Sometimes psychotherapy just doesn’t help in spite of a cooperative child, supportive family and a competent professional. This is a very frustrating situation, not only for the family seeking help but also for the therapist. We’d all like to think that with persistence and professional competence, we have the skills to help any youngster with mental problems.
When a child’s problems don’t diminish, psychologists are ethically required not to continue doing something that doesn’t work. I typically change approaches to better engage the parent and child. If there continues to be no progress, here are the options I present to the family:
- Change therapists. Sometimes there is just not a good connection between a youngster and their therapist. This may be due to issues of gender, style, age, or race. I can’t honestly say that I have liked every child or parent that I’ve ever worked with over the years, and sometimes those feelings may be evident during our sessions. This transition is usually difficult for kids, who may interpret a change in therapists as yet another rejection.
- Involve your child in special activities. Some of the best therapists I’ve ever met have been Boy Scout leaders, sports coaches and