Marian Camden, Psy.D., LLC  - Licensed Psychologist & Mediator
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What to Expect When Your Child Comes to Therapy

Marian Camden, Psy.D., LLC
Licensed Psychologist
7500 E. Arapahoe Road, Suite 375
Centennial, CO 80112
Phone:  720-493-4827  Fax:  303-779-8572
 
What to Expect When Your Child Comes to Therapy
 
Bringing a child in for therapy is a big decision for most parents,  This handout answers basic questions about child therapy and provides an overview of how I work with children and their families.  We will certainly be talking more as our work together progresses.
 
The first meeting:
I usually meet with a young child’s parents first, for discussion of the issues, back ground information about your child, and mutual questions and answers.  Your child will come in for the second session in most cases.  Older children and adolescents often join their parents for the first meeting. 
 
Collecting Information:
I gather information about your child first and foremost from you, because you know your child best.  In addition to our meeting, I will give you a child history form to complete at home and return to me at the next appointment.  I invite both parents to participate as much as possible.  Often, the teacher, pediatrician, CFI, or other professional has important information to share.  I will obtain your written permission before consulting with any other professional about your child.
 
Introducing your child to therapy:
You might tell your child he or she will be meeting with a psychologist or therapist who likes to talk and play with children and help them feel better about any worries or problems they have.  There will be toys, books, games, and at supplies in the therapist’s office. Let them know I am a “talking doctor” and will not give them shots!  Therapy should never be presented as a punishment for some kind of displeasing behavior.  Instead, I encourage you and your child to think of therapy as a chance to talk, learn, have fun, feel better, and often do better in the world.  In the first session with young children, I sometimes read a book with them about play therapy, to help them understand what to expect in our time together.  You might enjoy reading the book, too.

Your child’s first session: 
Children vary in their first response to meeting a new therapist.  Some children separate easily from their parents in the waiting room, while others need the security of having a parent join them for some or all of the first session or two.  We will do whatever helps your child feel most comfortable.                                                                                    
 
What happens in your child’s therapy sessions:
 
I employ a number of approaches in child therapy, depending on your child’s age, needs, temperament, and life situation.  I often engage children in semi-structured play therapy.  In my office I have a number of toys, games, dolls, and art activities that provide your child with opportunities to express his or her feelings as well as the situations and relationships (real or symbolic) they connect to their feelings.  Sometimes I offer children verbal interpretation of their play for discussion, and sometimes I simply allow them to resolve their feelings as we interact symbolically in the play process.  Young children don’t usually come in and talk directly about their issues as the adults do.  However, I will help your child find words for thoughts and feelings, because language gives all of us more clarity and power about our lives.  I will often problem solve with a child as well about how to handle a problem or feeling.  Sometimes parents join their children in the room for discussion or play when I think it would be beneficial.
 
Your child is likely to do art projects, play games, and even be silly in therapy.  Parents wonder if this is “really therapy” or if it is “really helping.”
A lot of what helps and heals in therapy, both with children and adults, is the therapy relationship itself.  Because children don’t naturally spend a lot of time talking about their problems, playing and having fun together helps build a trusting and safe relationship between child and therapist.  New neuropsychological research suggests that physical activity while processing feelings and thoughts helps keep the brain active and alert to new processing in ways that simply sitting still do not.  Techniques that activate the brain and body in this way are increasingly used in adult therapy as well.    Activities also simply give children something to do with their hands so that talking directly about issues and concerns does not feel too intimidating or uncomfortable for them.  Older children and teens may engage in more straightforward discussion of their issues.  There is no one right way that therapy should happen.  Every person is unique and so is every client-therapist relationship.            

                                               
How we communicate about your child:
Therapist and parents working together is important.  We will usually have meetings periodically to talk about your child’s progress, your observations and mine, and continuing concerns we have.  I may ask for such a meeting and you are also welcome to request one any time.  I say more to parents about the content of actual therapy sessions with young children than with older children and adolescents, because privacy and confidentiality become increasingly important to children as develop. 
 
You can always tell me anything you think I should know:  either in a meeting, in a brief voicemail message, a note, or a fax.  I try not to get into discussions with parents before or after therapy sessions because we don’t want children to feel we are talking behind their backs.  My schedule also does not permit me to talk with parents on the phone at length, beyond scheduling issues, unless we make a specific telephone appointment. 
 
I feel privileged to work with your child and to earn your trust.  I would like you and your child to be as comfortable, informed, and involved as possible.  You can also support your child in therapy by keeping appointments regularly, arriving for appointments on time, letting me know your questions and concerns, keeping your account up to date, and following through with your child on any therapy homework or parenting/family experiments we agree to try.                                                                                                                                                             
 
Thank you, and I look forward to working with you and your child!


This blog is copyright 2011 by Marian Camden, Psy.D., LLC. All Rights Reserved.
                                               

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