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Group 1

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Explaining CBT - it would be hard to do this without something visual, but it needs to be more interesting to look at than a basic ABCE diagram. Perhaps something involving fictional characters Ashley's interested in eg. superheroes.

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Group 1. Lay off the questions a bit - maybe start by playing a game (board, cards etc.) or drawing. Offer Ashley some things to do (fiddle toys, maybe playdoh) while the assessment is going on so he has something to occupy his hands (might help him feel more able to talk). Acknowledge that this might be difficult with Ashley, but see whether he'd be ok for Mum to leave the room for a part of the assessment - try and gauge how well he's responding with Mum present. It might be important to bring this up with Ashley at the start of the session and be clear about when it might happen so that he isn't worrying about when it's going to happen throughout the session.

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I found this resource for explaining CBT where you begin by defining thoughts and feelings using picture cards. Then together with the client you separate them into a 'heart pile' and a 'thought pile.' The therapist then brings this together by telling a story which illustrates the connection between the two.I think this would be helpful for client such as Ashle y who presents with anxiety as it means the attention is off him, and on a task. I would probably also offer Ashley the choice of having Mum leave the room during the activity if this made him more comfortable. 

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I found this resource for explaining CBT where you begin by defining thoughts and feelings using picture cards. Then together with the client you separate them into a 'heart pile' and a 'thought pile.' The therapist then brings this together by telling a story which illustrates the connection between the two.I think this would be helpful for client such as Ashle y who presents with anxiety as it means the attention is off him, and on a task. I would probably also offer Ashley the choice of having Mum leave the room during the activity if this made him more comfortable. 

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Simplified worksheet to explain CBT.

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Providing lego, fiddle toys, colouring. Trying to find out what his interests are. Engaging in a game with them as an ice-breaker, rapport building activity. Early on provide a structure for the session where Mum might leave for 15 minutes and see if that has an impact. Allow him to create a My World or Body map or Timeline depending on what the problem is. Be aware of any language and communication barriers. Be aware of the timings and dynamically choose to do the assessment over 2 sessions. This allows for other provisions and resources to be gathered/created that are more Ashley specific and visual.

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Normalizing nervousness of coming to session. Acknowledging can be difficult to open up and talk about self. Say its ok just to be quiet and aim for session just to get to know each other a little. Essentially take the pressure off.

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https://www.amazon.co.uk/gp/product/B001SH7SS6?pf_rd_p=330fbd82-d4fe-42e5-9c16-d4b886747c64&pf_rd_r=1EQWQ8XES6HB87G6SR9C

https://www.amazon.co.uk/Learning-Resources-Soft-Emoji-Cubes/dp/B078TTS6D3/ref=pd_sbs_21_3/257-6931446-8769112?_encoding=UTF8&pd_rd_i=B078TTS6D3&pd_rd_r=797e3e90-8ff4-4b09-bc33-8e875f41d964&pd_rd_w=Qj0bp&pd_rd_wg=sz7sc&pf_rd_p=cc188cba-1892-42b3-956f-6c67d0ab7a00&pf_rd_r=VXH4MRMV1XTRM07MQP28&psc=1&refRID=VXH4MRMV1XTRM07MQP28

https://www.amazon.co.uk/Therapeutic-Treasure-Completion-Treasures-Collection/dp/1785923986/ref=sr_1_2?crid=2KBEJ7Z4Y87W4&keywords=therapeutic+treasure+box&qid=1572442949&s=books&sprefix=therapeutic+tre%2Ctoys%2C165&sr=1-2

https://www.amazon.co.uk/dp/184905665X?aaxitk=hayUrwjrM5uT35gviKMaYw&pd_rd_i=184905665X&pf_rd_p=61123ba5-9314-4baa-bd6e-caa510bc4e08&hsa_cr_id=9107953220002&sb-ci-n=asinImage&sb-ci-v=https%3A%2F%2Fm.media-amazon.com%2Fimages%2FI%2F61MNOdOz6tL.jpg&sb-ci-a=184905665X

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https://www.youtube.com/watch?v=FfSbWc3O_5M
lovely video explaining fight flight freeze- a guide to anxiety for kids

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Group 2 - we've found this game called Play CBT with cards for CYP to pick out thoughts, feelings, behaviours, physical feelings https://playingcbt.com/

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Group 2 - for older children could show video: https://www.mind.org.uk/information-support/drugs-and-treatments/cognitive-behavioural-therapy-cbt/#.XbmQx0X7TBI

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Group 2- these characters can be used to explain CBT model (thoughts, behaviours, feelings and physical sensations)

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This could be adapted slightly so that it fits in with the CBT model and our sessions but it quite a nice way to explain anxiety to a CYP.

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penguin body map for anxiety if it is easier for the YP to externalise

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Start with a get to know you game e.g. my world/conversation cubes/ get to know you bingo.
Give Ashely the option to use a fiddle toy.
Ask if he would like some time away from mum.
Make the problem statement visual/colourful - use a speech bubbles.
Explain CBT in sections using comic strips/characters/body maps/emojis.
Making things interactive will increase engagement from Ashley and mum.
Side aside specific time for mum to speak in the session.
Externalisation.

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A tool in engaging in conversation- It is very feminine, but you could alter for a boy.

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This self-esteem intervention is ready to print and deliver.
Included in the pack:

Assessment sheets

Emotion fans

Circle-time rules

Relaxation booklet

Planning Booklet

Sentence stems

Heart worksheet

Kindness checklist activity

Growing happy feelings activity

Rainbow of Strengths

Strength cards

Wishing wall

Puzzle piece

Other Resources you will love!

A fantastic bundle of self-esteem interventions covering year one through to year six.

£20.00

Social skills posters - These posters can be displayed in your classroom and perhaps all the children can work on a particular skill for that...

£3.00

Feel the Feels range of resources are aimed at older pupils and therefore are suitable for secondary children. They use a range of clip art...

£1.50

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Self-esteem Intervention - Item 214 - ELSA Support supporting emotional literacy

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This self-esteem intervention is ready to print and deliver. Included in the pack: Assessment sheets Emotion fans Circle-time rules Relaxation booklet Planning Booklet Sentence stems Heart worksheet Kindness checklist activity Growing happy feelings activity Rainbow of Strengths Strength cards Wishing wall Puzzle piece Other Resources you will love!

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Group 4 - Something a little different for explaining the CBT Model