Santa Fe New Mexican

Before you bring child to therapy, think on this

- Dr. Greg Ramey Dr. Gregory Ramey is the executive director of Dayton Children Hospital’s Pediatric Center for Mental Health Resources in Ohio.

Most parents don’t know what to expect when they bring their child to see a therapist. It’s important to realize that counseling accomplish­es very little without your active involvemen­t. You need to become a therapeuti­c partner with your mental health profession­al for therapy to be successful. Here’s what that means.

Have a clear understand­ing of the goals. Kids see a therapist because someone finds the child’s behavior unacceptab­le. Therapy is more likely to be successful if there are specific and measurable goals that are endorsed and understood by you and your child.

Meet regularly with your child’s therapist. I see your child for an hour, but you care for your youngster the remaining 167 hours in the week. I need your active involvemen­t in following through with our treatment plan, and being consistent and focused on our goals. If you feel too overwhelme­d to participat­e as my therapeuti­c partner, then it’s generally a waste of time to bring your child to see me.

Understand and support the confidenti­ality of our sessions. This is tough for many parents. I’ll discuss this in detail with you and your child, and the rules vary whether I’m working with a 5-year-old or a teenager. Kids won’t trust me if I simply repeat back to you what they say to me. There are limits to confidenti­ality, and I’ll be very clear with your child about this issue.

A young teen told me about a classmate who was making a plan to kill herself. I immediatel­y disclosed that informatio­n to others so that the classmate could get help. My client was extremely upset with me, but safety is our highest priority.

Be careful what you say when you leave my office. Kids hate being interrogat­ed by parents about what we just discussed. They don’t want to lie to you, but many times are unwilling to talk about some very personal issues. Try this instead. Say a few words about what you discussed with the therapist, and see if that stimulates any response from your child. If not, say nothing.

My goal is for your child to feel closer to you, not to me. I’ll often give kids homework to discuss some issue with their parents. Therapy is successful when I’m no longer needed.

Be respectful of our time. I begin sessions by meeting alone with a parent, needing an update on how things are going. I need a brief update, not a daily recounting of everything that has happened. Stay focused on our goals, and where you need guidance. When you develop a positive therapeuti­c relationsh­ip with your counselor, it’s your child that really benefits.

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