Which of the following statements about organ donation is true?

A. "Your child can participate in activities like riding a bike, but they should not participate in sports.": Restricting all sports unnecessarily limits the child’s physical activity and social development when cardiac function is stable after ASD repair.

B. "Your child can participate in team sports as tolerated.": After successful surgical repair and with stable cardiac function, children with repaired ASDs can generally participate in physical activity and team sports according to their tolerance, with monitoring for symptoms such as fatigue or shortness of breath.

C. "Your child cannot participate in any sports.": Complete restriction is not warranted for a child with a repaired ASD who has no residual cardiac issues, and may negatively impact overall health and psychosocial well-being.

D. "Your child can participate in only individual sports, no team sports.": Limiting participation to individual sports is unnecessary if the child has fully recovered and has no exercise restrictions, as team sports can be safely tolerated.

A. Eye Movement Desensitization and Reprocessing (EMDR): EMDR is primarily used for trauma-related disorders such as post-traumatic stress disorder. While parental stress is significant, EMDR targets unresolved traumatic memories rather than ongoing caregiver burden. It is not the most appropriate first-line intervention for caregiver stress related to chronic childhood conditions.

B. Acceptance and Commitment Therapy (ACT): ACT focuses on psychological flexibility and values-based coping and can be beneficial for chronic stress. However, evidence supporting its routine use for parental burnout in caregivers of children with autism is less established than other therapies. It is typically adjunctive rather than first-line.

C. Cognitive-Behavioral Therapy (CBT): CBT is well-supported for reducing caregiver stress, anxiety, and depression by helping parents identify and reframe maladaptive thought patterns. It provides practical coping strategies, problem-solving skills, and stress-management techniques. This approach directly targets the emotional and cognitive burden described by the parents.

D. Play Therapy and Art Therapy: These therapies are primarily designed for children to express emotions and improve communication skills. While helpful for pediatric clients, they are not intended to address parental stress or burnout. Their focus does not align with the parents’ coping needs.