Upcoming Webinar: Engaging and Treating Youth with ODD and CD

Tomorrow at noon Mountain time I’ll be doing a one-hour webinar titled: Engaging and Treating Youth with Oppositional Defiant Disorder and Conduct Disorder (and their Parents). This webinar is hosted by Western Montana Addictions Services. The webinar link for Tuesday, June 10th at noon (MST) is:

https://sas.elluminate.com/m.jnlp?sid=2008093&username=&password=M.5473E398E968F03FF120D04D57D5CF
Conference call line and pin: 571-392-7703 PIN: 832 106 441 879

Join in if you can. I’ll post the powerpoints for the webinar later today or tomorrow.

Happy Monday.

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How to Listen so Parents will Talk: Strategies for Influencing Parents — DVD filming with Alexander Street Press

This past week I was in Chicago to be filmed doing three 15 minute TED Talk like speeches for Alexander Street Press. The experience was both exciting and anxiety-provoking. . . as it’s rather challenging to deliver a 15 minute piece in a darkish studio to a camera on one take. Shannon Dermer of Governor’s State University was the smooth as silk facilitator who conducted 15 minute interviews after each speech. I was lucky enough to be filming on the same day as Paul Peluso of Florida Atlantic University. Although it was comforting to see that Paul was just as nervous as I was, it was not comforting watching him absolutely nail a perfect 10 of a presentation on Humor in Psychotherapy just a couple hours before it was my turn in front of the camera.

In the end, the filming went well, but of course during the live filming my imperfect memory led me to miss a few “lines” and so I’m posting here, a text version of the How to Listen so Parents will Talk THERAPY talk.Although my goal was to post an audio version, WordPress has thwarted that particular plan for now. . . sorry about that.

How to Talk so Parents will Listen: Strategies for Influencing Parents

When I talk with large groups about parenting, I like to begin with a survey. I ask: “How many of you ARE parents?” Of course, nearly everyone raises his or her hand. Then I ask a follow up: “How many of you WERE children.” At this question some participants laugh and a few raise their hands and others joke that they’re still immature.

“This reason I start with this survey is because if you’re a parent, you know that being a parent is an amazing and gratifying challenge. You also know that it’s 24-7; and you know it doesn’t end when your child turns 18. You’re a parent for life. And if you WERE a child, and all of you were, then you know how important it is to have a parent or caretaker who makes it perfectly clear that YOU ARE LOVED. But there’s more. If you were a child, then you also know how important it is to have a parent who not only loves you, but who is skillful . . . a parent who is dedicated to being the best parent possible.

Plain and simple: PARENTS NEED SKILLS FOR DEALING WITH THEIR CHILDREN IN THE 21ST CENTURY. And learning to be a better parent never stops.

Once upon a time I had a mom come consult with me about her five year old son. She said: “I have a strong-willed son.” My response was to acknowledge that lots of parents have strong-willed children. She said, “No, no, you don’t get it. I have a very strong-willed son, let me tell you about it. Just the other night, I asked him to go upstairs and clean his room and he put his hands on his hips and said, “NO.” So I said in response, “Yeah, yeah. He sounds very strong willed.” And she said, “Wait. There’s more. I asked him to clean his room a second time and he glared and me, and said “NO. YOU WANT A PIECE OF ME?” Then she told me the real problem. The problem was that, in fact, she did want a piece of him at that particular point in time and so she grabbed him and hauled him up the stairs in a way that was inconsistent with the kind of parent she wanted to be.

This is one of the mysteries of parenting. How can you get so angry at a small child whom you love more than anything else in the world?

Parents are a unique population and deserve an approach to counseling that’s designed to address their particular needs. In this talk I’ll mostly be using stories to talk about
a. what parents want for their children
b. what parents need in counseling
c. and how professionals can be effective helpers.

Most parents want some version of the same thing: To raise healthy and happy children who are relatively well-adjusted. But what do parents need in counseling. WHAT WILL HELP THEM GET WHAT THEY WANT?

First, parents need empathic listening. They need this big time. Our American culture puts lots of social pressure on parents . . . It’s implied that parenting should be easy and all parents should want to spend 24-7 with their child in an altered state of parental bliss. But this isn’t reality and so we need empathy for the general scrutiny parents feel in the grocery store, at church, on the playground, and everywhere else.

But they also need listening and specific empathy: like in the situation where the mom wanted to tell me about her 5-year-old son. She had specific information to share and it was really important for me to take time to listen to her unique story about her son who, unfortunately, may have been watching too many Clint Eastwood movies.

Parents come to counseling or parent education feeling simultaneously insecure and indignant. They feel insecure because of the scrutiny they feel from their parents and in-laws and society, but they also feel indignant over the possibility that anyone might have the audacity to tell them how to parent their children. As professionals, we need to be ready to handle both sides of this complex equation.

Another thing parents have taught me over the years is to never start a parenting session by sharing educational information. You should always wait to offer educational advice, even when parents ask you directly for it. When they do ask, let them know that your ideas will be more helpful later once you get to know what’s happening in their family.

This leads us to the second crucial part of what parents need in counseling. They need collaboration. We can’t be experts who tell parents what to do, instead we have to recognize that parents are the experts in the room. They’re the experts on their children, on their family dynamics, and on themselves. If we don’t engage and collaborate with parents, very little of what we offer has any chance of being helpful.

Parents also need validation to counter their possible insecurity. We call this radical acceptance or validation and it involves explicitly and specifically giving parents positive feedback. We do this by affirming, “You sure seem to know your daughter well.” And by saying, “When I listen to how committed you are to helping your son be successful in life, I can’t help but think that he’s lucky to have you as a parent.”

And so we begin with empathic listening and we move to collaboration and we make sure that we offer radical acceptance or validation and we do all this so we can get to the main point: providing parents with specific parenting tips or guidance.

And there are literally TONS of specific parenting tips that professionals can offer parents. Most of the good ones include four basic principles:

First, getting a new attitude – because developing parenting skills requires a courageous attitude to try things out.

The second one involves making a new and improved plan. Because a courageous attitude combined with a poor plan won’t get you much.

Third is to get support when you need it. Parenting in isolation is almost always a bad idea.

Fourth, underlying all tips there should be the foundation of being consistently loving.

I’d like to tell two parenting stories to illustrate all of the preceding ideas.

This first story is about a parenting struggle I had. I share it for two reasons: One is that it’s a great example of the need for parents to make a new plan to handle an old problem. And two, often it’s good to self-disclose—but not too much—when working with parents.

When my youngest child was 5-years-old, she ALSO was a strong-willed child. I vividly recall one particular ugly scene on the porch. It was time for us to leave the house. But we lived in Montana and there was snow and my daughter needed to put her boots on. Funny thing, she was on a different schedule than I was. This created tension and anger in me. And so I got down into her face and I yelled GET YOUR BOOTS ON! And her eyes got big and she did. Later that evening I was talking with my wife and she saw the scene and she said to me, “I know John, that’s not the kind of parent you want to be.” And even though it’s not easy to take feedback from our romantic partners, she was right and so obviously so, that I had no argument” which led me to tell her, “I’m not going to yell at our daughter any more. I am, instead going to whisper, because I learned in a parenting book, that sometimes when you’re angry it’s more effective to whisper than it is to yell. That was my new plan. Of course, like new plans everywhere, it needed tweaking. But it didn’t take long for me to have an opportunity to test it because if there’s anything on the planet that’s predictable, it’s that we’ll all soon have another chance to manage our anger toward our children more constructively.

It was the next day or week and my daughter did not get her boots on and she was not on the same schedule as me and I got down in her face, once again, but I remembered the plan to whisper and I did my best to transform my anger from the historical yell to the contemporary whisper and what happened was that what came out was sort of like the exorcist and I said to my daughter: “GET YOUR BOOTS ON!”

Now. I wasn’t especially proud of that, but she got her boots on.

It was the beginning of a big change for me because I learned I could play the exorcist instead of yelling; then I learned to growl and then I learned to count to three and then I learned a cool technique called Grandma’s rule where you use the formula, WHEN YOU, THEN YOU to set a limit and build in a positive outcome. Like . . . “Honey, when you get your boots on, then you can have your cell phone back.” Very cool.

What I learned from this experience is that I could be more than a one-trick parenting pony. I became the kind of parent who, although far from perfect, was able to set limits that were in my daughter’s best interest.

And what I like the best about this particular story is that daughter is now 26 years-old and she still says the same thing she used to say to me when she was 15 . . . that is, “Dad, one thing I really love about you is you never yell.” What’s cool is that I did yell, but I worked on it, I made a new plan, and now she doesn’t even remember the yelling.

I’d like to finish with one last story about how much parents need people like you to have empathy, collaborate, validate, and offer concrete parenting ideas.

I was working with a 15-year-old boy. His mom was bringing him to counseling because he and his dad weren’t speaking anymore. I hadn’t met the dad, but one day, when I went to the boy’s IEP meeting at school the dad was there. I saw this as a chance to make a connection and get him to come to counseling.

I did a little chit-chatting and sat next to him in the group meeting. Then, at one point, I asked the boy a question: “If you got an A on a test, who would you show first?” He answered, “I’d show my dad, my mom, and my special ed teacher.” This inspired me to turn to his dad and say, “It’s obvious that you’re very important to your son and so I’d like to invite you to come join him and me in counseling.” Dad gave me a glare and pushed my shoulder and began a 2-minute rant about how the school had failed his son. Everyone was stunned and then he turned back to me and said, “I’ll come to counseling. I been to counseling before and I can do it again.”

At that point I wondered if I could take back my offer.

The day the dad drove to counseling he and his son weren’t speaking, so I met with them separately. The son was clear that he would never speak to the dad again, but the dad was open. When I asked if I could offer him some ideas, he said, “Well I tried MY best and that dog don’t hunt, so I can try something else.” I was wishing for subtitles.
I told the dad I wanted him to keep his high standards for his son, but to add three things. First, I asked, do you love your son? The dad said “Yes” and so I told him, “Okay then. I want you to tell him ‘I love you’ every day.” He said, “Usually I leave that to the wife, but I can do that.” Second, I said, “Everyday, I want you to touch your son in a kind and loving way.” He asked, “You mean like give him a hug?” I said, “that would be great” and he responded, “Usually I leave that to the wife too, but I’ll give it a shot.” Third, I said, “Once a week, you should do something fun with your son, but it has to be something that he thinks is fun.” He said back: “That’s no problem. We both like to go four-wheeling, so we’ll do that.”

And they left my office for an hour-long of what I imagine was a silent trip home.

The next afternoon, I got a call from the mom. She was ecstatic. She said, “I don’t know what you did or what you said, but they’re talking again.” And then she added, “This morning, when they were in the kitchen, I was in the other room and I thought I heard them hug and when I saw my son walking down the driveway to head to school, there were tears running down his cheeks.”

This was obviously a mom who was listening and watching very closely.

Things got much better for the 15-year-old after that. He didn’t get straight As, but he stopped getting straight Fs. And I learned two things: First, I learned just how much that boy needed to get reconnected with his father. And second, I learned that sometimes, no matter how gruff parents may seem, what they need is some clear and straightforward advice about how to reconnect with their son or daughter.

My final thoughts about this topic are very simple. I hope you’re inspired enough to acquire the knowledge and skills it takes to work effectively with parents. I know their children will deeply appreciate it.

Thanks for listening.

The book upon which the talk is based is available here on Amazon:

. . . and here on Wiley: http://www.wiley.com/WileyCDA/WileyTitle/productCd-1118012968.html

Two Conduct Disorder Articles and Powerpoints

In concert with my Webinar today with Western Montana Addiction Services, below are links to two Conduct Disorder assessment articles. One is by Rita and me from 1998; the other is a 2013 article in Professional Psychology.

Evidence-Based CD Assessment 2013

SF and SF Conduct Disorder Article

WMAS ODD REV

Webinar Tomorrow: Diagnosis and Assessment of Oppositional Defiant Disorder and Conduct Disorder

Tomorrow at noon Mountain Time, Western Montana Addiction Services is sponsoring a one-hour webinar on the diagnosis and assessment of oppositional defiant disorder and conduct disorder. I’ll be the presenter. If you’re interested in tuning in, you’ll need to email Erin Wenner at: ewenner@wmmhc.org to get instructions on how to gain access. This month I’ll be focusing on very basic diagnosis and assessment issues related to ODD and CD. Next month on June 10th at noon, I’ll be focusing counseling or treatment issues.

Tough Kids, Cool Counseling PowerPoints from SDMHCA May 1 Workshop

Attached to this post are the handouts from the May 1 “Tough Kids, Cool Counseling” workshop in Spearfish, South Dakota.

It was a great day with about 85 wonderful, amazing, and exceptionally nice school and mental health counselors from throughout South Dakota.

This is the powerpoint:

SDMHCA Workshop 14 Part No Cartoons

And this is the supplementary handout:

SDMHCA TKCC Part II Supplement

I hope this information is helpful!

John SF

 

Confirmation Bias on My Way to Spearfish, South Dakota

Confirmation bias is an insidious cognitive process that typically travels just below our awareness. Here’s how it worked for me today.

I’m on my way to Spearfish, SD to do a “Tough Kids, Cool Counseling” workshop tomorrow and keynote on Friday. My belief is that it’s always hard to pack up and get everything ready and make it to the airport. Usually I hold a negative confirmation bias in my mind. This negative bias involves a belief or working hypothesis that the world will conspire against me and stress me out in the process of trying to arrive at the airport in a timely manner.

First, I’m in my office and about to turn off my computer and my office phone rings. Rarely does my phone ring anymore and it’s even more rare that I answer it with only 10 minutes left before my pre-planned office departure time. But my impulses take over and I answer it. It’s the associate dean and our development officer wondering if I have a few minutes to talk. They rush down and we meet for a few minutes, which puts me only slightly behind as I head to the copy machine for, of course, some last minute copies.

Second, Rita is driving me to the airport. She asks me what route she should take (please note: Rita almost never asks ME what route to take and so this is an anomaly in and of itself). I rise to the bait and tell her my quickest route to the airport.

Third, my best route to the airport begins crumbling when we have to stop for a train.

Fourth, my best route has a back-up option in case of a train. We take it. It leads us directly into road construction.

Fifth, we circumnavigate (I love that word) the road construction and make it to the airport.

Sixth, my confirmation number is in a “pre-check-in” email on my cell phone. I pull out my phone and sort through 53 emails, twice, before concluding that it has apparently disappeared.

Seventh, I get checked in anyway and head through security and upstairs only to discover that Liquid Planet’s espresso machine is broken and I can’t have my pre-flight white chocolate mocha and . . .

Eighth, I have to drag my bags and myself downstairs to use the restroom because the road construction has taken over the upstairs airport bathroom.

But now I’m here, sitting and waiting to board my flight and marveling at how today, for some odd reason, I was able to monitor the universe’s push-back and yet not get sucked into a bad mood. Of course, given that I saw the confirmation bias coming, I was able to simultaneously notice the universe’s positive encouragement as well. After all:

1. The associate dean and development officer are two of the nicest people on the planet and they wanted me to speak at a fancy College of Education and Human Sciences event and that sounds like fun.
2. The copy machine worked perfectly and there was NO LINE!
3. It was a beautiful, sunny day in Missoula as I bicycled back and forth from the University on my perfectly functional bike that didn’t get a flat tire.
4. Rita shared half an avocado with me while at home.
5. The toilet flushed without incident.
6. The car started without incident.
7. The circumnavigation went well and it reminded me of how much I like the word circumnavigation. I was also reminded that Rita is an excellent driver and stupendous conversationalist.
8. The guy at the United Airlines desk was nice and efficient.
9. I got to be in the TSA pre-screening category (not that it makes any difference in the Missoula airport).
10. Instead of getting a white chocolate mocha that I didn’t need I got exercise on my way to and from the restroom.
11. I still got here in time to write this post.
12. And, I’m on my way to Spearfish, South Dakota to have an excellent time with some cool professionals who have dedicated their lives to helping others.

Seriously, it would be difficulty to conclude, despite my usual negative confirmation bias about trips to the airport, that this day (and perhaps my whole life) is anything other than infused with most excellent good fortune.

I wish you all the best with your own confirmation bias challenges. Your homework assignment is to intentionally count the positive events in your life and intentionally not count or dwell too much on the less-positive events.

Parenting, NPEN, Portland, a Parenting Philosophy, and Smell Check

Yesterday and today it’s been excellent being back in Portland and taking in the fabulous spring showers. To make things even better,  I’ve been at the National Parenting Education Network (NPEN) annual meeting along with an interesting mix of people who are immensely dedicated to helping and supporting parents. It’s hard to get any better than that, but to add even more frosting to the cake (I use this only metaphorically because I’m not really a frosting fan), I got to be here with Chelsea and Nora and Rita and . . . even Waganesh!

Here’s NPEN’s Vision Statement: The vision of the National Parenting Education Network (NPEN) is that all parents/families will have the information, resources and support needed to provide a nurturing relationship and an optimal environment that will encourage their children’s healthy growth and development.

What still surprises me is that very few people seem to understand the deep importance of parenting and even fewer seem to know about NPEN. Just in case you don’t know about NPEN, here’s the website address: http://npen.org/

In this coming year, NPEN will be turning the corner and beginning to incorporate and post original content on it’s website. You can become a member (it’s cheap, only $25) and join the listserv. Additionally, at some point in late summer or early fall, Sara Polanchek and I, along with the many experts and parents associated with NPEN, will be launching a series of parenting podcasts underwritten by the fabulous Engelhard Foundation. So . . . be watching for that.

In the meantime, tomorrow night Families First Missoula is having a fundraiser. Check it out here: https://www.childrensmuseummissoula.org/events/go-mad-spring-soiree/

And FF Missoula asked me to write a short parenting philosophy. . . and so here’s that: Parenting is a balance of many things; it includes balancing joy and disappointment and love as well as anger. This makes consistently parenting well an immense challenge. Perhaps the biggest parenting challenge of all involves being able to simultaneously set limits while communicating empathy. This is difficult because often children need (but don’t want) their parents to be an authority—and it’s easy for parents to become too authoritarian and consequently lose the ability to respond empathically to their children’s developing emotional struggles.

And finally, here’s a photo of my two daughters engaging in the balance of conducting some sort of smell check with each other. Don’t ask me why.

Pit Smell

Strategies for Parenting Teens

Strategies for Parenting Teens: A Brief Parenting Workshop [This is a handout from an old parenting workshop from way back in my Families First days.]

I. Introduction

II. Opening Stories: Dealing with Yourself First
1. How will you stay calm? The answer to this question is surprisingly simple. Managing emotions doesn’t require years of psychotherapy. It requires the following components.
2. A plan for dealing with your anger/emotions.
3. Rehearsing and practicing of the plan repeatedly, before, during, and after you face situations that trigger your anger.

III. Amazing Parenting Strategies

A. Adopt a New Best Attitude: There is one attitude that, if you’re able to adopt it, will help you respond in a more constructive way to all children. I know it sounds absolutely crazy, but, here it is:

LOOK FORWARD TO THE NEXT TIME YOUR TEEN HAS AN OUTBURST OR TEMPER TANTRUM . . . BECAUSE

1. If you look forward to teen’s outbursts, you’ll be able to deal with them in a more positive and graceful way.
2. If you look forward to teen’s outbursts, you can use them as an opportunity for emotional education.
3. If you look forward to teen’s outbursts, you can use them as an opportunity for greater intimacy. Think about the nightmare analogy.

B. Approach Teens Gently, Empathically, and With The Desire to Comfort Them: Being a teenager sucks. If you recall, your body is in turmoil, everybody is staring at you, and your friends are inconsistent and judgmental. Therefore, we should try to be the sort of parent who is a pillar of strength and support and not a big source of criticism and punishment.

C. Use Boring Punishment: Often we get this backwards and end up yelling at our kids, rather than making the punishment boring. Behavior modification principles suggest that we should be exciting when delivering praise or rewards.

D. Get Curious, Not Furious. Just like in the children’s story about the lion and the mouse, there will almost always be some form of distress under teen’s anger or agitation. As you approach gently, with your new positive attitude, think about what might be underneath your teen’s anger. Is she hurt? Is he upset about not getting what he wants? Is she trying to manipulate you into getting what she wants? Is he just blowing off steam?

E. It IS possible to have both empathy for your teen’s feelings AND to set limits on his/her behavior. For example, you can say, “I can see you’re very upset because you can’t go out tonight.” This statement contains both empathy AND a statement of the limit that you’re setting. Many teens throw tantrums to obtain power and control. Therefore, you should always abide by the following rule:

IF A TEEN IS BEHAVING AGGRESSIVELY OR OBNOXIOUSLY, THE ANSWER IS ALWAYS – NO!

F. Use Encouragement: Praise is a great tool for shaping your teen’s behavior, but try to avoid relying exclusively on praise . . . instead, try using encouragement. For example, after your child handles a difficult situation gracefully, instead of saying, “That was great” try saying, “I noticed you kept your cool.” The magic of encouragement occurs because, by not giving specific praise, you give your child the opportunity to conclude himself or herself that the behavior you noticed was good. And often it’s more important for your child to evaluate his/her own behavior than to always have to look to you for approval or praise. Character feedback is another form of encouragement.

G. Use Grandma’s Rule: This strategy involves using the language, “When You, Then You.” For example, you might say, after having empathy for your child’s upset feelings, “When you calm down, then we can get ready to go to the park.” The key to this strategy is to keep your language perfectly clear.

H. Use Mutual Problem-Solving: Too often parents feel like it’s totally their responsibility to solve their child’s problems. This involves unilateral problem-solving and it doesn’t really teach your teen anything but that she/he should rely on you. Instead, try engaging your child in mutual problem-solving.

IV. Looking to the Future: Four Key Questions

To make sure you’re staying focused and effective, it helps to ask yourself the following four questions (from Choice Theory – William Glasser and Robert Wubbolding).

A. What do you want?
B. What are you doing?
C. Is it working?
D. Should you make a new plan?

For more detailed information on these and other parenting strategies, go to: http://www.amazon.com/How-Listen-Parents-Will-Talk/dp/1118012968/ref=la_B0030LK6NM_1_8?s=books&ie=UTF8&qid=1397876334&sr=1-8

 

 

Handling Termination in Counseling and Psychotherapy

It’s that time of the year (at most colleges and universities) when those of us doing and supervising counseling and psychotherapy should be thinking about how to handle termination. Well, actually we should have been thinking about it before, but if not then, now is good.

Anyway, I just sent the following termination checklist out to my MA and Doc students here at U of MT and thought this could be helpful for others, so here it is. Keep in mind that it was written for working with youth, but can be modified to stimulate your thinking about termination with whatever population with which you work.

Termination Content Checklist

[Adapted from Sommers-Flanagan, J., and Sommers-Flanagan, R., (2007).
Tough Kids, Cool Counseling: User-Friendly Approaches with Challenging Youth.
Alexandria, VA: American Counseling Association]

The following termination content checklist may be helpful for you as you plan for counseling or plan for termination. Keep in mind that this is not a comprehensive checklist that you MUST complete at the end of counseling. Also, keep in mind that the sample statements are just samples and that you should find your own words for expressing these (or similar) things. The point is that this is a guide to help you think about termination—even though some of the details will be different for you and your client(s).

_____ 1. At the outset and throughout counseling, the counselor identifies progress toward termination (e.g., “Before our meeting today, I noticed we have 4 more sessions left,” or “You are doing so well at home, at school, and with your friends. . . let’s talk about how much longer you’ll want or need to come for counseling”).
_____ 2. The counselor reminisces about early sessions or the first time counselor and client met. For example: “I remember something you said when we first met, you said: ‘there’s no way in hell I’m gonna talk with you about anything important.’ Remember that? I have it right here in my notes. You were sure excited about coming for counseling” (said with empathic sarcasm).
_____ 3. The counselor identifies positive behavior, attitude, and/or emotional changes. This is part of the process of providing feedback regarding problem resolution and goal attainment: “I’ve noticed something about you that has changed. It used to be that you wouldn’t let adults get chummy with you. And you wouldn’t accept compliments from adults. Now, from what you and your parents tell me and from how you act in here, it’s obvious that you give adults a chance. You aren’t always automatically nasty to every adult you see. I think that’s nice.”
_____ 4. Acknowledge that the relationship is ending with counseling termination: “Next session will be our last session. I guess there’s a chance we might see each other sometime, at the mall or somewhere. If we see each other, I hope it’s okay for us to say hello. But I want you to know that I’ll wait for you to say hello first. And of course, I won’t say anything about you having been in counseling.”
_____ 5. Identify a positive personal attribute that you noticed during counseling. This should be a personal characteristic separate from goals the client may have attained: “From the beginning I’ve always enjoyed your sense of humor. You’re really creative and really funny, but you can be serious too. Thanks for letting me see both those sides. It took courage for you to seriously tell me how you really feel about your mom.”
_____ 6. If there’s unfinished business (and there always will be) provide encouragement for continued work and personal growth: “Of course, your life isn’t perfect, but I have confidence that you’ll keep working on communicating well with your sister and those other things we’ve been talking about.” You may want to explicitly describe how your client doesn’t “need” counseling, but that continued counseling or counseling in the future might be helpful: “You know some people come to counseling to work on big problems; other people come because they find counseling can be useful and help them move toward personal growth or greater awareness; and other people just like counseling. You might decide you want to continue in counseling or start up again for any of these reasons.”
_____ 7. Provide opportunities for feedback to you: “I’d like to hear from you. What did you think was most helpful about coming to counseling? What did you think was least helpful?” You can add to this any genuine statements about things you wish you’d done differently as long as it’s not based on new insights. For example, if your client got angry for you for misunderstanding something and this was processed earlier, you might say: “And of course I wish I had heard you correctly and understood you the first time around on that [issue], but I’m glad we were able to talk through it and keep working together.”
_____ 8. If it’s possible, let the client know that he or she may return for counseling in the future: “I hope you know you can come back for a meeting sometime in the future if you want or need to.”
_____ 9. Make a statement about your hope for the client’s positive future: “I’ll be thinking of you and hoping that things work out for the best. Of course, like I said in the beginning, I’m hoping you get what you want out of life, just as long as it’s legal and healthy.”
_____ 10. As needed, listen to and discuss client wishes about continuing counseling forever or client wishes about transforming their relationship with you from one of counselor–client to that of parent–child or friend: “Like you’ve known all along, counseling is kind of weird. It’s not like we’re mom and daughter or aunt and niece. And even though I like you and feel close to you, it isn’t really the same as being friends” (further discussion and processing of feelings follows).

For more information on termination with youth, go to: http://www.amazon.com/Tough-Kids-Cool-Counseling-User-Friendly/dp/1556202741/ref=la_B0030LK6NM_1_3?s=books&ie=UTF8&qid=1396895008&sr=1-3

 

 

 

The place to click if you want to learn about psychotherapy, counseling, or whatever John SF is thinking about.