Latest / Play Therapy Podcast: A Master-Class in Child-Centered Play Therapy / 425 | How to Coach Parents Through Severe Power Struggles
Transcript
- 0:00You're listening to the Play Therapy Podcast with Dr. Brenna Hicks,
- 0:04your source for centered and focused play therapy coaching.
- 0:08Hi,
- 0:08I'm Dr. Brenna Hicks,
- 0:09The Kid Counselor.
- 0:10This is the Play Therapy Podcast where you get
- 0:12a master class in child-centered play therapy
- 0:15and practical support and application for your
- 0:17work with children and their families.
- 0:19In today's episode,
- 0:20we are talking about
- 0:23how to help parents.
- 0:25With a child who has taken over the home.
- 0:30So,
- 0:30kind of an interesting spin because this is actually from a therapist,
- 0:34but
- 0:35a therapist asking about how to support parents and educate parents about
- 0:39some issues that they're having in the home with
- 0:42the child and the behavior and things like that.
- 0:44So,
- 0:45this is from Allison in the UK
- 0:47and hello to all of those on the other side of the pond.
- 0:50Appreciate you all listening.
- 0:52And this is about a kid that is 10 years old with autism and ADHD.
- 0:58And
- 0:59the difficulty of navigating behaviors in the home
- 1:03from the therapeutic support standpoint.
- 1:06So,
- 1:06excited about that.
- 1:07Allison,
- 1:07thank you for the email.
- 1:09Before I answer that,
- 1:10I want to share a couple of things.
- 1:12There are only a couple of weeks left before the Indiana event.
- 1:15For those of you that have already registered,
- 1:16I cannot wait to see you at the end of the month.
- 1:20But for those of you that have been thinking about it or trying to make plans,
- 1:23know that you're running short on time.
- 1:25There's about 2 weeks left before registration closes.
- 1:28So make sure that you get
- 1:30registered if you want to come.
- 1:32We're gonna have all kinds of cool things that weekend,
- 1:34so looking forward to that.
- 1:35And also,
- 1:36hey,
- 1:36I've been made aware a couple of times
- 1:39over the last couple of weeks.
- 1:41People that have ordered the Parent Companion for Play Therapy book,
- 1:44every single order,
- 1:45whether you got an author copy or whether you've ordered a bulk
- 1:48order.
- 1:49Every single order we've sent out has had a half sheet of paper
- 1:53that I personally hand signed.
- 1:56And
- 1:57a lot of people have been like,
- 1:58oh,
- 1:58I just threw that away.
- 1:59I'm like,
- 1:59really y'all?
- 2:00Anyway,
- 2:01I spent time signing those things.
- 2:02I'm just kidding.
- 2:03I don't care.
- 2:03But
- 2:04that that paper is important,
- 2:06not because it has my name on it,
- 2:08because there's a QR code on that half sheet of paper.
- 2:11So it is inserted in the individual copies that you ordered
- 2:15or it's sitting on the top of the bulk orders,
- 2:17OK?
- 2:17So y'all need to be on the lookout for
- 2:20a half sheet of paper.
- 2:21Hopefully you did not throw it away.
- 2:23It has a QR code and what that does is it gives you an entire
- 2:28therapist guide for implementing this in your practice.
- 2:32So,
- 2:32a lot of people have been telling me that they've ordered the book
- 2:35and
- 2:35they're like,
- 2:36yeah,
- 2:36and I've been doing this and this and this.
- 2:37And I'm like,
- 2:38well,
- 2:38I wonder if you've used the implementation guide.
- 2:40And they're like,
- 2:40what are you talking about?
- 2:42So,
- 2:42I'm trying to just get the word out.
- 2:44If you did not.
- 2:46Just keep that paper and you can't scan the QR code.
- 2:49It'll be in the show notes,
- 2:50but go to parentcompanionforplaytherapy.com/integrating
- 2:55Meaning integrating this into your practice.
- 2:59And I know,
- 2:59not my favorite word,
- 3:00but it is what it is.
- 3:02So,
- 3:03we are trying to give you
- 3:05kind of a 5 week by 5 week plan
- 3:09of how you help parents know what's happening at any given moment.
- 3:13And so if you use that guide,
- 3:15it will help you structure your PCs,
- 3:18your parent consult,
- 3:19sorry,
- 3:20so that
- 3:21you're saying,
- 3:22OK,
- 3:22before we meet for our first 5-week consult,
- 3:24please read chapters 1 and 2.
- 3:27Before we meet for our 10 week consult,
- 3:29please read chapters 4 and 8.
- 3:31And it will give you some structure
- 3:34and some knowledge about what to share and why and
- 3:37what parents should be reading when and why in the process
- 3:40to follow you through the stages and phases of therapy.
- 3:45So,
- 3:45I wanted to make sure y'all are aware because I,
- 3:47I thought that the half piece of paper was gonna be enough,
- 3:50but 7 plus or minus 2,
- 3:52I get it.
- 3:52Shame on me.
- 3:54So,
- 3:54I'm letting y'all know there is a guide that will help you use this with your parents
- 3:59and take advantage of that,
- 4:01please,
- 4:01because it's pretty comprehensive
- 4:03and it will take the guesswork out of using the book in your practices.
- 4:08So,
- 4:08parentcompanionforplaytherraapy.com/integrating or scan the QR
- 4:12code on the half sheet of paper.
- 4:14OK.
- 4:15So,
- 4:16now,
- 4:16here we go.
- 4:16Back to Allison's question.
- 4:18So let me read parts of this and then we'll dive in together.
- 4:21I have a 10 year old child with ASD and ADHD.
- 4:24There are no limits or boundaries in the home.
- 4:27Due to the child's significant weight gain and peer comments,
- 4:29confidence and self-esteem needs support.
- 4:32It's how to approach this,
- 4:33given his current mood and resistance to engage.
- 4:36The child completely controls the home environment
- 4:38and his parents with constant demands,
- 4:41talking over other adults if mom and dad are in conversation,
- 4:44repetitive requests,
- 4:46calling the dad's name over and over for a response.
- 4:48They're in a vicious circle of catering to all his demands
- 4:52because when he does not get his way,
- 4:53he wrecks the home setting or car.
- 4:56Due to how long this pattern has been continuing,
- 4:58it will be a long process to unpick this pattern and set limits.
- 5:02Do you have any advice on how parents could approach this in a gradual way
- 5:06and what to say or do when he begins to wreck things within the house?
- 5:10OK.
- 5:11So,
- 5:12there's gonna be a lot of components here.
- 5:14So,
- 5:14we'll,
- 5:14we'll try to tackle them one at a time.
- 5:16First and foremost,
- 5:17we have to recognize what's at the heart of this kind of behavior.
- 5:21And
- 5:22I'm sure a lot of you all are yelling at me,
- 5:24power and control.
- 5:25OK.
- 5:26So,
- 5:26we understand
- 5:28this is power and control motivated.
- 5:29Why?
- 5:30Because this child probably feels that he has little to no control over anything.
- 5:35In his life,
- 5:36in his daily function.
- 5:38So,
- 5:38where am I going to grasp at power and control?
- 5:41Anywhere that I can.
- 5:43So,
- 5:43this is understandable.
- 5:44This makes sense.
- 5:45We're going to have
- 5:46a pretty clear
- 5:48understanding of where
- 5:50this is all rooted.
- 5:52Once we understand that,
- 5:53it helps parents know,
- 5:55first of all,
- 5:55what's going on.
- 5:57Second of all,
- 5:57how to
- 5:58adjust and respond accordingly.
- 6:01Also,
- 6:02there are no limits or boundaries in the home is what you said,
- 6:05Allison.
- 6:05So that leads me to believe that
- 6:08this is parents' lack
- 6:11of consistency and follow through.
- 6:14As well as child's need for power and control.
- 6:16So this is not just the child,
- 6:18this is the parent's
- 6:20inability historically
- 6:22to be clear and consistent with boundaries.
- 6:24So this is a both and.
- 6:27We need to understand where this is coming from with mom and dad.
- 6:29We also need to understand where this is coming from with
- 6:32child.
- 6:33Once we understand the backstory on both sides of this,
- 6:37then we're able to
- 6:38help them
- 6:40kind of
- 6:41change the the direction.
- 6:43When you have a child that is used
- 6:45to constantly controlling everything like you're describing here,
- 6:49Alison.
- 6:50We know that it is going to be slow.
- 6:52One of the questions that we ask parents
- 6:54is,
- 6:54I wonder how long it's taken you to get here.
- 6:57So this kid's 10.
- 6:58How long has this kid been ruling the roost at home?
- 7:023 years,
- 7:025 years
- 7:03since he was born,
- 7:05whatever the number is.
- 7:07That is a really helpful juxtaposition for helping a parent
- 7:11know that it's not going to get fixed overnight.
- 7:13So I wonder how long it's taken you to get here.
- 7:15Oh gosh,
- 7:16it's been like this for like 3 years.
- 7:18OK,
- 7:19so it's gonna take us a while to
- 7:21change this.
- 7:22We have to be very clear and set realistic expectations
- 7:27for
- 7:28parents'
- 7:29awareness of the process here
- 7:32because if they think that think this can be fixed in like a month.
- 7:35Then
- 7:37everyone's setting up
- 7:38to fail.
- 7:39We have to be very clear on that.
- 7:42Second of all,
- 7:43we have to help a parent understand that with an autistic child,
- 7:48They need to look at their child through a totally different lens.
- 7:53There
- 7:55is a totally different scenario,
- 7:57parenting a neurodivergent child.
- 8:00And often what happens is,
- 8:03the relationship gets fractured.
- 8:06Because
- 8:06the child is not neurotypical
- 8:09and neurotypical parents
- 8:11don't understand a neurodivergent child.
- 8:14And so what happens over time
- 8:17is there's frustration,
- 8:18there's bitterness,
- 8:19there's resentment,
- 8:20there's irritation,
- 8:22there's misunderstanding,
- 8:23there's miscommunication.
- 8:25There's all kinds of things,
- 8:26and it starts to seep in
- 8:28and
- 8:29the parents no longer unconditionally accept the child.
- 8:33They no longer unconditionally love the child.
- 8:36And
- 8:37I don't have time to get into all of the parenting strategies for neurodivergence,
- 8:42but
- 8:43what I think is really helpful,
- 8:44Allison,
- 8:44is for you to help a parent understand
- 8:47it all starts with relationship.
- 8:51So if they do nothing else for a while.
- 8:54The priority
- 8:55is not to teach them skills.
- 8:58It's to give them
- 9:00tips
- 9:01and tricks
- 9:02for how to pour into a relationship with their son.
- 9:07Are they spending 30 minutes a week,
- 9:09each of them uninterrupted,
- 9:12where
- 9:12he gets to decide what they do and they just spend
- 9:15time with him doing whatever he wants for 30 minutes?
- 9:19Are they
- 9:20working on focusing on the doughnut,
- 9:22not the hole?
- 9:24Are they working on giving 32nd bursts of attention?
- 9:28Are they working on unconditional acceptance and having empathy for their child?
- 9:33Are they working on trying to understand what he loves and what his interests are
- 9:37and meet him in those hobbies and in those passions?
- 9:42When you have a neurodivergent child.
- 9:45Parents have to be equipped to interact differently.
- 9:50So I would absolutely start there because
- 9:52kids behave in more self-enhancing ways
- 9:55when they are unconditionally loved and accepted within a secure relationship.
- 9:59I suspect these relationships are pretty fractured right now.
- 10:03So that's going to be the priority.
- 10:06And with the constant demands
- 10:08and wanting to control everything,
- 10:11once they know
- 10:12how it's rooted,
- 10:13it gives them some insight and perspective,
- 10:15which is always helpful.
- 10:17And
- 10:18they can give choices.
- 10:21They can set limits.
- 10:23But
- 10:24if they continue to give him time,
- 10:26if they continue to pour into him,
- 10:28it,
- 10:28it may automatically diffuse the intensity of his need to control things.
- 10:32If they give him choices consistently and he feels that
- 10:35he has a sense of control and power over life,
- 10:38it may diffuse the intensity of the need to fight for it all the time.
- 10:42So we're not even necessarily talking about how to address the fact
- 10:45that he will call Dad's name over and over and over again
- 10:48because he wants to be acknowledged.
- 10:51That is
- 10:52byproduct of root issue.
- 10:55So let's go back to root issue because we hate putting band-aids over gaping wounds.
- 11:00So we're not going to just say,
- 11:02oh well,
- 11:02we'll just get him to stop calling his dad's name over and over again.
- 11:06No,
- 11:06let's get to the heart of this.
- 11:08The child needs to feel that he has a measure of power and control.
- 11:10The child needs to feel unconditionally loved and accepted.
- 11:13Parents need to pour into a relationship with the child.
- 11:16Parents need to spend time with the child in positive,
- 11:19enhancing ways.
- 11:22Those are the precursors for making sure that behavior begins to change
- 11:27because obviously he's working with you,
- 11:28Alison,
- 11:29so he's going to be doing his work in the playroom.
- 11:32Parents need to start doing their work at home.
- 11:35And
- 11:36you know,
- 11:37when he doesn't get his way,
- 11:38he wrecks the home or the car,
- 11:39of course,
- 11:40because he's learned
- 11:41if I up the ante,
- 11:43if I escalate,
- 11:44if I make everything worse,
- 11:45eventually everyone's going to give in.
- 11:48So this is a conditioned pattern.
- 11:50They have given in.
- 11:51They've given in,
- 11:52they've given in,
- 11:53they've given in,
- 11:53and now he's like,
- 11:55oh well,
- 11:55you haven't given in to that yet.
- 11:56OK,
- 11:56well,
- 11:57I'm just going to make it a little worse,
- 11:58then you'll give in.
- 11:59It's a conditioned pattern
- 12:01that they have
- 12:03made very clear is the pattern.
- 12:06So once we get to a point where we're going to talk about limits,
- 12:10I,
- 12:10I would not even talk about limits for a very long time,
- 12:12Alison.
- 12:13I know that's what parents are begging for,
- 12:15but that's not what they need.
- 12:16They need all the stuff we've already talked about first.
- 12:19But way down the road a ways,
- 12:22then you can bring up the idea of limits,
- 12:25and then you're going to say,
- 12:26you make it very clear
- 12:28that they stay neutral and calm,
- 12:30they are consistent.
- 12:32And they enforce
- 12:34the consequence of the choice.
- 12:36So,
- 12:37you can choose for me to answer you when I'm done having this conversation,
- 12:41or you can choose for me to answer you in one minute.
- 12:44Which do you choose?
- 12:46OK.
- 12:47So,
- 12:48now,
- 12:49we've made it very clear there are two choices
- 12:52because the first part of that limit would be you
- 12:53really want me to talk to you right now,
- 12:56but I'm speaking with someone else right now.
- 12:58OK,
- 12:59that would be the A and the C,
- 13:00and then the T are the choices.
- 13:01OK.
- 13:02So,
- 13:02when the child starts to
- 13:04get really disregulated,
- 13:06get really angry,
- 13:07want power and control,
- 13:08it's all predicated on the work that's already
- 13:12been put into place.
- 13:14All the investment they've already made.
- 13:17That will be
- 13:18at the foundation of this,
- 13:20and then we move to ultimate limits if we have to.
- 13:24You would really like me to talk to you,
- 13:27but I'm talking to someone else.
- 13:28Then you move to if then choices.
- 13:31If you choose to start throwing things,
- 13:33you choose for me not to talk to you at all.
- 13:36If you choose to remain calm until I'm done,
- 13:39you choose for me to talk to you.
- 13:40Which do you choose?
- 13:43And what we're doing is making it clear,
- 13:46I will no longer tolerate this behavior.
- 13:48Your feelings are always valid,
- 13:50but I will no longer tolerate this behavior.
- 13:53And when things start to escalate,
- 13:54then you move to a limit on the escalating behavior.
- 13:58But what the child needs to learn is this is no longer going to serve me.
- 14:03This is no longer going to meet my needs.
- 14:06It used to be that I got what I wanted because
- 14:08I could control everything and that they would give in.
- 14:11They're not giving in anymore.
- 14:12And guess what?
- 14:13You need to pep talk them,
- 14:14Alison.
- 14:15You need to kind of prepare them
- 14:18because when a parent finally decides they're going to put up boundaries,
- 14:22they need to be prepared for the battle.
- 14:25This kid isn't going to like it one bit.
- 14:27This kid's going to fight tooth and nail.
- 14:28This kid's going to ramp everything up
- 14:31to the nth degree.
- 14:33Because
- 14:33all of a sudden this is not working anymore,
- 14:36he's going to lose it.
- 14:38Parents need to be prepared for that.
- 14:39They need to have some stalwart
- 14:42commitment here.
- 14:44I'm not going to give in,
- 14:45outwit,
- 14:46outlast,
- 14:46outplay.
- 14:47You don't let the child win.
- 14:50I will stick this out.
- 14:52I will wait it out.
- 14:54I will outlast you.
- 14:56I am the adult and I will not cave.
- 14:59That has to be the mentality.
- 15:01Because one of them's going to cave.
- 15:04Let's be real,
- 15:05in a power struggle,
- 15:06someone always gives in.
- 15:08It can't be the parents.
- 15:10So you're going to have to help them understand that.
- 15:12But again,
- 15:12Alison,
- 15:13I'm talking way in the future,
- 15:14we would be having those kinds of conversations.
- 15:17We start with all the things that we've already discussed,
- 15:19the simple,
- 15:20easy,
- 15:21philosophical
- 15:22things
- 15:23that are at the heart of CCPT.
- 15:26Because
- 15:27if that's missed,
- 15:28if we jump straight to the skill,
- 15:30this is one of the things that we struggle with as CCPTs.
- 15:33We want to teach skills.
- 15:35And unfortunately,
- 15:36what that means is it sets parents up to fail because
- 15:39they can't execute CCPT skills.
- 15:42Second of all,
- 15:43they completely miss the why.
- 15:45That's what I'm going to talk about in Indiana and New Jersey.
- 15:48What's the why behind the skills?
- 15:50Because you can teach a parent to reflect a child's feelings,
- 15:53but if they don't understand
- 15:55the tenet
- 15:56and the foundation behind reflecting feelings,
- 16:00the spirit of CCPT is lost.
- 16:02You can teach a parent to give choices,
- 16:05and if they don't say it neutrally,
- 16:06the spirit is lost.
- 16:08You can teach a parent a limit set,
- 16:10how to set a limit,
- 16:11and if they say it with anger or with aggression or with threat.
- 16:15It flies in the face of CCPT.
- 16:18So,
- 16:19this isn't about teaching skills.
- 16:20This is about helping a parent understand
- 16:23to relate to their child differently.
- 16:26That changes everything.
- 16:28So,
- 16:28Allison,
- 16:29thank you so much for this question.
- 16:30I think this was really helpful and this is something that we do as a CCPT.
- 16:35We
- 16:35help parents,
- 16:36we support parents,
- 16:37we encourage parents,
- 16:39but it's not with CCPT skills.
- 16:42It's helping them see their child differently
- 16:45that starts the change.
- 16:46So I greatly appreciate the email.
- 16:48If you all want to reach out to me,
- 16:49please do.
- 16:50Brenna at the kidcounselor.com.
- 16:51I love y'all.
- 16:52We'll talk again soon.
- 16:53Bye.
- 16:54Thank you for listening to the Play Therapy Podcast with Dr. Brenna Hicks.
- 16:58For more episodes and resources,
- 17:00please go to www.playtherapypodcast.com.