Interested to know how therapy works with pre-schoolers?
In child centred therapy, the child is provided with a safe and supportive environment to join with the psychologist to explore challenging issues. Children express their concerns and needs and also learn helpful ways to manage emotions in therapeutic play.
What does the therapy room look like for young kids?
My therapy room includes different play sites for kids. In one corner you may notice a dollhouse and human figurines. In another corner you will find a sandtray with miniature figures such as animals. There is also paper based activities, social stories, puppets and soft toys, and other toys appropriate for sensory play, constructive play and pretend play. Most play sites are based on the floor or mats and the tables and chairs are child friendly.
What happens in the therapy room with young kids?
There are two rules in the therapy room; we will keep each other safe and we will take care of the toys in the room. Parents are welcome to the therapy room to observe play therapy techniques and to track their child’s progress in sessions with the psychologist.
Young kids are encouraged to bring their favourite toy to their initial session as a source of comfort and are free to explore the play room with curiosity and openness. In the therapy room, young kids will have the opportunity to learn about emotion expression and regulation, turn-taking and problem solving with play! Parent participation in session and between sessions is always encouraged. Mindful parenting strategies relating to the treatment goals can also be discussed and practiced in sessions.
What other sources of information can be helpful in the early stages of therapy?
Parents can bring copies of health professional reports or letters from educators to the initial parent appointment. It is valuable for the psychologist to gather information about the child’s developmental, medical and family history. The psychologist may also conduct a kinder observation to refine the treatment goal after initial information is collected with signed consent by the parent.
What are some reasons why parents may consider to make an appointment with a psychologist for their young child?
Who can I speak to so I can ask for a referral for my young child?
No referral is needed to see a psychologist. Please keep in mind that if you are interested in a service with Medicare rebates you will need to provide a signed referral letter from a paediatrician or G.P. Your child may be eligible for a Medicare rebate for up to 10 sessions per calendar year. Alternatively, your child can attend Hopscotch and Harmony as a private client.
Daniela Jensen, Psychologist
Child psychologists often use games in therapy with young children and teens due to their appeal to young people. Games are a fun and age-appropriate way to engage your child in an activity and provide lots of ‘accidental’ opportunities for your child to communicate their thoughts, feelings, fears and worries to you in a non-threatening and indirect way. As such, even the most fundamental games can facilitate your child’s social skills and emotional development.
While there are many games that psychologists and therapists use that are designed specifically to assist children with their symptoms of anxiety, anger, impulsivity, to name a few, it is not necessary to purchase expensive games to encourage your child to talk to you about their difficulties. Inexpensive family games such as Jenga or Snakes and Ladders can be very helpful to parents who want to help their child express their thoughts and emotions in a natural setting.
Jenga is a versatile and fun game for children of all ages. It can be easily adapted to any topic that you, as a parent, would like to talk about with your child. To make it even less obvious, you can include other family members to take part in the activity. To a child who, for example worries about sleeping in their room by themselves or not finishing their work in time, it is helpful to know that their siblings and/or parents also have their own worries.
If using Jenga, I tend to draw a different number on about half of the Jenga blocks. Before you start playing, you would need to create a list of questions or statements related to the topic you would want to explore or talk about with your child. For example, you may choose to focus on social strengths and weaknesses, difficult feelings, self-esteem or changing family circumstances. As each player takes their turn and picks up a block, you can read the corresponding numbered question (e.g. name three things you are good at for self-esteem, or I worry when if related to anxiety) or statement to your child and your child can think about their response.
Snakes and Ladders can also be used in a similar way and adapted depending on the age and needs of your child. I sometimes use a couple of small jars with a list of questions or statements in addition to the board. For younger children, you can use stepping on a ladder as a prompt to pick a paper from the ‘ladder’ jar. You can choose to divide the questions/statements in the two jars on a range of topics. These can include thoughts/feelings, positive/challenging situations or even worries/coping strategies. For older children, you can use stepping on each numbered section as a prompt to refer to a personalised and numbered list of statements that you would have created beforehand.
You may find that by modifying these games slightly, all players will have lots of opportunities to express difficult emotions or thoughts, problem solve, reinforce good behaviour and facilitate positive interactions.