21:38 here. He certainly didn't. It is way older than Kazdin. I didn't say he did! Just trying to help OP.

21:38, Kazdin didn't even positive reinforcement; the behavioral therapy at KKI is almost identical in approach.

The Yale Parenting Center - where Kazdin is based - has a list of practioners. http://yaleparentingcenter.yale.edu/certification-kazdin-parent-management-training-kpmt

In MD there is only one:

Nina Shiffrin, Ph.D., KPMT
Alvord, Baker, & Associates
3200 Tower Oaks Blvd Suite 200
Rockville, MD 20852
Phone: 301-593-6554

In VA:

Elizabeth Schnobrich, Psy.D., KPMT
Licensed Clinical Psychologist
Alexandria, VA
Cell: 612-220-1694
Email: ecjschnobrich@gmail.com

Amy Weidinger, KPMT
Mental Health Therapist
The Women’s Center
133 Park Street, N.E.
Vienna, VA 22180
703-281-2657 x412
aweidinger@thewomenscenter.org

I haven't used but had considered doing so.

Anonymous wrote:We had a terrible experience at KKI for a preschooler. Completely unhelpful. A waste of time and money. Have you tried the TLC's Floortime therapists?

You had a terrible experience at KKI in Baltimore? The Behavioral Clinic is separate and does not do evaluations like the main campus in Baltimore does (although there is a behavioral clinic in Baltimore as well).

Personally, we took were exposed to Floortime therapy through TLC and found it a hugely expensive, a waste of money, not covered by insurance, and the therapist couldn't really explain what it was let alone how to implement it at home.

We had a terrible experience at KKI for a preschooler. Completely unhelpful. A waste of time and money. Have you tried the TLC's Floortime therapists?

I would read the Kazdin Method and go to the KKI Behavioral Clinic in Columbia, MD to help you learn to implement it. You will get great feedback.

Dan Shapiro runs a wonderful class for parents on raising their challenging child too.

We're having some significant behavioral issues with our preschooler at home - beyond what is typical, and some basic strategies (pre talk through expectations, if-then, reinforcement/reward focus, consistent consequences) have failed and it's grinding us down and often presents safety issues. No doubt there are things we are doing that at the least aren't helping, if not exacerbating it (well, we're surely exacerbating it when it gets going and we're at the end of our patience/rope). So we need some help - except we don't know exactly where we'd go to get some? Recommendations?