Category Archives: Tough Kids Cool Counseling

Free Video Links for Online Teaching

JSF Travel

This past week I’ve been grateful for the many professionals and organizations (including my publisher, John Wiley & Sons) who are providing free guidance and materials to help with the transition from face-to-face teaching to online instruction. In an effort to contribute back in a small way, I’m posting 10 counseling- and psychotherapy-related videos that can be integrated into online teaching. These videos are free and posted on my YouTube channel. The links are all below with a brief description of the video content.

Some of these videos are rough cuts and all of them are far from perfect demonstrations; that’s partly the point. Although many of the videos show reasonably good counseling skills and interesting assessment processes and therapeutic interventions, none of the videos are scripted, and so there’s plenty of room for review, analysis, critique, and discussion. You can show them as efforts to do CBT, SFBT, Motivational Interviewing, administration of a mental status examination, etc., and prompt students to describe how they would do these sessions even better.

These videos are meant to stimulate learning. In an ideal world, I would include a list of discussion questions, but I’ll leave that to you. If you like, please feel free to use these videos for educational purposes. Here’s the annotated list with video links:

  1. Counseling demonstrations with a 12-year-old.
    1. Opening a counseling session: https://www.youtube.com/watch?v=rHHrMC8t6vY
    2. The three-step emotional change trick: https://www.youtube.com/watch?v=ITWhMYANC5c
    3. John SF demonstrates the What’s Good About You? informal assessment technique: https://www.youtube.com/watch?v=MUhmLQUg_g8
    4. Closing a session: https://www.youtube.com/watch?v=GpuH80tf2jM
  2. Demo of assessment for anger management with a solution-focused spin with a 20-year-old client: https://www.youtube.com/watch?v=noE2wMMNLY4
  3. Demo of motivational interviewing with a 30-year-old client: https://www.youtube.com/watch?v=rtN7kEk0Sv4
  4. Demo of the affect bridge technique with an 18-year-old: https://www.youtube.com/watch?v=fEtiGuc914E
  5. Demo of CBT for social anxiety with a graduate student: https://www.youtube.com/watch?v=jfVeeGJHFjA
  6. Demo of an MSE with a 20-year-old: https://www.youtube.com/watch?v=adwOxj1o7po
  7. A lecture vignette of a demonstration of psychoanalytic ego defense mechanisms: https://studio.youtube.com/video/E818UlgHMXY/edit
  8. The University of Montana Department of Counseling does a spoof video of The Office: https://www.youtube.com/watch?v=eM8-I8_1CqQ

Good luck with the transition to online teaching and stay healthy!

John S-F

Hanging out with the Virginia School Counseling Association in Richmond: The Extra Handout

Richmond Statue

I just had an awesome day with about 260 Virginia School Counselors. You know who you are, and you know you’re incredible.

Just FYI, the state of Virginia is making a big investment in adding school counselors. . . which IMHO, is a very smart and reasonable decision. Other states might want to take note and follow their lead. The problem is that many school age youth are suffering from extremely challenging home, neighborhood, and school situations. Having more competent school counselors available to support student success, student mental health, and teachers is a wise move.

For all of the VSCA members I met today, thank you for coming, but more importantly, thanks for the deeply important commitment you make to the well-being of students in your schools. You are amazing!

Here’s the extra handout, with more details than the powerpoint slides: VSCA 2020 Extra Handout

 

Apple Core, Baltimore, Who’s Your Friend? #NASP2020

 

Camden

I’m in Baltimore this week for the annual meeting of the National Association of School Psychologists. Although I’m not a school psychologist, I’ve been invited the past 5+ years to offer workshops on “Tough Kids, Cool Counseling.” I’ve also had the good fortune of being invited to present professional workshops for state school psychology associations in California, Montana, Ohio, South Carolina, and Washington.

I’ve worked many different professional groups (clinical psychologists, mental health counselors, school counselors, teachers, childcare workers, and more). All of these groups are amazing, but every time I work with a group of school psychologists, I walk away thinking that maybe school psychologist are my favorite professional group of all.

Notice I said “maybe.” I don’t want to start an inter-disciplinary competition for my official endorsement.

NASP in Baltimore was typical NASP. An intense group of very smart people who are dedicated to the psychological and intellectual well-being of K-12 students everywhere. They swarm the exhibition hall looking for resources and at my workshop they asked incredibly good questions and made insightful comments.

To be honest (not a bad policy), maybe the fact that I got a standing ovation from 300+ school psychology attendees in Columbus, Ohio (after 6.5 hours of presenting) is part of the reason I love school psychologists. For minor league professionals like me, that’s about as good as it gets . . . and that was pretty fantastic.

The links that follow include my presentation powerpoints and handouts for my workshop sessions in Baltimore. If you were there, thanks for your commitment to improving the lives of children and teenagers. If not, I hope to see you next time around.

NASP Workshop I 2020 for Handout

NASP Workshop II Advanced 2020 for Handout

NASP 2020 Extra Handout Introductory

NASP 2020 Extra Handout Advanced

By the way, the next big gig is March 1 in Richmond, Virginia with the Virginia School Counselor Association . . . which is just another chance to spend some time with another fabulous group of very cool people.

 

Bitterroot Valley Workshop Handout

Tomorrow morning I’ll be at the Stevensville Methodist Church from 9-11:30am for a suicide assessment and treatment planning workshop follow-up. This workshop is co-sponsored by the Bitterroot Valley Educational Cooperative and the Big Sky Youth Empowerment Project. The handout (powerpoint) is short, because lots of what we’ll be doing involves a reflection on how the strength-based model we covered back in August has been working.

Here are the ppts: Victor Suicide Part II

Interested in Exercise for Treating Depression in Adolescents? Check out the DATE study!

Half Marathon 2019

Common sense, clinical intuition, non-experimental research studies, and most sentient beings all support the likelihood that physical exercise can reduce depressive symptoms.

But, to the best of my knowledge, only one, very small, randomized controlled study of exercise for treating major depressive disorder in youth has ever been conducted. This study was nicknamed the DATE study (the Depression in Adolescence Treated with Exercise study by Hughes, Barnes, Barnes, DeFina, Nakonezny, & Emslie, and published in 2013 in a journal called, Mental Health and Physical Activity).

A brief review of the DATE study provides a glimpse into the potential of exercise as an intervention for treating depression in youth.

The DATE study randomized youth ages 12 – 18 years into an aerobic/cardio group (n = 16) vs. a stretching group (n =14). Although participants exercised independently and were given a variety of exercise alternatives (they could use Wii or Jazzercize, that’s right Jazzercize), both groups were involved in 12 weeks of rigorously monitored three times weekly exercise treatment protocols.

The results were statistically and clinically significant, with the aerobic condition showing remarkably fast responses and achieving a 100% response rate (86% complete depression remission). The stretching group improved more slowly, but also had a significant positive response (67% clinical response rate; 50% complete depression remission).

Now you might be thinking, that sounds pretty good, but how do those results compare with response rates from established medical treatments, like Prozac?

The authors shared that information. They reported that documented response rates in comparable fluoxetine (Prozac) studies with youth, showed, on average, about a 52% (Prozac) and 37% (placebo) response rate. Just to be clear, let’s put those results in order of which treatment looks best:

  1. Aerobic Exercise = 100% response rate
  2. Stretching = 67% response rate
  3. Prozac = 52% response rate
  4. Placebo – 37% response rate

But the authors didn’t stop there.

They noted that although Prozac shows beneficial treatment effects, clients who take Prozac and other antidepressants commonly experience uncomfortable side effects and occasional health-threatening adverse events. How do you suppose the exercise and stretch groups compared?

No big surprise here: They experienced ZERO side effects and ZERO adverse events.

In summary, the DATE study authors reported that, compared to antidepressant medication treatment with adolescents, exercise resulted in (a) a faster response rate, (b) a better response rate, (c) fewer relapses (n = 0) at six and 12 month follow-ups, and (d) zero side effects or adverse events (Hughes et al., 2103).

But here’s the kicker. Who exactly were these researchers?

This is my favorite part. The researchers were extremely high level and prestigious academics who primarily conduct pharmaceutical research. One of them was the guy responsible for the clinical studies that led to FDA approval of Prozac for treating youth with depression (Graham Emslie). The two biggest names on the study have repeatedly been funded by Eli Lilly, GlaxoSmithKline, Pfizer, and many more. The DATE study was funded by NIH.

Sadly, the DATE study hasn’t been replicated. I can’t find any new RCTs on exercise for  depression among adolescents. When I told this to Rita, she just quipped, “That’s probably because the authors were murdered by pharmaceutical companies in some back alley.”

I hope not. Because, to summarize, the DATE study supports the systematic use of exercise in youth with depressive symptoms OVER and INSTEAD OF antidepressants.

Who knew?

Just about everyone.

Using Therapeutic Storytelling with Children: Five Easy Steps

Books

Everybody loves a good story.

Good stories grab the listener’s attention and don’t let go. I’ve been reading and telling stories for as long as I can remember. Whether its kindergartners, clients, or college students, I’ve found that stories settle people into a receptive state that looks something like a hypnotic trance.

Nowadays, mostly we see children and teens entranced with their electronic devices, television, and movies. Although it’s nice to see young people in a calm and focused state, the big problem with devices (other than their negative effects on sleep, attention span, weight, brain development, and nearly everything else having to do with living in the real world), is that we (parents, caretakers, and concerned adults), don’t have control over the electronic stories our children see and hear.

Storytelling is a natural method for teaching and learning. Children learn from stories. We’re teaching when we tell them. We might as well add our intentionally selection of stories to whatever our children might be learning from the internet.

Way back in 1997, Rita and I wrote a book called Tough Kids, Cool Counseling. One of the chapters focused on how to use therapeutic storytelling with children and teens. Although the content of Tough Kids, Cool Counseling is dated, the ideas are still solid. The following section is good material for counselors, psychotherapists, parents, and other adults who want to influence young people.

In counseling, storytelling was originally developed as a method for bypassing client resistance. Stories are gentle methods that don’t demand a response, but that stimulate, “thinking, experiencing, and ideas for problem resolution” (Lankton & Lankton, 1989, pp. 1–2)

Storytelling is an alternative communication strategy. For counselors, it should be used as a technique within the context of an overall treatment plan, rather than as a treatment approach in and of itself. For parents and caregivers, stories should be fun, and engaging . . . and told in a way to facilitate learning.

Story construction. Even if you’re an excellent natural storyteller, it can help to have a guide or structure for story construction and development. I like using a framework that Bill Cook, a Montana psychologist, wrote about and shared with me. He uses the acronym S-T-O-R-I, to organize the parts of a therapeutic story.

S: Set the stage for the story. To set the stage, you should create a scenario that focuses on a child living in a particular situation. The child can be a human or an animal or an animated object. The central child character should be described in a way that’s positive and appealing. Because much of my work back in the 1990s involved working with boys who were angry and impulsive, the following story features a boy who has an arguing problem. Depending on your circumstances, you could easily feature a girl or a child who doesn’t have a particular gender identity.

Here’s the beginning of the story.

Once upon a time there was a really smart boy. His name was Lancaster. Lancaster was not only smart, he was also a very cool dresser. He wore excellent clothes and most everyone who met Lancaster immediately was impressed with him. Lancaster lived with his mother and sister in the city.

In this example, the client’s name was Larry. If it’s not too obvious, you can give the central character a name that sounds similar to your client’s name. You may also develop a story that has other similarities to your client’s life.

T: Tell about the problem. This stage includes a problem with which the central character is struggling. It should be a problem similar to your client’s or your child’s. This stage ends with a statement about how no one knows what to do about this very difficult and perplexing problem.

Every day, Lancaster went to school. He went because he was supposed to, not because he liked school. You see, Lancaster didn’t like having people tell him what to do. He liked to be in charge. He liked to be the boss. The bad news is that his teachers at school liked to be in charge too. And when he was at home, his mother liked to be the boss. So Lancaster ended up getting into lots of arguments with his teachers and mother. His teachers were very tired of him and about to kick him out of school. To make things even worse, his mother was so mad at him for arguing all the time that she was just about to kick him out of the house. Nobody knew what to do. Lancaster was arguing with everyone and everyone was mad at Lancaster. This was a very big problem.

O: Organize a search for helpful resources. During this part of the story, the central character and family try to find help to solve the problem. This search usually results in identifying a wise old person or animal or alien creature as a special helper. The wise helper lives somewhere remote and has a kind, gentle, and mysterious quality. In this case, because Larry (the client) didn’t have many positive male role models in his life, I chose to make the wise helper a male. Obviously, you can control that part of the story to meet the child’s needs and situation.

Because the situation kept getting worse and worse and worse, almost everyone had decided that Lancaster needed help—except Lancaster. Finally, Lancaster’s principal called Lancaster’s mom and told her of a wise old man who lived in the forest. The man’s name was Cedric and, apparently, in the past, he had been helpful to many young children and their families. When Lancaster’s mother told him of Cedric, Lancaster refused to see Cedric. Lancaster laughed and sneered and said: “The principal is a Cheese-Dog. He doesn’t know the difference between his nose and a meteorite. If he thinks it’s a good idea, I’m not doing it!”

But eventually Lancaster got tired of all the arguing and he told his mom “If you buy me my favorite ice cream sundae every day for a week, I’ll go see that old Seed-Head man. Lancaster’s mom pulled out her purse and asked, “What flavor would you like today?”

After hiking 2 hours through the forest, they arrived at Cedric’s tree house late Saturday morning. They climbed the steps and knocked. A voice yelled: “Get in here now, or the waffles will get cold!” Lancaster and his mom stepped into the tree house and were immediately hit with a delicious smell. Cedric waved to them like old friends, had them sit at the kitchen table, a served them a stack of toasty-hot strawberry waffles, complete with whipped cream and fresh maple syrup. They ate and talked about mysteries of the forest. Finally, Cedric leaned back, and asked, “Now what do you two want . . . other than my strawberry waffles and this pleasant conversation?”

Lancaster suddenly felt shy. His mom, being a sensitive mom, looked up at Cedric’s big hulking face and described how Lancaster could argue with just about anyone, anytime, anywhere. She described his tendency to call people mean names and mentioned that Lancaster was in danger of being kicked out of school. Of course, Lancaster occasionally burst out with: “No way!” and “I never said that,” and even an occasional, “You’re stupider than my pet toad.”

After Lancaster’s mom stopped talking, Cedric looked at Lancaster. He grinned and chuckled. Lancaster didn’t like it when people laughed at him, so he asked, “What are YOU laughing about?” Cedric replied, “I like that line. You’re even stupider than my pet toad. You’re funny. I’m gonna try that one out. How about if we make a deal? Both you and I will say nothing but “You’re even stupider than my pet toad” in response to everything anyone says to us. It’ll be great. We’ll have the most fun this week ever. Okay. Okay. Make me a deal.” Cedric reached out his hand.

Lancaster was confused. He just automatically reached back and said, “Uh, sure.”

Cedric quickly stood up and motioned Lancaster and his mom to the door, smiling and saying, “Hey you two toad-brains, see you next Saturday!!”

Searching for helpful resources can be framed in many ways. For counselors, you might construct it to be similar to what children and parents experience during their search for a counselor. Consistent with the classic Mrs. Piggle Wiggle book series, the therapeutic helper in the story has tremendous advantages over ordinary counselors. In the Lancaster example, Cedric gets to propose a maladaptive and paradoxical strategy without risk, because the whole process is simply a thought experiment. Depending on your preference and situation, you can use whatever “treatment” strategy you like.

R: Refine the therapeutic intervention. In this storytelling model, the initial therapeutic strategy isn’t supposed to be effective. Instead, the bad strategy that Cedric proposes is designed for a core learning experience. During the fourth stage (refinement) the central character learns an important lesson and begins the behavior change process.

Both Lancaster and Cedric had a long week. They called everyone they saw a “stupid toad-brain” and said, “You’re even stupider than my pet toad” and the results were bad. Lancaster got kicked out of school. That morning, when they were on their way to Cedric’s, Lancaster got slugged in the mouth for insulting their taxi driver and he was sporting a fat lip.

When Lancaster stepped into Cedric’s tree house, he noticed that Cedric had a black eye.

“Hey, Mr. Toad-Brain, what happened to your eye?” asked Lancaster. “Probably the same thing that happened to your face, fish lips!” replied Cedric.

Lancaster and Cedric sat staring at each other in an awkward silence. Lancaster’s mom decided to just sit quietly to see what would happen. She was felt surprisingly entertained.

Cedric broke the silence. “Here’s what I think. I don’t think everyone appreciates our humor. In fact, nobody I met seemed to like the idea of having their brain compared to your pet toad’s brain. They never even laughed once. Everybody got mad at me. Is that what things are usually like for you?”

Lancaster muttered back, “Uh, well, yeah.” But this week was worse. My best friend said he doesn’t want to be best friends and my principal got so mad at me that he put my head in the toilet of the boys’ bathroom and flushed it.”

Cedric rolled his eyes and laughed, “And I thought I had a bad week. Well, Lanny, mind if I call you Lanny?”

“Yeah, whatever, Just don’t call me anything that has to do with toads.”

“Well Lanny, the way I see it, we have three choices. First, we can keep on with the arguing and insulting. Maybe if we argue even harder and used different insults, people will back down and let us have things our way. Second, we can work on being really nice to everyone most of the time, so they’ll forgive us more quickly when we argue with them in our usual mean and nasty way. And third, we can learn to argue more politely, so we don’t get everyone upset by calling them things like ‘toad brains’ and stuff like that.”

After talking their options over with each other and with Lancaster’s mom, Cedric and Lancaster decided to try the third option: arguing more politely. In fact, they practiced with each other for an hour or so and then agreed to meet again the next week to check on how their new strategy worked. Their practice included inventing complimentary names for each other like “Sweetums” or “Tulip” and surprising people with positive responses like, “You’re right!” or “Yes boss, I’m on it!”

As seen in the narrative, Lanny and Cedric learn lessons together. The fact that they learn them together is improbable in real life. However, the storytelling modality allows counselor and client the opportunity to truly form a partnership and enact Aaron Beck’s concept of collaborative empiricism.

I: Integrating the lesson. In the final stage of this storytelling model, the central character articulates the lesson(s) learned.

Months later, Lancaster got an invitation from Cedric for an ice cream party. When Lancaster arrived, he realized the party was just for him and Cedric. Cedric held up his glass of chocolate milk and offered a toast. He said, “To my friend Lanny. I could tell when I first met you that you were very smart. Now, I know that you’re not only smart, but you are indeed wise. Now, you’re able to argue politely and you only choose to argue when you really feel strongly about something. You’re also as creative in calling people nice names as you were at calling them nasty names. And you’re back in school and, as far as I understand, your life is going great. Thanks for teaching me a great lesson.”

As Lanny raised his glass for the toast, he noticed how strong and good he felt. He had learned when to argue and when not to argue. But even more importantly, he had learned how to say nice things to people and how to argue without making everyone mad at him. The funny thing was, Lanny felt happier. Mostly, all those mad feelings that had been inside him weren’t there anymore.

At the end of this story (or whatever story you decide to use), you can choose to directly discuss the “moral of the story” or not. In many cases, leaving the story’s message unstated is useful. Or you might ask the child, “What do you think of this story?”

Letting the child consider the message provides an opportunity for intellectual stimulation and may aid in moral development. Although it would be nice to claim that therapeutic storytelling causes immediate behavior change, the more important outcome is that storytelling provides a way for an adult and a child to have pleasant interactions around a story . . . with the possibility that, over time, positive behavior change may occur.

Please Support Trapper Creek Job Corps and the Other Job Corps Designated as Civilian Conservation Corps

Hi All.

I’m asking for help. All of the Job Corps designated as Civilian Conservation Corps are slated to be cut.

Below, I’m pasting information about Trapper Creek Job Corps. I’m also providing a link to a form letter with talking points, as well as an Excel sheet with contact info for various Senate Offices.

Thanks in advance for your help. Job Corps was started as part of LBJ’s war on poverty. It’s a program that gives youth and young adults ages 16-24 a chance to learn a trade and become a taxpayer who contributes to our country in positive ways.

I hope you will spread this message far and wide!

Here’s the letter:

Dear Friend of Job Corps.

This is not a drill. This is 911.

The media is out there; Secretary Acosta (Department of Labor) and Secretary Purdue (USDA) have made the agreement to eliminate the USDA’s role in the Job Corps Program. This means that Trapper Creek (as well as the other 24 Forest Service Centers, or CCCs) will be transferred to DOL, and Trapper Creek will be more or less eliminated as we know it. Our students will no longer be served by this program. Our communities will no longer be served by the extensive support of our amazing students. Our 55 hard working staff at Trapper Creek (and over 1,200 Nation-wide) who have dedicated their professional lives to helping disadvantaged youth will lose their jobs. It is clear this is an assault on our youth, our communities and our people.

My understanding is as such: the decision is to eliminate operations of the CCCs by September 30, 2019. This is not an arbitrary date: it is the last day of the fiscal year. Should this movement take place successfully, the contingent will have won; Trapper and the CCCs are over and done for. We lose our jobs and the thousands of young people served by the CCCs ever year will be without services. However, Congress was just notified today of this decision and, frankly, are not happy. The Forest Service Job Corps program has always had huge support from both sides of Congress; Democrats believe in the humanitarian component while Republicans believe in the fiscal responsibility of training young adults in poverty to learn the hard skills to get a living wage job and the soft skills to stay employed.

WHAT I NEED YOU TO DO: below are two documents.  The spreadsheet attached has contact information for Congressional folks in your states. Please make as many contacts as you can to them as well as to local political folks; mayors, city council, etc. We need as many calls and emails as possible from as many folks as possible. Democrats are already putting things in writing; Republicans are on board but all together too quiet. These folks need to hear of your displeasure of this decision.

Also attached is a form letter (5.23.19 CCC Agency Letter), talking points if you will, to use when visiting with these folks.

Please forward this message to all parties you know that care about our youth, our communities, our staff and the program at large. Facebook is a great tool to move information as well.

FEDERAL EMPLOYEES: do not use government time, equipment or material to move this information. You are welcome to use Facebook if you do not identify yourself as a Federal Employee.

The Talking Points letter is here: 5.23.19 CCC Agency Form Letter with Talking Points

The Excel spreadsheet with contact info is here: Copy of CCC Contact Sheet