Category Archives: Children and adolescents

Sand Therapy

Sand therapy is a powerful therapeutic technique used by counselors at the Center to help clients process their trauma. It is especially useful to help children to find ways to communicate their experiences. Clients choose small objects that describe, say, their family or home. The skilled clinician will help the child explore their fears and experiences by asking questions about their choices of objects. The counselors helps the child to learn that healing is possible. (See last photo.)

Children learn that it is possible to heal. Sand objects in this photo represent a broken heart, a repaired heart and a patched heart.

For more information about C.O.O.L. (Children Overcoming the Obstacles of Life) www.dmpcc.org/COOL

The Work of Play

by Grace Sherer

What is play? It is spontaneous, fun, free – a means with no end. A seemingly purposeless process from which springs joy. It is the creative expression of Self through every age and stage that says “I am alive!”

Play is about accessing that which is vital – the life spark. Play is not productive in a quantitative sense and it is not about rules. Play is not about winning and losing, but rather about presence and experience. Play is enormously significant for both children and adults.

There is growing evidence that the learning of emotional control, social competency, personal resiliency and continuing curiosity are accomplished largely through developmentally appropriate play experiences.

Play is the occupation of childhood. Play provides a space for the “greening” or development of the young Self. It is the mirror where the child first glimpses its Self as fun, beautiful, and worthy of the time and energy of another. It is where life experience is assimilated. It is where life experience is mastered. It is where life experience is communicated.

Play begins at a very young age. Babies play with their primary caregivers and vice versa. When a parent is smiling at an infant and the baby laughs spontaneously, it is the baby’s first experience of the joy found in relationship through play. These early play experiences transmit messages such as “you are very special” and “it is fun to be with you” and “it’s okay for you to change the rules or create something new.” Play is the activity that allows children to explore and master their world without fear of judgment.

Play is a presence that does not mete out rewards and punishments contingent upon performance. What is deemed “good” is just being together and celebrating whatever happens. There is little room for cautionary statements, admonishments, or limitations. Play becomes the medium for conversation and relationship.

Sometimes the conversation is issue specific as when a child recreates a divorce scene with toy animals in a sand tray. Sometimes the “conversation” is more abstract as when a child creates a shield with pictures cut out from magazines of things about herself that “protect” her in the world. Sometimes play relates to specific coping skills (e.g., tolerating frustration) and sometimes it is just about BEING in relationship (e.g., constructing an airport out of masking tape on the office floor).

This is what play is at C.O.O.L. (Children Overcoming the Obstacles of Life), the Des Moines Pastoral Counseling Center’s child and adolescent program. It is the fort made from two chairs, a prayer shawl, a couple of bean bag chairs, and a construction paper sign. It is the child hiding under the bean bag chairs in the waiting room and a therapist who gingerly sits on top lamenting the “absence” of the child. It is a child stacking bean bag chairs on top of a therapist to build a volcanic mountain that erupts when the child climbs on top. It is the “Topsy Turvey Rule” that says, “If you win, you lose and if you lose, you win” that a child can invoke anytime during any game. Play in this context is not structured in a traditional sense but is free-form where rules are mutable and even able to be totally eliminated. Thus, a regular checkers game can become “give away checkers” where the goal of the game is to lose all your pieces rather than capture all the opponent’s pieces.

Many children come to C.O.O.L. fearful about being judged, fearful about being “less than,” fearful about losing and losing out. We live in a highly competitive world that tends to promote these kinds of fears. In play, children are often exposed to games that are only about winning and losing where the messages they seem to have learned are that you are only worthwhile
if you win, get an “A,” are first in line, etc. At C.O.O.L. we try to change that up. Games are over before there is a conclusion just to take out the competitive aspect.

“Rules” are changed over and over just because it might be fun or interesting to do so. What is immutable is the caring, spontaneously fun relationship between the child and therapist. At C.O.O.L. we have great belief in our kids. We believe that if we provide a safe and nurturing space for them and materials for them, that they will discover their true and beautiful Selves through creativity and play and relationship. We play structured games but play with the rules. We build forts and bridges and obstacle courses that are metaphors for self protection,  communication, and challenges in life. We foster play in relationship and we foster relationship through play.

It is not uncommon to see a therapist with a puppet in hand hiding behind the waiting room door and having the puppet greet the child.

Grace Sherer is a licensed pediatric psychologist, a former therapist at the Center, and founder of the Center’s C.O.O.L. clinical approach. Grace holds a master of arts degree in behavior analysis from Drake University. This timeless post was originally printed in the Center’s newsletter, November-December 2019 edition.

Counseling Urban Outreach Program

August 30, 2017 — We are accepting referrals for Wednesday appointments starting on September 6 for children, adolescents, adults and families who need mental health counseling and do not have the resources to cover all the costs. For initial intake session, please contact Nathan DeLange, L.I.S.W., at 515-577-0190. Feel free to share this information.

*

March 15, 2017 — The Des Moines Pastoral Counseling Center is pleased to announce a new partnership with Grace United Methodist Church, extending services into the heart of urban Des Moines, serving residents of Drake Park and River Bend neighborhoods. Launched in February 2017, the counseling outreach provides private, confidential counseling for children, teens and adults. Counseling is offered for English and Spanish speaking clients.

The services are provided at no cost or low cost to individuals who do not have the resources to cover the costs of quality counseling. The goal is to help vulnerable individuals and families overcome their emotional challenges and learn techniques for resilience.

“The program reaches those who otherwise might not have access to quality counseling services,” said program director Christine Dietz, Ph.D., L.I.S.W, the Center’s Director of Clinical Training. “We are thrilled to partner with Grace UMC and Trinity/Los Americas United Methodist Church to provide services to people in need.”

Additionally, the Des Moines Public Schools and Iowa Free Clinics provide referrals.

Services are provided by counseling graduate students who are completing a rigorous nine-month practicum program with the Des Moines Pastoral Counseling Center. Clinical supervision is provided by Dr. Christine Dietz.

On site coordination is provided by Nathan DeLange, L.I.S.W. and youth minister at Grace UMC. Services are provided by two masters-level students in the counseling profession who participate in the Center’s graduate clinical training program directed by Dr. Dietz. Clinical supervision is provided by licensed, experienced therapists at the Center. Therapeutic approaches include play, art and talk. Specialties include serving domestic violence survivors, refugee families, and addiction issues. Counseling sessions are provided one day per week, increasing as needed, and as resources allow.

“We are sincerely grateful for the Center’s supporters who make it possible for us to expand services beyond the walls of our home facility,” said the Center’s executive director, James E. Hayes, Ph.D. “The Center’s clinicians are dedicated to ensuring excellence in their respective practices, serving people of all ages and all walks of life. We are excited for this opportunity to connect with a population that is currently underserved.”

*

More about the Des Moines Pastoral Counseling Center.

 

Dawn’s story, a child’s perspective of trauma

Dawn

Seven-year-old Dawn lost her parents to something possibly worse than death: abandonment. She was able to process her trauma through play therapy at the Center.

Dawn is 7-years-old. When she meets with her therapist at Des Moines Pastoral Counseling Center, she plays at the rice table and in the sand tray, choosing a toy baby animal as her main character. During her play, she positions the figurine as locked away and not given any food. Sometimes she postures the plaything as breaking out to get food. Other times she pretends the toy baby animal is rescued by other animals and given food.

Art and play are key to the therapy approach in the Center’s C.O.O.L. program (Children Overcoming the Obstacles in Life). At her young age, Dawn’s traumatic experiences have far surpassed her vocabulary. Dawn had been removed from her home three times before she was five years old, through no fault of her own but due to her parents’ substance abuse and chronic mental illness. She awaits her permanency hearing during which the court will terminate parental rights, enabling Dawn to be adopted by the only real family she has ever know – the guardians who brought her to the Center for counseling.

Dawn’s playtime choices help her express themes of abandonment, abuse, neglect and rescue. Her selections also help her express anger. For example sometimes Dawn assigns a figurine to portray a “mean beast” who “wrecks everything and takes all the food.”

Of the Center's 26 licensed therapists, seven specialize in serving children and adolescents. Pictured below, L-R: Shannon Welch-Groves, Psy.D., Kelli Hill, Ph.D., Doug Auperle, Ph.D., Elaina Riley, M.S.W., Sarah McElhaney, L.M.F.T. The Center also has capacity to provide medication management to children and adults through our psychiatrist and psychiatry physician assistant.

Of the Center’s 28 licensed therapists, seven specialize in serving children and adolescents. Pictured below, L-R: Shannon Welch-Groves, Psy.D., Kelli Hill, Ph.D., Doug Auperle, Ph.D., Elaina Riley, M.S.W., Sarah McElhaney, L.M.F.T. The Center also has capacity to provide medication management to children and adults through our psychiatrist and psychiatry physician assistant.

The counselor interprets Dawn’s choices and creates a therapy plan. The counselor provides Dawn with a special drawer where the child collects and keeps things safely – a jar of glitter, a small doll with a blue cape, several toy baby wild cats, a picture of Dawn with her therapist. Dawn decorates her drawer with her name so that no one else can get into her special place. Dawn is learning what it means to feel safe.

The Center serves 700 children and adolescents annually through its innovative C.O.O.L. approach, which views most youth behavior as a meaningful attempt to communicate inner life. Thanks to generous donors, we will continue to help vulnerable children and adolescents access quality mental health services.

*Note: Dawn is a composite character created from real counseling scenarios at Des Moines Pastoral Counseling Center. Dawn’s photo is a stock image.

More about C.O.O.L.

IMG_1047
C.O.O.L. (Children Overcoming the Obstacles of Life) is the Center’s innovative approach to counseling children and adolescents. C.O.O.L. counselors realize that kids have unique ways of viewing the world and expressing their emotions. We view most behavior as a meaningful attempt to communicate inner life. C.O.O.L.’s clients range in age from two to 20 years.
The Center has a separate waiting room for children and adolescents (photo left), plus a paint wall (photo above), a play room, a soft room and outdoor space to take walks and play basketball. Each therapy room is stocked  with bean bag chairs, puppets, crayons, games, paint, toy cars, wooden blocks and more. We are serious about play!
Additionally, the Center offers a full range of testing for children and adults, including assessment for IQ, learning disorders, developmental challenges, Austism Spectrum Disorders, ADHD and more.