32 answers

Experience with Child Psychologist

My son, who will be 9 tomorrow, just started OT for sensory issues and is seeing a child psychologist for anger management and problems with disrespect. The OT is going well and he likes his therapists. However, he really dislikes the psychologist and has left both of our appointments in tears. I have very little experience with mental health professionals and one prior experience was negative so I am not sure what to make of this and wondering if his reaction is normal or if we should find another therapist. I know he needs some sort of help and don't plan to quit therapy altogether. The psychologist is calm, but also very direct and even antagonistic towards him. He supposedly has about 30 years of experience working with children. My son dreads the appointments (although we've only had two so far), starts the appointments angry, talks about the therapist negatively and leaves the appointment in tears. Is this a normal reaction and part of an adjustment period to therapy? Since it's only been two appointments do I just give it more time? Or is this a sign that we need a different therapist with a different approach? Thank you!

I should add that I have been sitting in on the sessions and actually have been asked to participate. It sounds like from the responses that isn't always typical. The psychologist hasn't done anything inappropriate, but he can be somewhat condescending. My son's tears are distressed tears, not anger. He doesn't get mad at the therapist or question his authority. He seems to feel bad. He starts the appointments angry, but leaves them sad. He seems to think he's been judged.

What can I do next?

So What Happened?™

Wow. I received numerous responses with a wide range of opinions. I think it helped me formulate a plan. We have one appointment already scheduled so I will keep that one. My husband hasn't met the psychologist yet so I might see if we can arrange a meeting. For those of you who wondered about possible abuse, I have been sitting in on the appointments so I know there is nothing even close to abuse going on. It also makes it a little harder to have a private conversation with the psychologist so I may need to call him to talk about my son's reaction to him. I asked my son if he would rather I not sit in on the appointments and he was insistent that I stay. He seemed almost a little panicky that I would consider leaving him with the psychologist. I don't want to rush into changing therapists, but my gut tells me that my son and this particular therapist just aren't connecting and I may look for someone who can have a better rapport with him. I'm not sure I feel completely comfortable with him and if he were my therapist I might want a different one too. I may also look into the school psychologist option, but he's not really having significant problems at school and I didn't know if school psychologists were limited to that situation. He had some challenges at school last year, but nothing that made his teacher refer him to the school psychologist. For those of you who suggested dietary changes we are working on that at the suggestion of his occupational therapists. It isn't easy, but we are trying to significantly cut down on articial flavorings, sweeteners and colorings. Part of his OT involves his gag reflux and how his sensory issues affect his diet so that is all part of his current therapy. Thanks for helping me to look at this situation in a variety of ways!

Featured Answers

Reflex integration therapy can support a child who has lots of anger; is very respectful and complements sensory integration very well. C.

The psychologist is probably doing the very thing that is not happening at home and is causing him to act out - holding him accountable. Don't expect them to baby him at therapy sessions C.... accountability will be a good thing as long as it is safe.

Ask him questions like, "Did he touch you?" "Can you explain what happened?" If he has no answers he may be trying to get out of following through with this important adult relationship.

I'd hang in there and let him know that if, after 3 months or so, he still isn't happy you will move him. Otherwise, he is most likely learning some big lessons from this doctor and will benefit regardless of the big feelings he may be having initially about his part in it.

More Answers

C.,

I agree with the moms who suggested to talk to the therapist and sit in on a session (but don't participate.) There is a significant chance your son is playing on your sympathies and trying to get out of therapy because he doesn't like to be held accountable. Give it some time. This could very well be the tough love he needs.

I have been responsible for children in a daycare or babysitting capacity and did things as simple as take away a dangerous object (brought a switchblade to daycamp) or told them they weren't allowed to do something (throw heavy objects at other children) and they flipped out (bawled and threw tantrums) and went home to tell their parents how horrible I was and they couldn't bear to go back. There are two sides to every story.

If after sitting in on sessions and learning more about the therapist's strategy you are very uncomfortable, then it is time to look into a new therapist.

Good luck,
S.

2 moms found this helpful

I don't have much experience with the child psychology issue, but I just wanted to encourage you to continue the OT (I'm a pediatric PT who works with OT's doing the sensory "stuff")--it sounds like he likes that, so that is good news. Perhaps give the psychologist a couple more sessions and then reconsider. Or if the OT knows this person better, maybe she has some insight?? Hang in there--we have seen patients make GREAT progress with the OT (even some who have been on medication that were able to decrease their meds)--Obviously every situation is unique--good luck and hang in there!

1 mom found this helpful

One thing I did not see in any of the posts or your description--have you talked to the therapist to get his opinion on what is happening? The child may be leaving before the positive homework can be given. Do you have any ideas on what would make it a positive experience? I know your son has sensory issues--what is happening or what is in the office that is possibly setting him off? This is all related. (My son also has SI and his anger issues are not out of control right now, but he is sometimes explosive, so I know there is a close link between the two.)

Hope it helps.

1 mom found this helpful

When my husband started seeing a psychologist he was told that he WILL NOT like the guy, and will probably hate him and dread seeing him. They are trained to be "mean" or something. I told my doctor that the guy was mean and my doctor was shocked, because knowing him personally, he thought that the guy was so wonderful and kind.
There is a reason for their antagonism, and I'm sure it has to do with the type of people they have to deal with. Trust that he knows what he is doing. You could talk to him privately and make sure that he is aware of it, and then trust him.

We have had some issues with our son in the past, and for anger issues we've had great success with two things. Chiropractic care and a natural product called Chlorella, which we get at Mercola.com or Puritan's Pride.com. I cannot tell you just how much those things helped us. Even grades went from failing all classes to only failing one in one grading period!

1 mom found this helpful

Find a new therapist. A child with issues already feels like a failure they do not need an adult with power making them cry and being paid for it.

I have experience with many different types of therapist. Some for myself, my marriage my kids. There should be a trust between your child and Dr. Do you sit in the sessions?

By your own information this Dr. is antagonistic to your child. That is never acceptable. Trueth may not be easy to take but no one should speak down to someone they are trying to help.

Dr. Woodward is a great one. It has been many yrs since we used her, hopefully she is still around. She listened to me, supported my thoughts feelings and ideas as his mother. Coached me on what was going on and how best to handle things through daily life.

Good luck and always remember- You are his mother. Your gut instinct always trumps Drs. schooling.

1 mom found this helpful

Hi C.,
My first reaction as a parent and as a child who went to therapy - find a new therapist. Therapy should be beneficial to him and finding the right therapist is like any of finding a good fit in a doctor. It's a relationship that needs to exist and thrive and for your son's well-being you'll have to help determine if that relationship is what it needs to be. Based on what you are saying he's reacting to the therapist negatively and not the therapy, which is a huge difference and should be part of your consideration should you decide to find a new therapist. I know from personal experience that it makes all the difference in the world to have a positive relationship with your therapist. I wish you and your son well!

1 mom found this helpful

No matter what age you are, it's really important to find the right fit for a therapist. Any good one will tell you that. I would get a new one for your son right away, it sounds like it's not working out- he might be right for other children but not yours. It's normal to find that some are a better fit than others, but you shouldn't stay with him if you've figured that out. Don't feel guilty about switching either- advocate for yourself, just say it's not working out and get another reference from somewhere else.

1 mom found this helpful

Absolutely...run for the hills from this guy. Trust your son, it is not going well. I would not be leaving him alone with an adult tht makes him cry. We have an excellent Sensory issues therapist at Children's, my son is 11, looks forward to the appts, and loves loves loves this guy. He leaves happy and is having a good school year, thus far.

1 mom found this helpful

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