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Play Therapy Case Study

Outline two psychotherapeutic interventions which might be suitable for Max and critically review the evidence base for these treatment options. Due to a continuingly rising prevalence of depression in children (Hidaka, 2012), it is becoming increasingly more important to develop and adapt current psychotherapeutic interventions for use in the treatment of children. Using the case of Max, an 8 year old boy with displaying behavioural changes including social withdrawal, irritableness, lack of appetite and other symptoms of depression. He has received a diagnosis of depression and drawing from the information provided in the case study, this piece of work will apply two different psychotherapeutic interventions, play therapy and a modified…show more content…
Max ia 8 years old and his age should be considered when selecting a therapy, as children and adults are different and the traditional talking therapies that work with adults may not be as effective when used with children, (Lesniak, 2001). Bratton, Ray, Rhine and Jones, (2005) report play therapy as effective in treating a range of mental disorders, including depression. Play is a natural behaviour displayed by children and it is a medium in which they socialise, communicate and interact with the world around them. Play therapy aims to tap into these natural behaviours and provide a safe environment where children can disclose feelings towards past experiences and identify behaviours that are negatively affecting their day to day functioning and find ways to adapt these into more acceptable behaviours, (Kaugars & Russ, 2001). Case studies have highlighted the benefits and effectiveness when working with children of Max’s age. Cuddy-Casey (1987) gave 14 sessions of play therapy to an 8 year old boy with depression, who suffered from bed-wetting. A follow-up appointment 6 months after the therapy revealed that his symptoms were gone. These case studies not only highlights the effectiveness of play therapy in young children but also shows that it has good long term…show more content…
A benefit of TB-CBT is that it can be adapted to individual families and unlike traditional CBT it can be effective over a short period of time. A pilot study conducted by Cohen, Mannarino and Staron (2006), used the modified form of CBT over 12 sessions. Thirty-nine children and their parents received the therapy and their levels of depression was measured pre and post treatment and significant improvements were recorded suggested that shortened therapy is beneficial leading to modified CBT being cost effective, however there are limited randomised trials into this and it needs further evaluation (Cohen, Mannarino & Staron 2006) . It is also difficult to conclude that it was the treatment itself that led to improvement in the child as the parent also received treatment and it could be that the parent may have projected on the child. As Max’s environment may stay the same, with his mother being absent, it is also important to look at whether treatment has a sustained impact. A follow up study found TB-CBT to be well maintained 6 months after treatment, (Mannarino et al., 2012). This provides further evidence that TB-CBT could be successful in treating
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