anxiety, depression, grief and loss, substance abuse, communication, addictive behaviors, aggression, GLBT issues, parenting and emotional dysregulation. As a group facilitator, Holly is both dynamic and engaging. She is trained in Brainspotting, EMDR, Gottman method, as as well as Aggression Replacement Training. Holly has also worked with Alzheimer's/Dementia, and family caregivers at the University of Minnesota and Fairview Hospital.
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Photo of FamilyMeans, Marriage & Family Therapist in 55105, MN
FamilyMeans
Marriage & Family Therapist, LMFT, LICSW, LPCC
Verified Verified
Saint Paul, MN 55105
FamilyMeans Counseling & Therapy programs have been providing care to adults, adolescents, children, families, and couples for many years. Our counselors are highly trained and experienced in their areas of expertise and truly enjoy helping people through the struggles they bring to counseling. Counselors provide a safe and open environment to make changes within areas of concern. Counseling experiences are unique to each person as are their situations. There is no “one fits all” in counseling and our skilled clinicians work with you to reach your goals.
FamilyMeans Counseling & Therapy programs have been providing care to adults, adolescents, children, families, and couples for many years. Our counselors are highly trained and experienced in their areas of expertise and truly enjoy helping people through the struggles they bring to counseling. Counselors provide a safe and open environment to make changes within areas of concern. Counseling experiences are unique to each person as are their situations. There is no “one fits all” in counseling and our skilled clinicians work with you to reach your goals.
(651) 641-0177 View (651) 641-0177
Photo of Christine Mia Kerno, Clinical Social Work/Therapist in 55105, MN
Christine Mia Kerno
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Saint Paul, MN 55105  (Online Only)
Not accepting new clients
I specialize in trauma focused EMDR and Adaptive Internal Relations (AIR Network), substance use issues, and the care and treatment of the LGBTQIA community including transgender folk. As a male to female transgender person and a mental health professional I provide culturally specific services to the LGBTQIA community. I am an expert in the care and treatment of people living with or at high risk for HIV.
I specialize in trauma focused EMDR and Adaptive Internal Relations (AIR Network), substance use issues, and the care and treatment of the LGBTQIA community including transgender folk. As a male to female transgender person and a mental health professional I provide culturally specific services to the LGBTQIA community. I am an expert in the care and treatment of people living with or at high risk for HIV.
(612) 261-0871 View (612) 261-0871

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.