Adolescent Archives - Promises Healthcare
ENQUIRY
Demystifying Play therapy: Play ought to be taken more seriously

Demystifying Play therapy: Play ought to be taken more seriously

Written by: Dr B. Malavika, Psychological & Educational Therapist

Play is a critical part of a child’s development from birth. It boosts healthy brain development that is conducive for physical, cognitive, and emotional growth. It encourages imagination and creativity, and improves social skills and confidence. It is therefore not surprising that psychologists realised its power and tapped into it as an instrument of healing.

Challenges are a part of life. But in childhood, they can be harsher as children haven’t developed the capability to understand or deal with what they are going through.  In their tender minds, loss or pain could be something as small (to an adult) as a broken favourite toy and range up to a major loss in the forms of death, separation from a loved one,  hospitalization, abuse or other personal/family crises. While some children might manage to some extent by voicing their displeasure or through negative behaviours, others might just suppress their emotions. If the setbacks are beyond the coping skills of the child, the trauma can manifest as psychological or emotional disorders.

Parents often ask how they can know if their child needs counselling.  Some signs could be that the child is being more angry, nervous, defiant, sad, or withdrawn than usual, or than is reasonable. The child could also be showing changes in eating and sleeping patterns, a decrease in school grades or reduced interest in previously favoured activities. When in doubt, it is better to err on the side of caution and seek help.

Play therapy is one of the prominent forms of therapy for children and is practised by a variety of mental health professionals, like counsellors, psychotherapists, clinical psychologists, psychiatrists and social workers. It is an intervention which allows children who are experiencing emotional or behavioural issues to open up their emotions in the safe space of the ‘playroom’.  They are given toys to play with, and the children play as they wish, without feeling interrogated or threatened.  For the children themselves, play (therapy) is familiar and fun and they are thus able to work out their undesirable experiences and resolve their emotional and behavioural difficulties. What materials the child chooses to play with and how they play all have meaning.  The therapist watches their play to get an insight into their emotional or mental health problems. 

Depending on the issues faced by the child and their own training, therapists conduct non-directed or directed play therapy and provide play materials accordingly. Non directed play therapy is free-play and very similar to the free association of adult psychodynamic therapy. While in the latter adult clients are allowed to talk and ventilate to gain insight and resolve their problems, free play with limited conditions and guidelines, allows the child to express their feelings just through their play. Their verbal expression might or might not be as important.

Directed play therapy includes more structure and guidance by the therapist and several techniques are used to purposefully engage the child. These could be engaging in play with the child themselves or suggesting new topics, themes for play. Parents might or might not be included in the sessions. Materials may include art and craft materials, sand and water, clay, dolls, toys, blocks, a family of dolls, miniature figures, animals, musical instruments, puppets and books. While traditionally Play therapy is considered to be beneficial for children ages  3 to 12,  it has been modified and customised by researchers and therapists to help adolescents and adults also, and some mental health practitioners have started including video games as therapeutic tools. Apart from being used at counselling centres, play therapy is also being used at critical-incident settings, such as hospitals and domestic violence shelters to help children deal with deep issues. 

In regular lives, parents can encourage their kids to play indoors and outdoors and especially in nature. Lawrence J. Cohen has created an approach called ‘Playful Parenting’, in which parents are encouraged to connect playfully with their children through silliness, laughter, and roughhousing to enhance relationships and general well being.

Challenges are a part of life. While the purpose of therapy is to solve problems, playing for the sake of fun can prevent them. This can be applied not only for children but for the inner child in every individual to make life happier and more meaningful. As the proverb goes – All work and no play makes Jack a dull boy.

 


Photo by Caleb Woods on Unsplash

Intrinsic motivation as a source of vitality?

Intrinsic motivation as a source of vitality?

“Vitality management is provided for organizations that have a vision”. A quote from Pauline van Dorssen, writer of “Vital People in a Vital Organisation”. This is a new successful training (NIP). Positive psychology and the use of vitality are central. The response from Occupational and Organisational Psychologists and Occupational Health Psychologists was exuberant, with all available places booked. In addition, the same question arises from organizations, who often need advice and coaching in the field of vitality.

To know more, here is the original article in Dutch language: Artikel_De Psycholoog_lisa van der Heijden

Written by Lisa van der Heijden, Clinical Psychologist.

If you are interested to know and learn more therapy for children/adolescents, contact Promises Healthcare for more information.

The Relationship Between Media Multitasking and Executive Function in Early Adolescents

The Relationship Between Media Multitasking and Executive Function in Early Adolescents

image-01-large

The increasing prevalence of media multitasking among adolescents is concerning because it may be negatively related to goal-directed behavior. This study investigated the relationship between media multitasking and executive function in 523 early adolescents (aged 11-15; 48% girls).

The three central components of executive functions (i.e., working memory, shifting, and inhibition) were measured using self-reports and standardized performance-based tasks (Digit Span, Eriksen Flankers task, Dots–Triangles task). Findings show that adolescents who media multitask more frequently reported having more problems in the three domains of executive function in their everyday lives.

Media multitasking was not related to the performance on the Digit Span and Dots–Triangles task. Adolescents who media multitasked more frequently tended to be better in ignoring irrelevant distractions in the Eriksen Flankers task. Overall, results suggest that media multitasking is negatively related to executive function in everyday life.

To read the full article: http://jea.sagepub.com/content/early/2014/02/17/0272431614523133.abstract

Written by Lisa van der Heijden, Clinical Psychologist, Susanne E. Baumgartner and Wouter D. Weeda.

Contact Promises Healthcare if you are interested to know and learn more therapy for children/adolescents.

Signs your son or daughter may be in crisis

Signs your son or daughter may be in crisis

crisisSigns that your son or daughter may be in crisis include;

– Self-harming such as cutting or burning
– Expressing suicidal thoughts
– Withdrawal from friends and family
– Poor academic performance
– Getting into fights at school or at home
– Changes in appetite and body weight
– Appearing moody, anxious and irritable
– Posting negative self statements on social media
– Experimenting with alcohol or drugs

What can you do to help your teen?

– Access a support network for help and advice
– Provide your teen with support and encouragement to seek help

Most importantly, get in touch with a mental health professional for guidance and support. Contact our Forensic Team at Promises Healthcare for a confidential enquiry. We can provide you with comprehensive suicide risk assessments and treatment plans to help your teen get back on track.

If you need urgent help

If you feel that your teenager is in any danger, you can also contact your local ambulance service on 995. For after hours emergencies contact the Institute for Mental Health 24-hour hotline on 6389-2222.

Written by: Leeran Gold – Psychologist, Forensic Services at Promises Healthcare
https://promises.com.sg/leeran-gold/

Picture Source: thebrokenplaces.wordpress.com

New Children’s and Adolescent’s Services at Promises

New Children’s and Adolescent’s Services at Promises

Promises launched a comprehensive range of psychiatric and psychological services for children and adolescent. Psychological services comprise of counselling and psychological evaluations to address legal, diagnostic and educational purposes.

The children’s and adolescent’s division of Promises is focused on supporting your child’s cognitive, social and emotional development. We provide psychological therapy and counselling in addition to psychological evaluations.

Our Services
Our team of Clinical Psychologists are experience in providing evidence-based therapeutic
interventions and, comprehensive diagnostic and psycho-educational evaluations. Generally, our services are summarized into the following:

Individual counselling for children and adolescents
Group therapy for children and adolescents (e.g. Social Skills Training and Anger
Management groups)
Parenting skills training
Couples and Family counselling
Psychological Assessments (Diagnostic, Developmental and Psycho-Educational)


Some of the treatment areas that can be supported by our team of therapists’ include but are not limited to:

  • Adjustment/Transition Issues
  • Anxiety Disorders (such as panic attacks, phobias, excessive worry and separation anxiety)
  • Anger Management
  • Autism Spectrum Disorders (including conditions previous known as Asperger’s Syndrome and Pervasive Developmental Disorders)
  • Academic Difficulties
  • Art Therapy
  • Behavioural Issues
  • Bullying
  • Co-dependency
  • Depression
  • Developing Social Communication
  • Eating Disorders (such as Anorexia and Bulimia)
  • Expat Relocation Counselling
  • Family Violence
  • Family Therapy (including Divorce Counselling for Families)
  • Gender Identity Issues
  • Grief and Trauma
  • Internet and Gaming Addictions
  • Learning Disorders (such as Dyslexia, Dyscalculia, Dyspraxia and Dysgraphia)
  • Marriage and Relationship Conflicts and, Enhancement
  • Parenting Concerns and Parenting Training
  • Play Therapy for Children
  • Self-Esteem issues and Assertiveness Training
  • Sleep Problems

Click here to learn more about our new division.