Play Therapy
By Clarice J. Kestenbaum, M.D.
Q: My son, age 10, has been in
therapy for about six months to help deal with abandonment issues relating
to his biological father as well as the adjustment to his stepfather. I
have just returned from another session of play therapy and I am wondering
what exactly I am paying for. I understand the concept of working through
feelings during play, but at some point a dialogue must begin between child
and therapist. Right? I am frustrated and wonder whether another form of
therapy would better suit him. Any suggestions?
A: Play therapy is a tried and true psychotherapy
for children who experience conflicts in daily life. For example, stress
related to death, separation, or divorce can cause a child to experience
anxiety or mild depression, resulting in a loss of interest in school or
peer relationships. The child usually demonstrates his concerns through
doll play, storytelling, drawing, or other means of cultivating a positive
relationship with the therapist.
It is very important, in my opinion, for the therapist to involve the family by providing regular feedback sessions. These are not to reveal the child's secret feelings, but to explain the ongoing therapeutic process. I encourage you to meet with the therapist, who should answer all your questions. If you are not satisfied, you can tell the therapist that you would like a consultation with a senior child and adolescent psychiatrist who understands play therapeutic techniques for a second opinion regarding your son's therapy.
