I have worked with a lot of kids and teens with ADHD (Attention-Deficit/Hyperactivity Disorder) who have a really hard time in school. Whether they have combination type (difficulty focusing/paying attention and hyperactivity/fidgeting) or inattentive type ADHD, I learned quickly that just reading over a list of study skills for these kids to try was hardly effective. Teaching study skills, especially to kids with ADHD, requires more than providing them with a list and reading over it with them, then hoping for the best. You have to get creative, and you have to make learning more interactive.
I came up with this activity for that very reason. When I would teach study skills to a teen sitting in my office who was struggling in school, I could literally see the boredom in their faces and the lack of focus in their eyes. I would lose them within mere minutes. It was hardly effective. Just as teachers often have to make learning more interactive for all their students, I had to come up with a way to make learning study skills interactive for kids who were already struggling with their schoolwork due to ADHD symptoms.
GOAL: Help students learn helpful study skill tips and choose which strategies would work best for them.
“PLAYERS”: Student + a counselor, teacher, or parent
AGES: Middle school through college aged students
ACTIVITY: You can actually divide this activity into three separate activities. This is what I frequently do, as let’s face it, giving anyone a whole bunch of any material to learn at once isn’t always effective. Click on the links for the printable pdf forms of the packets and cards.
Materials – Activity #1:
Materials – Activity #2:
Materials – Activity #3:
Materials – All Activities:
Before the activity, laminate (optional) and cut one copy of the Study Skill Cards for that particular activity. Cut apart each section/block on the Categories sheet; glue each block onto separate envelopes. Each block should be designated its own separate envelope:
Both student and counselor (or teacher or parent) each get a packet for the particular activity you’ll be doing. Each person also receives an uncut copy of the Study Skill Cards page. Each player needs two highlighters of different colors. The laminated, cut study skill cards can be placed between the student and counselor.
The student draws a card form the pile in between them. They then read the study tip. The counselor can also choose to take turns drawing cards from the pile if she wants, but it’s important to keep the student as focused an involved as possible. Don’t “just read” to them.
Next to the study skill tip is a number in parentheses. This number corresponds to the number matching on the packet for the particular topic. For some cards, a more thorough explanation may be found in the packet whereas the card generally holds only a brief description of the strategy.
The student, upon reading the card, determines which envelope they want to place the card in. For example, they might place the “Copy the notes. (4)” card in the “I’m interested in trying this” envelope. The student and counselor then, using a designated color highlighter for this category, highlights the study skill tip on their Study Skills Card page so that they both can remember that the tip is something the student may be interested in trying. If the student chooses to place a card in the “I’ll commit to trying it this week” envelope, the student and counselor would use the other colored highlighter to mark those tips on their individual Study Skill Cards pages.
Encourage the student to commit to trying 1-3 skills in the upcoming week, particularly if they don’t already have very effective study habits. Take note that some strategies are better tried separately and not together with another skill tip (for example, “start with the hardest” and “start with the easiest” are probably best not tried during the same week).
After all (or a majority) of the cards are drawn and designated to their appropriate category, spend the remainder of the time discussing the week’s commitments and forming short-term goals. The student then can take their cards sheet and packet with them to help remind them of the skills and their commitment(s).
For the skills highlighted and designated into the category of “I’m interested in trying this,” keep the Study Skill Cards sheet handy for that student and refer back to it as necessary in the future.
The individually cut skill cards and envelopes can be saved to use with other students.
To all the students out there, happy studying!
Losing a parent or caregiver is difficult for any child, whether the loss is through death, separation, or removal from their home. Working with these children, they are often found to be struggling with grief and adjustment issues that might show up as a significant change in mood or acting out behaviors. Working with children who have been temporarily separated or sometimes permanently removed from their home can sometimes prove particularly difficult when trying to find creative ways to help them work their way through the loss of their parent or caregiver who has been a significant part of their lives for some time, often since birth.
Losing someone is never easy. While I certainly am not wanting to downplay the loss any child feels when a parent or caregiver dies, children who are separated from their homes, whether temporarily or permanently, face a unique challenge in itself. The child knows their parent didn’t die, so why can’t they still be with them? In cases where there has been neglect or abuse, a child may especially have difficulty understanding an array of confusing feelings… “I love my mom, but I didn’t like how she hurt me. But I feel guilty for not being with her but it’s kind of nice that I don’t have to worry so much or be so scared.”
In some cases, children aren’t even particularly sure why they’ve been separated from their parents or caregivers at all. They may not be given much information or they may not even realize that their parent’s neglect or other inappropriate behavior was ever wrong in the first place. From these kids’ perspectives, they have a really hard time understanding why or even how their lives seemed to suddenly be turned upside down. And sometimes, depending on the age of the child, it isn’t appropriate to offer a lot of details; regardless, it still doesn’t make up for the intense hurt and pain they feel from being separated from the only home they ever knew.
Child-centered play therapy, I’ve found, is especially helpful for these children when they are particularly young, but I’ve found that a more directive approach is often needed for middle and older elementary children and pre-teens. Seeking out ideas for techniques to work with these children has continued to result in dead ends. With the exception of a few specific techniques out there on the internet and in books for children who have lost their parent or caregiver not by death but by separation, therapists frequently need to adapt general grief activities for these vulnerable children. While this is certainly not a major problem, I began creating some of my own games, art, and other play activities myself.
To create your own game, simply click below and print the Separation & Loss question strips. After you print the questions, I recommend laminating the page for durability. Then simply cut out your questions, and glue each individual question onto a Jenga block. The blocks that are left over can be used as “free pass” blocks, blocks that allow the player a turn without answering a question or they can be rapport (relationship) building blocks.
I find “free pass” blocks to be helpful over utilizing each and every block for a question, as it seems to make kids more comfortable and feel less overwhelmed. Rapport, or relationship, building blocks are ones in which you can use questions such as those found below, to lighten the mood and discuss something a little more fun and less heavy. The topic of losing or being separated from someone you love can be pretty sensitive, let’s cut the child a break! I personally use some of the rapport (relationship) building questions AND a few “free pass” blocks.”
In regards to the rapport building questions I have included in this post, you obviously wouldn’t use all of the strips for this particular game or you wouldn’t have many blocks left for the separation and loss questions. You can pick and choose which of both sets of questions you would like to use. Or you might also decide to glue two questions onto each Jenga block, with one side having a separation and loss question and the other side including a rapport building question. This is what I choose to do. This way, if a child does feel particularly uncomfortable about answering a separation and loss question, there’s a “back up” question they can choose to answer instead.
Children with anxiety sometimes have a hard time opening up about what they’re worried or anxious about. Enter the worry worms. Worry worms are simply construction (or cardstock) paper worms that look like… well, little worms. I use them in play therapy, but you can easily make your own worms at home and play the worry worm game.
Worry worms are pretty easy to make. Simply draw or trace a worm onto brown construction paper (or cardstock paper works well too). Make several worms, and cut each of them out. Wa-la! Worry worms! I laminate my worms, simply because this allows me to keep them durable for multiple children to play with.
Next I hide these little guys (the worms) around the room for the child to find. For each worry worm the child finds, they are asked to tell one worried thought they have or have had.
It looks like a game of hide-and-seek to them, but let me tell you what really happens when you play the worry worm game:
Life skills don’t come particularly easily to everyone. Some teens and young adults, especially those with special needs, have quite a bit of difficulty learning some of the skills they need as they transition into adulthood.
I created the following game – “The Real Game of Life” – for teens to help teach some of the basic life skills that many people take for granted, all the while reinforcing good decision making skills (because, hey, in the real game of life, we’re all forced to make decisions). The game is meant for at least two players, though a couple others may join to play the game too. It is helpful for at least one player to be someone who knows the basic life skills that the cards address, or at least have someone close by on the sidelines in case there are any questions, as well as to judge whether the answers given are adequate or correct.
Playing games in therapy is one of my most favorite things to do in my profession as a therapist. Children especially enjoy game play, as they also like having a willing opponent in which to play games. In my practice, I use specialty therapeutic games, which are games that are specifically created and designed to address particular mental health issues and challenges (e.g., impulse control, positive thinking, etc.), as well as traditional board and card games that you can purchase at a department store (e.g., UNO, CandyLand, etc.). I call this latter group of games “non-therapeutic” because they were not specifically designed to be used as therapeutic techniques in mental health. The truth is that regardless of whether a game is specifically designed with a therapeutic purpose in mind or not, ANY game can be made to have therapeutic value in my playroom.
I’ve explored various techniques that I use with the games Jenga, Find It, and Sorry! in previous posts. In this post I’m going to show you the therapeutic value of the classic game Perfection with children who have difficulty with focus, attention, and concentration and those who need to develop more effective problem-solving skills and appropriate coping strategies. Perfection is an excellent game to help with all these things!
The object of the game Perfection is to fit all the shapes into their matching holes in the game tray. Pictured in this post is the travel edition of Perfection, which includes 16 shapes, but the original game actually has 25 shapes that you have to fit.
To set the game up, the player spreads the shape pieces next to the game tray so that he or she can easily access the pieces. It helps if all of the handles are facing up, though if you’re looking for the added challenge, leave the shapes as they are. Then the player sets the timer (on the game tray) so that they have 60 seconds of time to complete their task (for the travel edition of this game, the timer will be set to 30 seconds as there are fewer shape pieces).
Next the player simply presses down on the game unit’s pop-up tray and starts the timer. The player then has to quickly fit the shapes into their matching holes. If he or she finishes before the timer runs out, they should quickly turn the timer off; their turn is over and they have successfully completed their task (they win!). If he or she DOES NOT finish before the timer runs out, the tray will pop up and scatter the shapes all over (and nearly scare you both to death in the process!).
Perfection is played no differently in therapy than how it is played regularly. When I first introduce the game to a child, I teach them how to play and let them play two or three times without any intervention from me. During this independent game play, I observe the child’s behaviors: Does the child become easily frustrated? How does the child handle the stress and frustration of trying to beat the timer? Is this method effective for them? How well are they able to concentrate and focus? Are they easily distracted? More likely than not, you will find that most kids get in such a hurry to beat the timer that they actually decrease their efficiency of successfully completing the task due to their inability to remain calm and focus on the task itself.
After the observation phase, I discuss my observations with the child. I then prompt him or her to brainstorm ways to improve, offering suggestions such as slowing down, remaining calm, using deep breathing techniques, and staying focused. I then role play these new techniques with the child while they play the game again (and sometimes, again and again).
Soon you (and the child) will see visible improvement in their efficiency in completing the game’s task. The goal, whether achieved that day or a few sessions down the road, is for the child to be able to utilize effective and appropriate coping and problem solving skills during game play, as well as in real life situations that he or she may encounter. For this reason, it is important to process and even role play these new skills and how they can be utilized in various life situations, such as when taking a test in school. It’s remarkable how easily kids will remember their new skills all because they played the game Perfection!
I love using games in therapy, and kids love playing games in therapy! Last week I posted about the use of the Jenga game as a therapeutic intervention during counseling sessions. It’s an excellent resource for just about any topic or skill that you’re trying to teach to kids, adolescents, and adults alike. I use a number of games in therapy sessions, both therapeutic and “non-therapeutic.” The difference between the two is what their intent and purpose was when the game makers created them. “Non-therapeutic” games are simply those that you can find at your local department store in the game aisle, like Candy Land, Jenga, and Operation, but in my experience, ANY game, regardless of its intent during creation, can be made therapeutic. Today’s game can be found in both therapy resource catalogs AND the game aisle.
Find It as a Therapeutic Intervention
Find It, like Jenga, is another one of my favorite “non-therapeutic” games to use as a therapeutic intervention with children and adolescents. Find It is a classic I Spy game that comes in a nice sturdy cylindrical container filled with miscellaneous small objects to find (e.g., a rubber band, an eraser, a feather, etc.) that are hidden in a colorful array of beads, pebbles, or dried rice (depending on which version of Find It that you choose). I primarily use the game with children and teens that I’m treating for Attention-Deficit/Hyperactivity Disorder (ADHD) or who have other issues in which they have difficulty with focus and attention. I use the game to help improve their concentration and focus, as well as to informally assess their distress tolerance. The object of the game is simple: Find as many objects from an included list as you can. You can do this activity timed or take as long as you need.
The first time I give a child the Find It game during session, I collect baseline data by setting a time limit (for example, 10 or 15 minutes) and assess how many objects they can find within that given time frame. The game itself includes a small notepad checklist, so we mark each item off as it is found. I write down the time limit I give the child (whether it was 10 or 15 minutes) and the number of objects found, and then I put the information in the child’s file so I can access it in future sessions.
How Often to Use Find It in Session
We play the game intermittently; the next time we play the game is generally a few sessions after I’ve collected the initial baseline data. The sessions in between are spent doing other focus improving activities in order to help the child develop his or her skills. When we play the game again, I give the child the same time limit as before. Again the child is asked to perform the same task: Find as many objects as possible before time is up. The objects are never in the same place as they were initially, as each movement of the container shakes and jumbles the objects around. I record the data afterward, just as I did the first time the child played. This time I’m looking to assess whether the child’s scores (number of objects found in a given time) have improved as a result of our working on their focus, concentration, and attention span.
Find It as a Tool to Improve Distress Tolerance
Find It also allows me to see how a child tolerates the distress and frustration that comes with sometimes having difficulty finding the small objects. During game play, if a child is becoming noticeably distressed, I teach coping and self-regulation methods that they can use to slow down and bring their focus back to the game again. Between sessions, we will work on improving the child’s distress tolerance and learning effective coping skills to help handle frustration.
How Long to Use the Find It Game
I generally give the child the Find It game and assess their focus once every few sessions until I see that their scores have significantly improved and/or their distress tolerance is handled appropriately on a consistent basis. Once I see that the child has improved, we put the game away, though the child usually ends up getting it out at the beginning or end of future sessions as a transition activity.
Games are wonderful to use in therapy, especially with kids! I utilize a number of games in therapy sessions, both therapeutic and “non-therapeutic,” the difference being what their intent and purpose was when the game makers created them. “Non-therapeutic” games are those that you can find at your local department store and find in the game aisle, like Scrabble, Monopoly, and Battleship. In my experience, ANY game, regardless of its intent during creation, can be therapeutic. I’ve taken many, many “non-therapeutic” games and turned them into awesome therapeutic interventions in therapy. The results are always amazing. Kids love that they’re playing a game, and they don’t even mind that I may have changed it up a little. My next few posts will be about some of my most favorite “non-therapeutic” games to play in therapy.
Jenga is a gem! I have used Jenga hundreds of times as a therapeutic intervention. The game can be used in so many ways and with practically any topic you think of. Additionally, I’ve found that I can use Jenga with any age group: children, adolescents, and even adults!
When I first started using Jenga, I would write various tasks and questions based on the skill I was trying to teach on the individual wooden blocks. This isn’t necessarily a bad idea, but it didn’t take long before I had spent a small fortune on Jenga games. If you walk into my office, you’ll find several Jenga games, each covering different topics and for different age groups, all created before I eventually realized that it was significantly more cost effective to just purchase one Jenga game, color code the blocks with stickers or markers, and create prompt and task cards to use instead. You can create your own Therapeutic Jenga any way you wish, but if you plan to use the game for several different skill teachings, I’d advise the latter method.
Therapeutic Jenga is played by following the game’s original game instructions, regardless of what topic or skill is being taught. Simply color code your individual blocks with various colored stickers or by using different colored markers prior to play. Have color coded task/prompt and/or question cards prepared as well. During game play, a task card is drawn according to the color code on the block that is plucked from the tower. The person who picks the block is the one who answers or completes the question/prompt. Just for fun, I intentionally leave a few of the blocks blank (with no color code), which are used as free passes, meaning there’s no question/prompt to complete – the kids and teens especially love when they choose one of these!
What therapeutic skills can be taught using Therapeutic Jenga?
Among other topics, I’ve used Therapeutic Jenga for rapport building, reinforcing positive relationship skills, social skills, teaching emotion identification and expression, communication techniques, anxiety reduction, impulse control, and even to teach all ages how to dispute irrational self-talk. I’m yet to witness even one person complain about not wanting to play Therapeutic Jenga. It’s a game that is always met with an excited and receptive attitude!