Defiance management OSCE — parent counselling and behaviour plan

Station objectives

1. Take a multi-informant-ready history of defiance with settings, duration and impairment. ^[4]
2. Explain the coercive cycle without blaming the parent as “the problem.” ^[9]
3. Counsel parent training as first-line with concrete next steps. ^{[5] [11]}
4. Plan school consistency and ADHD screening. ^[18]
5. Refuse inappropriate first-line antipsychotic for mild defiance and safety-net. ^[6]