My Perfect World: A Day in the Life of a Child Therapist

By Karen LeVasseur, LCSW, owner and therapist at Calm4Kids Therapy Center, LLC

Imagine a world where you spend all day playing. Perhaps you would shoot hoops or play hockey. Or you might dress up your dolls or blow bubbles. Maybe you would paint a picture or play board games. When you tire of playing and need a break, you could spend time resting in your bean bag chair or relaxing in your very own tent. Sounds perfect right? Luckily for me, this IS my world… the world of a child therapist.

As a Clinical Social Worker I work with children between the ages of 3 and 18, supporting the occasional adult as well. Treatment options vary from client to client with most parents seeking either play therapy or hypnotherapy for their child. Regardless of the modality of treatment used, therapy is fun! When my “friends” come to my playroom they know they are in a safe and peaceful place, where they can try out new things, make mistakes (and be okay with it) overcome obstacles and feel good about themselves. The kids I work with are not treated as damaged or impaired; they simply practice new skills and strategies that help them feel happier and overcome obstacles to success.

What might a typical therapy session look like? Sessions are structured in a way that allows predictability for my young clients; many of whom are diagnosed with ADHD or Autism. We have a brief “Check-in” to talk about the events of the week; engaging in problem solving or goal setting as needed. Next comes “Pick 4” with the child selecting four calming or mindfulness strategies to practice. Then comes the meat of the session where we work on the presenting problem.

In a recent session, with a 3-year-old I will call Sam, we engaged in play therapy to address issues with self-concept. Sam, who is typically a sweet, gentle boy, considered himself a bad boy after becoming physically aggressive with another child at his pre-school who had been hitting, kicking and biting him. He showed signs of anxiety through crying, clinging to mom and refusing to go to school. In the initial session, Sam started a game of “Good Guys, Bad Guys” using my toy Super Heroes (the good guys) and dinosaurs (the bad guys). In the game, the purpose shifted from session to session, with the good guys becoming bad, the bad guys becoming good, everyone fighting etc. One session stands out as the most pivotal moment in his treatment. Sam became very serious and told Superman (the figure I was playing with) that he needed to tell him something. He leaned in and whispered “I’m not always a good guy. Sometimes I fight.” Superman, who is very wise and loves to help kids, told him “When I was a little boy sometimes I got into fights at school. I thought I was a bad boy, but my mommy told me something very important.” I could see the wheels in Sam’s head turning as he waited for Superman to share Supermom’s wisdom. “Everyone makes mistakes with their behavior,” Superman said. “But they are still good kids”. Sam thought about this for a moment, nodded his head, and the game was done. He had “played out” his issue. In play therapy, the act of playing is the child’s language and toys are the child’s words. In the therapeutic setting, children learn to communicate with others, express feelings, modify behavior, develop problem-solving skills and, as in Sam’s case, resolve inner conflicts; all through play. Sam and I have played “Good Guys, Bad Guys” a few more times since, but the focus has changed to the good guys helping the bad guys and everyone ending up as friends.

Play Therapy

Another notable session involved the use of hypnotherapy with an 11-year-old I will call Amy. Our work together has focused mainly on anxiety related to social relationships. When she came in for a recent session, she was visibly upset, describing something that had happened at school that day. One of her longtime friends had given her “the look” at recess, then laughed and ran away. Other girls became involved and when Amy tried to stick up for herself the other girl told her she was over-reacting. This may seem inconsequential to an adult, but in the tween world an event like this is DEVASTATING! We talked through the situation, identifying the worst part of it, which was Amy’s fear that all of the girls would turn against her. We engaged in role-play to explore different ways to handle the situation if it continued the next day. Then we ended the session with hypnosis to strengthen her confidence and imagine handling future drama successfully.  Hypnosis is a wonderful tool to use in therapy as it encourages use of the imagination. According to the American Society for Clinical Hypnosis, mental imagery is very powerful, especially in a state of focused inward attention. The mind is able to use imagery to assist in promoting change in thoughts and behaviors. Ideas or suggestion that are congruent with the child’s needs are given, and in a state of concentrated attention, this can have a powerful effect on the mind. The next session Amy reported communicating with her friend confidently and assertively and working out the problem between them.

Clinical Hypnosis

Providing therapy for a child who is struggling is very important. Through the therapeutic relationship my “friends” are able to express themselves without consequence, explore the reasons for their behaviors, learn to shift negative thought patterns and manage their emotions; thus allowing for greater confidence and an increased ability to manage daily stressors. What do I get out of my work? Well, unbelievably I get paid to play all day (Remember that perfect world?) But, more-so, I have the opportunity to connect in a positive way with kids and make a difference in their lives. And that is priceless.

Kids Mental Health Informational Portal

Karen LeVasseur is an LCSW and is owner and operator of Calm4Kids Therapy Center, LLC in Bradley Beach, NJ where she offers hypnotherapy, play therapy, EFT, and mindfulness based psychotherapy for clients ages 3 through adult. Karen also has vast experience as a School Counselor, Elementary School Teacher, School Social Worker and School Anti-Bullying Specialist. Karen’s website and Facebook page offer more information about her practice.

Sources/Citations

Photos from http://www.pixabay.com

Websites: Association for Play Therapy http://www.a4pt.org/

                American Society of Clinical Hypnosis http://www.asch.org

Building a Culture of Caring in Your Classroom

By Karen LeVasseur, LCSW, owner and therapist at Calm4Kids Therapy Center, LLC

Building Character

Having worked as an elementary school teacher for many years I know the importance of building character in your classroom. I learned over the years that time spent on character education, in particular at the beginning of the school year, was time well spent. Think about it. To engage successfully in academic learning, the following skills need to be in place:

- Emotional regulation

- Problem solving

- Communication

- Teamwork

Students don't always come to school with the skills that they need and it is up to the educator to support kids in learning the "how" of getting through their school day. If you have ever read The First Six Weeks of School by Paula Denton and Roxanne Kriete, you will agree that spending time at the beginning of the school year, setting expectations, modeling and practicing socially acceptable behaviors, establishing a routine for identifying and resolving conflict and solving problems as a team will set up your students for success and allow your classroom to run like a well oiled machine. 

Setting Kids Up For Success

I remember one year, when I taught fifth grade. I was excited for the year, having been in fourth grade for many years. I was eager to dive into the fifth grade curriculum and set up a great academic program for my kids. Unfortunately, the twenty five youngsters in my class were not as excited as I was. The school year started off with problem behaviors, arguments, yelling, teasing... It was not the happy school year I had envisioned. About three weeks in, I brought academics to a screeching halt and put a heavy emphasis on character building. During the next month and a half I started holding a morning meeting each day, used the time right after recess for meditation and created an "Acts of Kindness" Wall. Everything we did academically involved practicing team-building and problem solving skills and assertive communication. By the end of October, my students not only knew what to expect and what to do, they also knew how to do it well. My well oiled machine was achieved!

Morning Meeting

Holding a morning meeting is an important part of your classroom culture. Starting each day as a community, interacting positively with one another is a great way to start off the day on the right foot, for students and for the teacher! There are many different activities you can incorporate into your morning meeting. Be creative and add activities that feel right for you and for your kids. Some ideas include:

Class Pledge- Write a pledge that speaks to the core values you want at work in your class. An example is "I pledge allegiance to my class, that I will try my best, to make good choices and try real hard to be responsible like the rest. I care about the others here and I care about me. I want school to be a special place where I learn and want to be!"

Greetings- One year I taught my students to greet one another using both Spanish and American Sign Language. Students would pair off and say/sign "Good morning, how are you?" The student would respond with "Good morning, I am (happy, mad, tired, sick...). How are you?" The kids loved the bilingual challenge!

Circle of Friends- Ask your students to sit in a circle either on the floor or in chairs. Pose a question such as "How will you be successful today?" or pose a challenge such as "Compliment the person next to you on something nice they did yesterday" and have each student respond. Emphasize active listening skills and use a talking stick if needed.

Problem Solving Box- Set up a box in the classroom with problem sheets that students can fill out indicating the following: I have a problem with... It is a problem because... I have tried to solve it by.... Each morning pull out one problem sheet and read it to the class. Allow the kids to generate possible solutions to the problem. The person who wrote the sheet can remain anonymous or they can identify themselves. Either way, the child with the problem will leave the circle with many new ideas to try!

Minute to Win It- Put kids into pairs and give them a 60 second challenge to complete together. Use riddles, math problems, rebus puzzles or have them complete a physical or building task like on the tv show. Allow the students to be noisy and have fun while they build teamwork skills!

Calm Kids are Productive Kids

I think one of the best decisions I ever made as a teacher was to add meditation to my schedule. I have used the technique at different times of the day but found that right after recess really helped kids to recharge and refocus, allowing success for the second half of the day. The meditation does not have to be long. Even a few minutes of mindfulness to breath and stillness can calm an active or emotionally labile child allowing them to make good choices with their behavior and with peer interaction. Try some of these techniques. I'm sure you will notice a difference in your students' affect as well as your own!

60 Second Vacation- Have the kids lay on the floor or relax in their seats. Ask them to close their eyes and imagine a place where they feel happy, calm and safe. Guide them in using their senses to explore this place, envisioning themselves doing something to be focused, calm and successful. After about 60 seconds of quiet visualization and deep breathing refocus students on the classroom environment and their job as a student.

A Moment of Stillness- Have kids relax as above and guide them in taking slow, deep breaths (belly breaths) filling up their lungs and expanding their abdomen like a balloon on the in breath, then releasing on the out breath. Once a breathing pattern has been established, ask the kids to continue breathing, remaining as still as possible for a minute of meditation. It is helpful to have them imagine sinking into their chair or melting into the floor. When time is up ask the kids to open their eyes and focus on your face (or a point in the room), taking one more cleansing breath.

Breathing Buddies- Students lay on their back on the floor with a small stuffed animal on their bellies. This is called their breathing buddy who helps them learn to take belly breaths as described above. Model for students how to take a belly breath, saying "On the in breath the belly goes out and on the out breath the belly goes in." Guide students in taking slow, deep belly breaths for a few minutes then collect the buddies and get back to work feeling refreshed!

Meditation for Kids

Meditation For Kids: Parents Turn To Mindfulness Practices To Help Children Stay Calm

Being Kind is Cool!

It is helpful to teach kids the importance of being kind and caring toward others. I helped my students learn this valuable lesson by first identifying acts of kindness in literature, providing roleplay scenarios and by inviting the "Note Fairy" to visit my classroom (she secretly leaves notes for students who she witnessed acting kindly toward others). Once the term "Act of Kindness" was well understood and students were regularly engaging in AoK's I set up an "Acts of Kindness" Wall where students could note the kindness of others or post their note from the Note Fairy to celebrate their own success. Each week a different student was honored on the wall with a brief description of how he/she went above and beyond in helping our classroom be a kind and caring environment. Regular celebration of success really helped to motivate kids to be kind to others and to themselves!

Random Acts of Kindness

Welcome | Random Acts of Kindness
Kindness stories, quotes, ideas, classroom resources and more.

Try some of these ideas and please share the wonderful things you do in your classroom! Be creative, have fun and remember, "What you notice will happen more!" Celebrate your students' successes and help them to build the skills they need to be able to add to the culture of caring you have established in your classroom.

Karen LeVasseur is an LCSW and is owner and operator of Calm4Kids Therapy Center, LLC in Bradley Beach, NJ where she offers hypnotherapy, play therapy, EFT, and mindfulness based psychotherapy for clients ages 3 through adult. Karen also has vast experience as a School Counselor, Elementary School Teacher, School Social Worker and School Anti-Bullying Specialist.