| From Strugglingteens.com|
Shy And Withdrawn Teens
The Office Therapy Process—Family
At some point, parents always become part of the treatment plan with their son or daughter. There comes a point in the therapy when an adolescent can directly negotiate and/or compromise with parents in a family session.
The Residential Therapy Process—Individual and Family
Interventions for out-of-home or residential therapy process mirror those offered in the office therapy process for individuals and families with one important added component: Intensive program structure and staff/peer support.
Virtually all residential programs can use the power of groups. In addition, using socializing agents (such as parents or teachers) or peer mediated approaches, is ideal.
Adolescents who are excessively withdrawn may benefit more, at least initially, in individual psychotherapy versus group therapy. In time, group therapy can be utilized and is often helpful in improving social skills using positive peer influence. At the same time, shy/withdrawn teens are oftentimes capable of skillful insights, and writing assignments about their own motivations can be helpful. Thus, an autobiography can be written, with the teen reflecting meaningfully about his/her past then shared with the group.
Highly structured programs can contain serious acting out or detached behaviors in teens, while providing support to learn more adaptive coping. Behavioral contracts can be used to focus attention on learning, then maintaining positive thoughts, feelings and actions. For example, a teen can be rewarded for accomplishing a specific contract item that reads, “Pt. will remain abstinent from all drugs, while attending entire treatment program.”
In the continuum of care from outpatient to residential or even inpatient treatment—degree of structure, consistency, limit-setting and positive peer interaction are all increased. Social skills are easier to learn in a structured setting with other teens present and there is an opportunity for the adolescent to internalize self-regulation and enhanced self-image. The structure of residential/inpatient treatment allows control of the adolescent’s lifestyle to the extent that alcohol and drugs will, of course, be eliminated. How to turn around adversity is the main question with adolescents.
Because problems occur in a context it is important to treat parents along with their adolescent at appropriate junctures in outpatient, or if needed, more intensive residential settings. Whether parents take on the assignment to help their shy/withdrawn teen informally, or turn to outpatient or residential/inpatient treatment options the assessment and treatment guidelines detailed can be followed to create life changing enhancement in their shy/withdrawn teen.
© Copyright 2012 by Woodbury Reports, Inc.