Are you struggling with a strong-willed, intense, volatile, defiant, moody, inattentive, or challenging child? Does your child often seem unmanageable, or have they been diagnosed with a developmental disorder such as ADHD, ADD, Oppositional Defiant Disorder (ODD), Conduct Disorder, or Autism Spectrum Disorder (ASD)? Or perhaps you’re still searching for answers about what their diagnosis might be?

If this sounds familiar, don’t lose hope. Whether your child has a formal diagnosis or not, one research-backed method has consistently improved outcomes across the board: Positive Behavior Modification.

Before you say, “I’ve tried that, and it didn’t work,” consider this: many parents, educators, and even mental health professionals think they understand this approach—but, as Jordan Peterson wisely says, “The devil is in the details.” In our clinical practice at The Fischer Institute, we’ve repeatedly seen that when implemented correctly, this method can be truly transformative.


A Real Case of Transformation Using Positive Behavior Modification

Seventeen years ago, I worked with a case that perfectly illustrates the power of this approach. A boy, just eight years old at the time, had already been expelled from every preschool, daycare, and elementary school he had attended—starting from the age of two. No school had managed to keep him enrolled for more than three months.

He lived with his single mother and two sisters in a neighborhood where he had already earned the unfortunate label of being a “menace.” Community members were concerned for both him and his mother, but many had given up hope. At school, he had no access to rewards or incentives that were given to other students. Basic privileges like Friday recess were completely out of reach.

Despite years of appointments with pediatricians, psychiatrists, therapists, and school counselors, he remained undiagnosed—or worse, misdiagnosed. With no effective treatment or support, he had begun socializing with delinquent peers, starting fires, and even threatening suicide, sometimes using a noose in front of his mother. It was an unimaginable situation, and his mother was understandably desperate.


Creating a Foundation: The First Steps Toward Change

Our very first step was to implement a No-Suicide Contract between mother and son, giving them both a tangible agreement to build upon. At the same time, we removed his biological father—who struggled with addiction, mental health issues, and a history of jail time—from the immediate family dynamic. This created a safer and more stable environment for healing.

Then, we focused on teaching and implementing the exact strategies of Positive Behavior Modification. After a detailed meeting with his school—including his classroom teacher, head of counseling, and every school counselor—the head of counseling issued a directive: all staff were to implement our behavior plan as prescribed.

What happened next was nothing short of extraordinary. The very next day, his young male teacher emailed us:

“We have a different child in the classroom. I saw him smile for the very first time.”

That moment marked the beginning of an incredible journey. Over time, this boy transformed into a respectful student, a loving son and brother, and eventually a successful university graduate.


Accurate Diagnosis Matters: Identifying a Tic Disorder, Not ADHD

Throughout our work, it became evident that his original ADHD diagnosis was incorrect. His agitation often involved subtle guttural sounds and eye rolling, which were misinterpreted and even ridiculed—by classmates and, tragically, even school staff.

These behaviors were actually signs of a tic disorder. After we consulted a child psychiatrist and made the appropriate medication adjustment, these symptoms disappeared. As a result, his self-esteem skyrocketed, and his focus and behavior improved dramatically.


A Message to Parents of Strong-Willed Children

This is just one of many success stories from families dealing with defiant or high-conflict children. Positive Behavior Modification, when done correctly and consistently, can make a life-changing difference.

If you’re feeling overwhelmed or hopeless, know that help is available—and lasting change is possible. You are not alone, and with the right tools and guidance, your child can thrive.

For more information or to schedule a consultation, contact The Fischer Institute today. We proudly serve families in Naples, Bonita Springs, and Estero, Florida, and specialize in evidence-based, results-driven support for children and families in need.

Call (239) 307-0101