At Elmhurst Counseling, we often receive referrals that are best served by combining the expertise of multiple therapists. The most common examples are Occupational Therapy and Speech Pathology. OT and social work are similarly intuitive. The credentials and expertise of these specialists blend naturally on behalf of the child. Let’s consider these two examples.

Many kids fall short of school district thresholds for speech & language and/or occupational therapy services. Yet each of these children displays concerning symptoms, whether that be difficulties with motor planning or self-regulation. What is a parent to do?

You can wait for the kiddo to ‘grow out’ of their symptoms, assuming the lag is within the developmental norm. Or you can engage your own resource network proactively with the understanding that early detection pays dividends.

It is probably no surprise that both speech and motor delays are partnered with most kids. The same goes for sensory processing and social pragmatics. An hour with either the Speech Pathologist or the Occupational Therapist addresses many of the same developmental challenges. When you put them together in the same room with a child, magic happens.

The same magic occurs when you add a Social Worker to the mix. It is the rare ‘OT’ or ‘SLP’ client who doesn’t have a strong social-emotional component to their clinical picture. The ability to address the childhood traumas and family dynamics that impact normal development is, in essence, prevention. Speech/language, social work, and occupational therapy interventions thus all become strengthened in a multidisciplinary approach.

The cost/benefit analysis is clear. Collaborative interventions in co-treatment models have measurable clinical efficacy. It’s just hard to find a practice that offers hybrid services. Most often, parents need to act as project managers and patchwork professionals together on their own. If you can find a clinician that partners in an interdisciplinary practice, sign your kid up!

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Emotions are contagious. Any of us are capable of shifting the mood of a room by bringing our vibe into the space. We’ve all been altered emotionally by the power of someone else’s mood. Whether excitement, anger, sadness, or fear – one of the ways we manage feelings is to share them. When the other person experiences your emotion, you feel understood.

There are a few psychological defense mechanisms that explain this – projection, identification, and projective identification, to name a few. They are designed to selfishly bring relief to negative emotions and to generously share the wealth of positive feelings. Examples abound.

One guy cuts off another guy on the highway and, before you know it, guy #2 is tailgating guy #1 with elevated blood pressure. Guy #1 gave guy #2 the gift of his aggressiveness.  

A teenage girl arrives at the raucous sleepover party in a glum, tearful state. The girlfriends crowd around her and her emotional weight becomes the theme of the night.

A parent screams at their kid for something minor because the adult endured a stressful day in the workplace. The kid takes responsibility for the parent’s outburst and wonders what they could have done or not done to make the parent less upset.

The high school senior learns of the acceptance to her college-of-choice, and the whole family whoops it up in celebration of her accomplishment.

In clinical circles, we call this ‘parallel process.’ The contagion becomes a window to the world of another person. If you assess what you are feeling in a particular interaction, it is extremely likely that your dance partner feels the same way and shared it with you. This becomes a valuable tool for parents. Consider the chart below as a roadmap for how to manage your child’s emotional reaction:

When the                               

child is:                       I Feel…                         Intervention

angry                           frustrated                    de-escalation

scared                         worried                       reassurance

tired                            depleted                      resources                   

overwhelmed              stressed                       structure

hopeless                      ineffective                    encouragement

withdrawn                   sad                              contact

Of course, this works with two adults in the same way. In the heat of the emotion, step back and get perspective. Become a diagnostician of the macro-level interaction from that wider lens, and then step back into the fray with precisely the most helpful reaction. The emotion you are feeling might not be your own.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

We’re still in the time of year when many of us (in spite of ourselves) feel the temptation to make resolutions. If you’re like me, you’ve been pondering ways to become a better all-around person. In my case: more patient, attentive, and affectionate.

But I always grapple with the question of whether to broadcast my goals to anyone else. What if I fail? Better to keep my resolve quiet. On the other hand, if I tell someone I’ll probably feel obligated to try harder.

It might be better to go public, after all.

Common wisdom tells us that once you make your goals known, you’ll become more motivated to accomplish them. Aside from a couple of exceptions (including a 2009 study that found students acted less on their goals once they were shared because announcement gave them a false sense of completion), social scientists agree that external accountability helps.

And here’s something you may not know: it’s been proven that sharing your goal with a person whose opinion you value gives you a huge boost. Not only are you giving bigger life to your resolve, but you’re also now receiving implicit support and approval from someone who really matters to you. It’s almost like you’re doing it for them – like following through with your resolve is a gift.

So if your goals include being a better parent, like mine, I propose going straight to the source – your kids. Who better to share the gift of your resolve?

Let them know what you’re hoping to change, and why. Invite them into your heart and soul. They’ll feel the love conveyed in the message and probably be more than willing to hop on board to support you. You can be sure they’ll hold you accountable!

Little successes will become self-reinforcing – and you will have already taken the first step in your goal to become a better parent by simply telling your kids how much they matter to you.

About the Author

Kerry Galarza, MS OTR/L is the Clinical Director and a pediatric occupational therapist at Elmhurst Counseling. She provides specialized assessment and intervention with children of all ages and their families. Kerry engages clients with naturally occurring, meaningful home-based methods to empower autonomy and maximize functioning.