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What to Expect at Your Child's First Therapy Appointment

A Basic Guide for Parents

By Lisa Fritscher, About.com

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Taking your child to a therapist can be nerve-wracking. While mental disorders have become increasingly accepted in modern society, some parents still feel that there is a stigma attached. You may also feel guilty, believing that you could have done something to prevent the phobia. You may simply be unsure what to expect, particularly if you have never visited a therapist before. Knowing what to expect can ease your nerves and make both you and your child a bit more comfortable.

Preparing for Your Visit

Make sure that you are fully prepared for your child’s appointment. The therapist will want to know when the symptoms began, how intense they are and what specific situations trigger the phobia. Also be sure that you bring a list of any medications your child takes.

Prepare your child as well. If he or she is shy or uncomfortable around strangers, the therapist may seem new and frightening. Depending on your child’s age, you may or may not want to explain what therapy is. Some parents find that presenting the therapist as a new friend, a doctor or even a teacher can help calm the child’s nerves.

At the Office

Visiting a therapist’s office is not unlike visiting a doctor’s office. You and your child will check in with the receptionist and wait for your appointment time. You will need to fill out several forms, so arrive early. Many child therapists have toys available in the waiting room, but it is always a good idea to bring a few of your own.

Seeing the Therapist

Each therapist has his or her own policies regarding parents. Some therapists spend a few minutes of the initial appointment speaking with the parent. This allows the therapist to gather important information while the child adjusts to the environment. However, some therapists prefer to wait to speak to the parent until the end of the session.

Either way, you will generally be expected to leave the therapist and the child alone for a portion of the session. This is to provide the child a chance to open up without being concerned about your approval.

Diagnosis

At the first appointment, the therapist will be primarily concerned with accurately diagnosing the child’s condition. He or she will ask you a lot of questions about the history of the child’s symptoms. If the child is old enough, the therapist will ask him or her numerous questions in child-friendly language as well. The therapist may also observe the child’s interactions with you, as well as alone at play.

Therapy Options

At the end of the session, the therapist will spend some time wrapping up with both you and your child. He or she will give a clinical opinion on the child’s condition and suggest possible treatments. There are many different techniques that therapists use to treat children with phobias. Play therapy, in which the therapist enters into play with the child, is common. It is also common for the therapist to use a process of systematic desensitization, in which the child is gradually exposed to the feared object until the fear subsides. Your therapist may have other suggestions as well.

Medication

Some therapists believe that medications should be used in conjunction with therapy. However, therapists are not allowed to prescribe drugs. Therefore, the therapist may suggest that you make an appointment with the child’s doctor or a psychiatrist. The use of medications in treating phobias is common, so do not be alarmed if the suggestion is made.

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