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    • About
      • What is CBT
      • Our Services
    • Our Team
    • Outpatient
      • Eating Disorders
      • OCD and Anxiety
      • Oppositional Defiance
      • Trauma and PTSD
      • Women's Health
      • Longstanding Patterns
    • Intensives
      • In-Home ED Intensives
      • OCD Anxiety Intensives
    • Learn with us
    • Contact
      • New Patient Inquiry Form
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  • Home
  • About
    • What is CBT
    • Our Services
  • Our Team
  • Outpatient
    • Eating Disorders
    • OCD and Anxiety
    • Oppositional Defiance
    • Trauma and PTSD
    • Women's Health
    • Longstanding Patterns
  • Intensives
    • In-Home ED Intensives
    • OCD Anxiety Intensives
  • Learn with us
  • Contact
    • New Patient Inquiry Form
    • Professional Inquiry Form

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Oppositional Defiance and Disruptive Behaviors

Parenting a child or adolescent with intense emotions, frequent defiance, or escalating behavior can be exhausting. Many parents feel like they are constantly walking a tightrope between holding boundaries and keeping the peace, and over time the home can start to feel dominated by arguments, power struggles, blow-ups, and ongoing stress. Parent Management Training (PMT) is an evidence-based approach designed to help families step out of these patterns and create more stability, predictability, and follow-through at home.

Get Started Today

Contact us today to schedule a free 15-minute consultation.

Contact Us

Outpatient Treatments Offered

Parent Management Training (PMT)

PMT is a structured, skills-based model that focuses on helping parents respond more effectively to challenging behaviors in a way that reduces escalation over time. Rather than relying on “more consequences” or trying to reason in the middle of conflict, PMT teaches parents how to reinforce cooperation, increase compliance, reduce attention to unhelpful behavior patterns, and hold boundaries with clarity and consistency. The goal is not perfection. The goal is creating a home environment where expectations are clear, parents feel confident, and kids have the structure and support they need to grow.


PMT can be especially helpful for families navigating Oppositional Defiant Disorder (ODD), chronic defiance, tantrums or emotional blow-ups, verbal or physical aggression, frequent arguing, refusal of routines, or persistent noncompliance at home or school. It is also commonly effective when challenges are compounded by ADHD, anxiety, emotional sensitivity, or neurodivergence, where a child’s behavior may be driven not only by oppositionality, but also by overwhelm, impulsivity, avoidance, or difficulty tolerating distress.


At CBTTexas, we work collaboratively with parents to build practical strategies that can actually be implemented in real life. We help families reduce conflict, increase consistency between caregivers, and develop a clear plan for responding to patterns that have become entrenched over time. The result is often a calmer home environment, fewer power struggles, and more confidence in parenting responses, even when emotions run high.

Parent Management Training (PMT) Providers

Zach Appenzeller, Licensed Psychologist and Co-Director of CBTTexas

Zach Appenzeller, PsyD

Zach Appenzeller, PsyD

Zach Appenzeller, PsyD

Co-Director & Licensed Psychologist

About Me

Natalia Levy, PhD

Zach Appenzeller, PsyD

Zach Appenzeller, PsyD

Licensed Psychologist

About Me

CBTTexas

6575 West Loop South, Suite 603, Bellaire, Texas 77401, United States

By appointment only

Our clinicians each maintain their own direct phone Line.

Copyright © 2026 CBTTexas - All Rights Reserved.

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