Dealing with dependence on others in order to recover from illness.Setting realistic standards for success.In CHIRP, key target areas might include: Teen: Patient and families are taught to examine the relationship between their thoughts, feelings and behaviors as they influence the recovery process. In particular, CBT targets problems with beliefs and attitudes that often accompany dealing with a chronic illness. In addition, CBT can reduce associated symptoms of anxiety, depression and physical discomfort. CBT approaches have been shown to improve patient coping and functioning with pain and fatigue, including more rapid return to school and other “normal” social and recreational activities. Associated decreased self-confidence and motivationĬBT is perhaps the most studied and well-validated non-medication treatment for conditions involving pain and fatigue in children and adolescents.Decline or difficulty with academic and/or social functioning.Difficulty with concentration, short-term memory, planning or organizing (not due to ADHD).Non-refreshing and poorly regulated sleep.Widespread pain in more than one area of the body.Teens who have benefited from this program have been diagnosed with such conditions as Chronic Fatigue Syndrome (CFS), Juvenile Fibromyalgia Syndrome (JFMS), Dysautonomia or Postural Orthostatic Tachycardia Syndrome (POTS), Complex Regional Pain Syndrome (CRPS), Irritable Bowel Syndrome (IBS), chronic headaches, recovery from Transverse Myelitis, to mention a few, and those with functional decline associated with other chronic illnesses.ĭifficulties experienced by teens dealing with these conditions typically include the following: The session format is based upon our extensive clinical experience and research in working with pediatric patients with fatiguing and painful illnesses.
Manual chirp programming series#
The CHIRP treatment program has been developed to expose the patient and their parents to a series of exercises and activities that improve awareness of the interaction between illness and symptoms, enhance stress awareness and coping skills, and facilitate increased patient functional independence in both management of recovery, problem-solving and decision making. It was developed from both a careful review of the evidence-based literature on treatment programs for adolescents with chronic physical illness and the authors’ (BC & WK) more than three decades of combined experience in helping children and families improve their quality of life while coping with pediatric illness. CHIRP, the Children’s Health and Illness Recovery Program, is a multidisciplinary family-based treatment program designed to maximize the functioning of teens with chronic illness. Adolescents with chronic, debilitating, fatiguing and/or painful illnesses face challenges that may prove disruptive to their normal physical, psychological and social developmental trajectories.
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