Child Psychotherapist

Child psychotherapy, or mental health interventions for children have developed varied approaches over the last century. Two distinct historic pathways can be identified for present-day provision in Western Europe and in the United States: one through the Child Guidance Movement, the other stemming from adult psychiatry or psychological medicine, which evolved a separate child psychiatry specialism.

Terms describing child-focused treatments may vary from one part of the world to another, with particular differences in the use of such terms, as "therapy", "child psychotherapy" or "child analysis".

Psychoanalytic child psychotherapy

Psychoanalytic psychotherapy with infants, children and adolescents is mainly delivered by people qualified specifically in psychoanalytic child psychotherapy, or by trainees under supervision from a specialist in child-focused treatment. Recent evidence,

covering 34 research papers (nine of which were randomized controlled trials) showed psychoanalytic psychotherapy to be particularly effective for children with the following conditions:
* depression
* anxiety and behavior disorders
* personality disorders
* learning difficulties
* eating disorders
* developmental issues

Furthermore, follow-up research

shows that in psychoanalytic psychotherapy, therapeutic improvements continue well beyond the termination of the therapy itself. This has been termed a, "sleeper effect."

In the UK, psychoanalytic psychotherapy is recommended by NICE as an evidence-based treatment for trauma from sexual abuse

and severe depression in adolescents

following the IMPACT study

Evidence-based child and adolescent psychiatry

There are various therapeutic assessments to address mental health concerns among children and adolescents. Some approaches are backed by strong scientific evidence, while some are not. Some research suggests that it is the quality of the relationship with the therapist, rather than the particular form of therapeutic intervention, that is the strongest factor in helping change develop.

Parent–infant psychotherapy

If the normal course of secure attachment between parent and infant is disrupted, parent–infant psychotherapy is a catch-all term to describe psychotherapies that either aim to restore this bond or to work with vulnerable parents to overcome disruption and prevent further occurrence. Examples of this kind of therapy include, "Watch, Wait, Wonder," and psychoanalytic parent-infant psychotherapy. Many of these techniques require a three-way relationship between the parent, child, and therapist. During therapy sessions, the parent may express his or her thoughts and feelings which are based on a combination of factors including:

# The parent's experiences as a child
# The parent's expectations and hopes for the child's future
# The relationships the parent has with other people

The therapist's role is as an observer and an interpreter of the interaction between the infant and the parent. He might share some of his thoughts about the behavior of the child with the parent and by doing so offering the parent an alternative way of experiencing the child. This technique helps the parent to resolve issues with his or her own infancy-experiences in order to restore secure attachment with the infant. And it helps lower the risk for psychopathological developments of the child in the future.

Group art therapy

Group art therapy gives the child a safe environment to access their emotions through a creative medium in the presence of a therapist. This nonverbal therapeutic practice alleviates the stress that a child may feel when trying to find the words to express themselves; thus it helps rebuild social skills and gain trust in others. Studies have also found that this practice can alleviate self-harm engagement. This method of psychotherapy has been found particularly helpful for children who exhibit any of the following:
* Autism
* Asperger's
* Anxiety and behavior disorders

Group art therapy has eight subcategories of specific mechanisms of change. Among them are:

# ''As a form of expression to reveal what's inside''
# ''As a way of becoming aware of oneself''
# ''a way to form a narrative of life''
# ''integrative activation of the brain through experience''
# ''a form of exploration and/or reflection''
# ''the specifics of the art materials/techniques offered in art therapy''
# ''as a form to practice and/or learn skills''
# ''art therapy as an easily accessible, positive and safe intervention by the use of art materials''

By bundling together these specific groups, the general groups are as follows:
* ''art therapy as a form of group process''
* ''the therapeutic alliance in art therapy''

Within this approach, three types of behaviors can be exhibited by the therapist; non-directive, directive, and eclectic. Non-directive refers to a following behavior in which the therapist takes on an attitude of observing self-exploration of emotions rather than facilitation or interpretation. Directive attitudes however follow a facilitative pattern by asking specific questions to guide the clients artwork. With these two processes in mind, eclectic combines them to create a facilitative and lenient approach simultaneously and often utilizes emotion check-in's at the start of sessions, and emotion check-outs at the end of sessions.

This approach adopts various psychological elements such as psycho-educational, mindfulness, psychoanalysis, and cognitive analytic theories. This article sought to analyze this methods effectiveness on a broad spectrum, including the following:
* traumatic events (PTSD)
* who have educational needs or disabilities
* children with medical conditions
* children with none of the former
* juvenile offenders

Art therapy can be implemented as a holistic therapeutic practice for child cancer patients as well (effecting 1 in 285 children in the US; 15,980 children each year). Given the alleviating effects that are addressed by this method, children were better able to discuss their needs and emotions to their family members and healthcare team. The results of this study conveyed that art therapy lead to improved emotional and mental well-being and improved communication skills.

Parent–child interaction therapy (PCIT)

This approach is meant to assist parents whom have children ages 2–7 years old who are prone to disruptive behaviors and emotional difficulties. Parent–child therapy utilizing two stages, each possessing their own goals and characteristics to create this approach. Beginning with child-directed interaction (CDI), parents learn skills such as praise, verbal reflection, imitation, behavioral description, and enjoyment, to achieve the goal of warm and secure parenting styles. Parent-Directed interaction (PDI), the second phase, seeks to decrease the original disruptive behaviors exhibited by the child. Both phases are designed to be coached by the therapist via another room while the parent interacts with their child. This review found that certain cultural values may impede or contribute to the progress of this approach.

See also

* British Psychotherapy Foundation
* Michael Fordham
* Anna Freud
* Melanie Klein
* Michael Rutter
* Donald Winnicott

References

External links

Association of Child Psychotherapists (ACP) the professional body for Psychoanalytic Child and Adolescent Psychotherapists in the UK and a core NHS profession

{{DEFAULTSORT:Child psychotherapy

Child development
Transdisciplinarity
Child welfare
Psychotherapy