Let’s try to make this a little easier for you…
Here’s a step-by-step look at our process that every family goes through
Step 1: 15-Minute Phone Consultation
Our intake coordinator will have a brief discussion with you about your needs to determine if therapy is a good fit for your family and to decide which therapist or service would be most appropriate. You schedule this by completing the contact form. If you have not yet done so, please do that first!
Step 2: 45-Minute Initial Consultation (adults only)
We will go over detailed background information about your child and family, learn about your current parenting successes and areas of growth, review practice policies, and set goals for your child’s therapeutic work.
Step 3: Pre-Treatment Assessments
After discussing therapeutic goals, our therapists might consult with school personnel and/or other healthcare providers (primary care physician, psychologist, psychiatrist, neurologist, etc.), conduct an informal observation at school or home, and ask parents to complete assessment questionnaires. Learn more about assessments here.
Step 4: Therapy Sessions with Your Child
Research supports that by providing a safe, predictable, reparative, and relational experience it allows children to fully explore and express themselves. The consistency of weekly sessions is important, and each session will be 45 minutes.
Step 5: Parent Consultations
In addition to working with your child weekly, we will provide you with new tools for your “parenting toolbox” that fit your child’s needs every 4-6 sessions.
Step 6: Follow-Up Recommendations
Research suggests that it takes an average of 20 play therapy sessions to resolve the problems of the typical child referred for treatment. Of course, some children may improve much faster while more serious or ongoing problems may take longer to resolve (Carmichael, 2006; Landreth, 2002). So again, the process is unique to each child, but initially, you might expect your child to be in therapy for around 6 months (a total of 20 sessions) before we might suggest other follow-up recommendations.
These could be:
Continued therapy
Parent Coaching
Classroom Observations
Psychological Testing
School Consultation
Family Therapy Sessions
Parenting Workshops
Occupational Therapy
Step 7: A Healthy, Functioning Family
Ready to get started?
Why this process really works
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Why this process really works ♡
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With every client, we start by getting to know them from their perspective, since they are the expert on their world. Research tells us that relationships are the agents of change, so we first start by building therapeutic relationships where children & adolescents feel safe and secure to open up about their inner wishes, wants, and needs. Each client is motivated differently, so our first effort is put toward recognizing how your child interacts in the world and the goal of their behaviors.
The simple fact is—all humans need connection.
In fact, Maslow states that love and belonging are needs that must be met in the hierarchy of needs for an individual to reach self-actualization. Children do not enter this world with bad intentions, so we must reframe what we’re seeing from our children beyond reducing them to their “disruptive” behaviors.
A child or adolescent might seek attention because they have a desire to connect and feel that they belong when they are being noticed. They need us to notice and involve them so they can feel useful and important.
A child or adolescent might seek power because they have a desire to grow and learn. They might feel that they belong more in a social setting when they are in control or when they are sharing their own lived expertise. They need us to let them help and to have a choice.
A child or adolescent might seek revenge because they feel that they don’t belong and they feel hurt. Hurting those who are closest to us is sometimes the safest route because the chances of being left behind or rejected are decreased with those who love and care about us. They need us to be present and validate their feelings.
A child or adolescent might display inadequacy in tasks because they feel that they do not belong and it’s safer in relationship to convince others not to expect anything from them. They need us to not to give up on them and to show them a small step in a healthy direction.
So our aim in the first few sessions with each child is to create that sense of safety. Once that has been established, then we delve into what motivations lie underneath the presenting behavior(s).
Once we’ve established a secure therapeutic relationship with your child, we’ll meet as adults to talk about initial observations and share techniques that will be effective in working on goals at home, at school, and in session. We’ll then decide our next step, possibly more individual sessions to continue working on our goals, further assessments, parent coaching, school consultations, or family play therapy.
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Family therapy involves bringing in one or more members of a client's family into the session to open up lines of communication, learn new ways of connecting in relationship, support the repair of past ruptures, and encourage creative problem-solving.
We know this does sound amazing, and after reading this you probably want to start here, especially with what we've shared that healing happens in community — which means including you in the process.
However, at Ensemble Therapy, we spend our initial therapy sessions building a safe, secure, and connected relationship with our child clients to lay the foundation for therapeutic growth to occur. These initial sessions with child + clinician are critical.
During this time we also assess your child's strengths, adaptive coping skills, and protective factors they utilize during moments of increased stress and/or conflict. Each of our clients comes with a different-sized toolbox filled with a variety of strategies (helpful or maladaptive) they've learned along the way which takes some time to sort through.
This we promise — when your child is fully equipped to be successful in family therapy, we cannot wait to invite you into their therapeutic world.