Latest / Play Therapy Parenting: Real Parenting Questions Answered by a Child Therapist / S2E37 - When Kids Want to Quit Play Therapy: What Parents Need to Know
Transcript
- 0:02You're listening to the
- 0:03Play Therapy Parenting Podcast with Dr. Brenna Hicks.
- 0:09Hi,
- 0:10I'm Dr. Brenna Hicks,
- 0:11The Kid Counselor.
- 0:12This is the Play Therapy Parenting Podcast where I give you
- 0:15insight,
- 0:16awareness,
- 0:16and enlightenment about your parenting and your relationship with your kids.
- 0:20In today's episode,
- 0:21I'm answering a question from Sabrina.
- 0:25And Sabrina is asking about her daughter being in play therapy
- 0:30and the process that has unfolded and some questions about it.
- 0:34I know many of you are currently working with play therapists,
- 0:38and I'm so happy about that.
- 0:39And so I wanted to address this.
- 0:42Sabrina,
- 0:42thank you so much for the question.
- 0:44So let me read parts of her email and then we'll dive in together.
- 0:48My 10 year old daughter was going to therapy for less than a month.
- 0:51She suddenly said she didn't want to go anymore,
- 0:53but she would rather do journaling or the like with me.
- 0:56I'm open to it,
- 0:58but I'm unsure how to do this.
- 0:59Listening to the episode on play therapy at home,
- 1:02I find it hard to play because I don't know if I'm going
- 1:05to get her to open up as she would in a therapy session
- 1:08or see changes with just playing.
- 1:10I've tried to encourage and remind about the time we allotted,
- 1:14but it doesn't happen.
- 1:15Will play really bring the results that I'm seeking?
- 1:17Can you share your thoughts?
- 1:19Sabrina,
- 1:20this is a really helpful question,
- 1:21so I'm really glad that you reached out.
- 1:22So thank you.
- 1:23OK.
- 1:24So there's so many layers here.
- 1:26So we're going to dive in and unpack them one at a time.
- 1:29So let's start with the
- 1:31main question that you're having is,
- 1:33will play really bring the results that you're seeking?
- 1:36So,
- 1:37in the grand scheme of things,
- 1:38the answer is yes,
- 1:39but there are caveats.
- 1:41So essentially
- 1:43we do know that children work through everything that they need to
- 1:47through their play.
- 1:48So yes,
- 1:49the,
- 1:49the grand scheme answer is kids will work through stuff through their play.
- 1:53However,
- 1:55the missing component of a child playing
- 1:58and not having other requirements
- 2:00are the special relationship and the special environment.
- 2:04So does your daughter have a special relationship with you?
- 2:08Yes.
- 2:09Can you create a special environment
- 2:11in which she can
- 2:13heal and sort through her things and process things?
- 2:15Yes,
- 2:17we call this the time,
- 2:18the tools,
- 2:18and the opportunity.
- 2:20So there has to be consistent time,
- 2:22there has to be tools which are
- 2:24the playroom and the toys inside
- 2:27and the opportunity created by the relationship.
- 2:30So yes,
- 2:30it's possible.
- 2:32Without you being fully adherent and without you
- 2:36really deeply understanding the skills and the principles
- 2:40and interacting with her in therapeutic ways,
- 2:43you will probably not get the results that you're seeking.
- 2:46Now there is a filial program,
- 2:48fancy word for family play therapy.
- 2:51Which teaches parents
- 2:52to use all of the skills and do play sessions at home.
- 2:55That's called child parent relationship training.
- 2:59Parents that complete that
- 3:01and do play sessions at home,
- 3:03there is success and they do see the results that they were hoping for,
- 3:06but that's a 10 week parent training program
- 3:09versus just
- 3:10sitting down and playing.
- 3:12So I wanna be really clear.
- 3:14Does play heal?
- 3:15Does play help?
- 3:16Does play have significance for children?
- 3:19Absolutely.
- 3:20But
- 3:21there are components that are required as well.
- 3:24So they need to have the relationship,
- 3:26they need to have the environment,
- 3:27the time,
- 3:28the tools,
- 3:28and the opportunity.
- 3:29OK,
- 3:30so Sabrina,
- 3:30you said that your 10 year old daughter was going to therapy for less than a month.
- 3:34All right.
- 3:35I'm not sure if you were
- 3:37given the phases before you started play therapy,
- 3:40but one of the things that we talk about a lot with parents.
- 3:43Is that there are 4 phases of treatment.
- 3:46The first is initiation and warm up.
- 3:49We're essentially building rapport,
- 3:51relationship,
- 3:51bond,
- 3:52trust,
- 3:53all those things.
- 3:54We're a stranger to your child when they first come to us.
- 3:57So it typically takes 4 to 5 weeks
- 4:00before the child knows what to expect,
- 4:02feels comfortable with us,
- 4:04has built a relationship with us,
- 4:06feels connected enough that they can start the process.
- 4:09However,
- 4:09I'm hopeful that you were told that the second phase is resistance.
- 4:14So for those of you that are actively working with a
- 4:16play therapist or you're considering play therapy for your child,
- 4:20which
- 4:20most helpful thing you could do if your child is under 12,
- 4:23by the way.
- 4:24But
- 4:25here's what I need you to know just in case this was missed or not communicated.
- 4:30The second phase is resistance,
- 4:32and resistance is
- 4:34universal across all age ranges.
- 4:36This is not just unique to children.
- 4:38Adults do it too in therapy.
- 4:41We say,
- 4:42I don't wanna do this.
- 4:43This is too hard,
- 4:44this is too much.
- 4:45This is too difficult,
- 4:47this is too deep.
- 4:48This is too scary,
- 4:49this is too overwhelming.
- 4:50I hate these feelings.
- 4:51I hate having to go through this.
- 4:52I'd rather just avoid it altogether.
- 4:54We all do this
- 4:56when we're in therapy.
- 4:58So,
- 4:59Sabrina,
- 5:00it sounds very much so like your daughter hit resistance
- 5:04and says,
- 5:05I don't want to go anymore because it seemed too much.
- 5:08This is a normal,
- 5:09natural,
- 5:11appropriate part of the process.
- 5:13And when we think about phases,
- 5:15so we have initiation,
- 5:16then we have resistance.
- 5:18Resistance is the gateway.
- 5:21Resistance is something that we have to overcome.
- 5:24And once we realize
- 5:26I'm strong enough,
- 5:27I'm brave enough,
- 5:28I'm capable enough I can face this I trust myself.
- 5:32I know that I need to do this,
- 5:34all of those things.
- 5:35It's a wrestling.
- 5:36It's an internal battle that goes on.
- 5:38And once the child says,
- 5:40OK,
- 5:40yes,
- 5:41I can handle this.
- 5:43Then
- 5:44that's when they dive into the 3rd phase,
- 5:46which is work.
- 5:47And this is where the bigger changes start to take place.
- 5:52So Sabrina,
- 5:53it sounds as though your daughter hit resistance pretty hard after the 4th week,
- 5:57which is very closely aligned to the standard.
- 6:01So it's usually 4 to 5 weeks for initiation
- 6:04and then resistance hits.
- 6:06So when she says she doesn't want to go,
- 6:08she'd rather do journaling with you or just hang out with you.
- 6:11That's safe.
- 6:12That's easy.
- 6:13That is avoiding,
- 6:15and it's an escape
- 6:17from facing what she needs to face.
- 6:19Kids know what they need to work on.
- 6:21But it's hard and it's scary and it's too much sometimes.
- 6:25So she says,
- 6:26I don't want to do this
- 6:28and
- 6:29by
- 6:30her saying I don't want to go to therapy anymore,
- 6:33she is avoiding
- 6:35the work that she needs to do.
- 6:36Now,
- 6:36I'm going out on a limb here,
- 6:37Sabrina,
- 6:37you did not share this with me.
- 6:40But I've worked with kids for 20 years and I know patterns and I know how things go.
- 6:45My gut tells me she's a highly anxious child.
- 6:48And so when you have high levels of anxiety,
- 6:51you try to control what you have control over
- 6:54so she doesn't have control over her anxiety,
- 6:57she doesn't have control over her feelings,
- 6:59she doesn't have control over the circumstances,
- 7:01but she can control
- 7:03not
- 7:04making everything worse in her mind.
- 7:06So no,
- 7:07I'm just not gonna do this therapy thing.
- 7:10High levels of anxiety almost always have high levels of resistance.
- 7:14So when a child just says,
- 7:16no,
- 7:16I'm not doing this.
- 7:17I'm never coming back.
- 7:18I'm not getting out of the car.
- 7:19I'm not going in there.
- 7:20I will not play.
- 7:21I will not talk,
- 7:22I will not do anything.
- 7:24It's a grasp at control
- 7:26because control
- 7:28is the mitigation of anxiety.
- 7:31Anxiety makes you feel powerless.
- 7:33Taking control where you can makes you feel that you have some power.
- 7:37So Sabrina,
- 7:38it sounds as though
- 7:39I,
- 7:39I suspect she was highly anxious.
- 7:41She used her control to say,
- 7:44I don't want to do this anymore,
- 7:45but here's what we need to know as parents.
- 7:47This is really important.
- 7:48If you all are considering play therapy or you're actively in
- 7:51play therapy and or if you have a highly anxious child,
- 7:54this is really important.
- 7:56What happens is when we have highly anxious people in our lives,
- 8:00specifically children.
- 8:02The entire family structure starts to bend
- 8:05to the anxiety.
- 8:07We learn to concede,
- 8:09we learn to give in,
- 8:10we learn to not fight certain battles,
- 8:12we learn to walk on eggshells,
- 8:14we learn to tiptoe.
- 8:16And all we want is for the big feelings and the high
- 8:19levels of anxiety to go away cause it makes everything easier.
- 8:22So what we end up doing is,
- 8:24OK,
- 8:24OK,
- 8:25OK,
- 8:25that's fine.
- 8:26Because forcing her to go
- 8:28would cause upheaval,
- 8:30forcing her to go would cause a meltdown.
- 8:32Forcing her to go would cause an hour-long fight.
- 8:36So we learn
- 8:37to acquiesce and just say,
- 8:39OK,
- 8:39OK,
- 8:39OK,
- 8:39that's fine.
- 8:41And
- 8:42with good intentions and
- 8:44for preservation of sanity,
- 8:46I completely understand.
- 8:48But here's what happens when we do that.
- 8:49When you have a highly anxious kid,
- 8:51a big feeling kid,
- 8:52avoiding doing something that's scary.
- 8:55By saying,
- 8:56OK,
- 8:56you don't have to do that.
- 8:58We are reinforcing the anxiety.
- 9:01We are reinforcing the power grab.
- 9:04And we are communicating to children
- 9:06that they don't have to face the things that are overwhelming to them.
- 9:10They develop learned helplessness.
- 9:13They developed no sense of their own problem
- 9:15solving and their own capacity to address things.
- 9:20And
- 9:21we actually become complicit
- 9:23in the idea of
- 9:26fight or flight.
- 9:28So,
- 9:29Sabrina,
- 9:30the most helpful thing that you can do.
- 9:33Is to get her back in therapy.
- 9:35Because
- 9:36allowing her to avoid it,
- 9:38allowing her to resist it,
- 9:40and just,
- 9:41she doesn't have to go anymore.
- 9:43You can see how that reinforces when something feels too big,
- 9:47too scary,
- 9:47too overwhelming,
- 9:48just run the other way.
- 9:50And that's not coping,
- 9:51it's not resilience,
- 9:53it's not problem solving,
- 9:54it's not trusting herself.
- 9:56It,
- 9:56it's so many things that we need as adults we to be functional adults,
- 10:01we need to know that we can face difficult things.
- 10:04We need to know that we have the capacity to handle
- 10:07situations.
- 10:08We need to know that we can problem solve.
- 10:10We need to know that we can trust ourselves.
- 10:12We need to believe in our coping skills.
- 10:14There are so many lifelong lessons that are
- 10:16learned when kids have to face their stuff.
- 10:19And so,
- 10:20Sabrina,
- 10:20I really appreciate the question.
- 10:22I think this is helpful for so many people
- 10:24and
- 10:25we really just have to
- 10:28reflect feelings.
- 10:30And set neutral limits.
- 10:31So here's what that would look like.
- 10:33You really don't want to go to therapy,
- 10:36but we have
- 10:37weekly appointments on Tuesdays at 4.
- 10:40You can choose what you do when we're there,
- 10:43but we're going to the appointment.
- 10:46So when you get there,
- 10:47if she chooses not to go back to the playroom,
- 10:49if she chooses to sit in the lobby,
- 10:50if she chooses not to speak,
- 10:52if she chooses to cry,
- 10:53if she chooses to throw herself on the floor and kick and scream,
- 10:57whatever it is,
- 10:59she is ultimately in control of what happens at play therapy,
- 11:04but
- 11:04going
- 11:05is a necessity.
- 11:07In other words,
- 11:08that's not part of the choice.
- 11:09It's not you can choose to go or you can choose not to go.
- 11:12It's we're going.
- 11:14But you can choose to play or not to play when we get there.
- 11:17You can choose to talk or not to talk when we get there.
- 11:20So it shifts to a neutral limit,
- 11:22but she needs to feel heard and validated.
- 11:25It's scary
- 11:26to go and
- 11:27and do stuff that is new.
- 11:30It feels like it's a lot
- 11:32to go and play with this person every week.
- 11:35You're not sure if you like this.
- 11:37You're upset about going.
- 11:39You feel unsure.
- 11:41Etc.
- 11:42etc.
- 11:42She needs to be validated,
- 11:44but then neutral limit is we have appointments scheduled on Tuesdays at 4
- 11:50and that becomes the non-negotiable.
- 11:53So Sabrina,
- 11:54I hope that's helpful to you and everyone else.
- 11:55Thank you so much for the question.
- 11:58If you all would like to reach out to me,
- 11:59I'd love to hear from you,
- 12:00brenna@thekidcounselor.com.
- 12:02By the way,
- 12:03I don't mention this often,
- 12:04but I know there are new podcast listeners all the time.
- 12:06So first of all,
- 12:07welcome.
- 12:08So glad that you're here.
- 12:10Season 2
- 12:11is about almost 40 episodes in,
- 12:14so if you are a new listener and you've been listening to season 2,
- 12:17we did a little bit of a primer refresher at the beginning of season 2,
- 12:21and we've been answering a lot of questions,
- 12:23but
- 12:24season one has more than 100 episodes
- 12:27of all things play therapy,
- 12:30child-centered play therapy,
- 12:31parenting approaches,
- 12:32tips,
- 12:33strategies,
- 12:33tricks.
- 12:34So if you would like to go back and listen to season one,
- 12:37there's a wealth of information there.
- 12:39You can just search for episodes and topics,
- 12:42and then you're able to pinpoint specific
- 12:44things that have been addressed and discussed.
- 12:46So if you're struggling
- 12:47and you're wondering if there's a podcast episode,
- 12:49there likely is.
- 12:51So just search what you're curious about and see if in season 1 or season 2,
- 12:55there will be an episode for you.
- 12:57All right,
- 12:57I appreciate you all so much.
- 12:59Thank you for hanging out with me each week.
- 13:00We'll talk again soon.
- 13:02Bye.
- 13:02Thank you for listening to
- 13:04the Play Therapy Parenting Podcast with Dr. Brenna Hicks.
- 13:08For more episodes and just subscribe to our newsletter,
- 13:11please go to www.playtherapyparenting.com.