Things learned from teletherapy to make us better in-person therapists

September 2021

Many of us in education, mental health and speech spent hundreds of hours providing services remotely through our computers in 2000 and 2021.

At times, it certainly made us feel burnt out. Not to mention how it may have affected our students and clients.

Maybe you, like me, have also learned from working remotely and grown professionally because of it. Although I went through lots of frustration, I have to say it really had some very positive effects on my work. I started out with limited skills in teletherapy but then I got much better at it, to the point that a majority of the families I work with would have preferred continuing in remote services with me if insurance providers and regulatory agencies would have allowed it.

While doing all that therapy remotely through computer screens, I did a few things which have affected the way I now do my in-person mental health therapy and social skills training for young people with autism.

Some Ways Teletherapy Experience Can Make Us Better In-Person Therapists

Doing teletherapy, in a shared, virtual space instead of our own offices, can have the effect of breaking down some power dynamics that might not be beneficial to the needs of the child and the family. We – the professional, the child, the parent – work together in teletherapy in a space we jointly nurture and develop. It sometimes does not work so terrific, but when it does, it’s great.

Now that we are back in in-person sessions, providing services in our professional space, there are many things I can do to continue to work together with families in an egalitarian and collaborative manner. I can get out a drawing the child made in the past and stick it on the wall during the session. I can work more diligently with the parent as a therapeutic ally and perhaps have them in the therapy room for more of the session.

Engaging Visuals Are Just As Important with In-Person Therapy as in Teletherapy

The experience of doing teletherapy made it more clear than ever how important it is to use the clearest and most engaging visuals I can find. I noticed, in teletherapy with young people on the autism spectrum, that I needed to use colorful, engaging and strategic visuals on the shared screen as much as possible to supplement the verbal exchange and engage distractible eyes. Now that I am back to seeing children in person, I find I am using visuals – social skills games, picture cards, very simple worksheets – more than ever, since for so many months I had no other choice while carrying out teletherapy sessions with children on the autism spectrum.

In your own in-person teaching and therapy, you are invited to supplement your own repertoire of engaging visuals with whatever you might find on my website. My website’s download section has dozens of free printable games, pictures, coloring sheets and simple worksheets.

Screen-based Therapy Tools Can Work Great with In-Person Therapy Too

Many kids with ASD will lose focus and feel uncomfortable if obligate them to face us directly for too long. In teletherapy, I often spent more than half the session working with them while we looked together at a game, online worksheet or video. Although I used to use screen-based therapy tools often before the pandemic, I find I am employing them even more now after 18 months of teletherapy experience.

Some of these screen-based teletherapy resources I developed work even better than the printable resources I based them on. See this example below.

You are welcome to try, in your own office-based counseling and therapy, my own free teletherapy resources (various formats including Boom Card).

I hope you also have a successful resumption of your in-person work with children.

Joel Shaul

Welcome to my website

On my website, there are hundreds of pages of downloadable free resources for children on the autism spectrum.

Most of my free downloads to help children on the autism spectrum are grouped into these three categories:

Communication – – – Interaction – – – Emotions

I have dozens of free resources to help children with ASD to practice conversation, nonverbal communication and diverse aspects of social communication. To access free resources on communication skills, click here. Communication .

There are a number of free social skills resources to help children with autism learn about and troubleshoot many different issues pertaining to social interaction. To access free downloadable resources on social interaction skills, click here: Interaction .

I have created a large number of appealing, user-friendly worksheets, games and videos to help children on the autism spectrum with emotional regulation. To access free materials on emotional regulation, click here: Emotions

All of the free resources that don’t fit into the categories of Communication, Interaction and Emotions are grouped into a fourth category, “Other.” This includes therapy/teaching methods, demonstration videos and other resources.

Whether you are coming to this website as a professional working with children on the spectrum, or as a family member caring for a child or young adult with autism, I hope some of these things I have created are useful for you.

Click on Communication, Interaction, Emotions or Other below to be directed to the respective categories.

Communication

Interaction

Emotions

Other

~ Joel Shaul

Speech Professionals

To view the remainder of the free resources on social communication, click HERE.

To view the remainder of the free resources on interaction, click HERE.

To view the remainder of the free resources concerning emotions, click HERE.

To learn about workshops, professional training and webinars offered by Joel Shaul, click HERE.

The Screen Lover’s Help Book – free illustrated children’s workbook for addiction to screens / electronics

Screen Lovers

I am a psychotherapist working with children who have autism, anxiety and depression. I needed good resources to help my clients suffering from screen addiction.

I feel strongly about the issue of screen device dependence in children. So, after creating this book, I decided to make it available as a free download for anyone who wants to use it.

In the first part of the book, readers share about their favorite screen activities through reading and various worksheets.

The book helps kids track their use of phones, TV, computer and games.

Later chapters guide the reader and the adult into discussions of what life can be like with less – and higher quality – screen time.

Challenging patterns of screen dependence is hard. But many kids do get so much better, and that’s great to see.

I hope you find the book, and the facilitator’s guide, useful in your work as a parent, mental health professional or teacher.

Your comments on these resources are most welcome, and often helpful. Click HERE to send an email.

“Fix The Problem” Social Skills Game – Free Download

Fix the Problem
The Fix the Problem Game for young people with autism. A complete downloadable social skills game with cards, questions, play money.

In German: Problemlösungs-Spiel


In my work as a psychotherapist and social skills trainer in individual and group settings, I spent years developing game-like activities to engage autistic youth in learning challenging social and emotional skills. The Fix the Problem Game evolved over about ten years of experimentation and refinement. Children and teens usually like it a lot. It is frequently downloaded by users of this website, who have provided positive feedback regarding its usefulness.

These are the 40 character scenarios to read aloud, representing a range of social and emotional problems.

The first download includes 40 first-person character scenarios to read aloud, representing a wide range of social and emotional problems.

Also included are 40 game character cards (shown above), to cut out or display on a screen.

Special game money (shown above) is provided. You give it out to players who provide the most useful suggestions on “fixing the problem” presented by the game character.

This 5-dollar game money is harder to earn – the player must describe a time when they themselves experience the problem described by the game character.

More about the Fix The Problem Game

Children with autism spectrum disorders often get tired of scrutiny and criticism. They may be quite aware of their need to work on things like conversation, social skills and difficult emotions. But it can feel confrontational and discouraging to have parents, teachers and therapists pointing out their problems all the time.

The Fix the Problem Game takes a different approach which many children find more relaxed, engaging and even fun. Rather than zeroing in immediately on the child’s own difficulties, we back off and look at other people’s problems instead. Often, when children learn about somebody else’s problem, they are able to examine the situation objectively and come up with useful solutions. This indirect problem solving seems less personal – more like a game or puzzle. Then, once children experience the success of solving a hypothetical problem, they are more open to an examination of their own issues.

The Fix the Problem Game is designed to help children with ASD to examine their own social and emotional challenges by engaging them in the process of analyzing somebody else’s problems first. The game features 40 child characters and 40 first-person scenarios, each describing problems experienced by many young people on the spectrum. For each scenario, the reader is asked by the game character to “fix my problem.” Afterwards, the game questions ask, “What about you? Have you ever had a problem like this?”

After experiencing success helping game characters, children are often more insightful and confident with their work on their own similar problems.

This is Joel Shaul's very best social skills game for young people with autism.

Don’t miss these other free social & emotional skills games, worksheets and teaching / therapy resources for children & teens with ASD:

Free social skills games & activities, emotional regulation skills for kids with ASD

Free social skills games & activities, communication / conversation skills for kids with ASD

Free social skills games & activities, social interaction skills for kids with ASD

 

The Conversation Train Book

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Customizable behavior meters ~ to increase awareness of target behaviors

Customizable Behavior

German translation of this resource

In my own work with children on the spectrum, I frequently almost always found that merely talking about a problem wasn’t good enough alone. Kids get tired of being scrutinized and criticized. Kids with autism in particular can get fidgety and impatient during sessions.

Many years ago, I found other therapists employing handmade cardboard meters they had put together to help children focus on issues such as voice volume. After much experimentation, I found that these meters have many applications on a wide variety of problems that are the focus of therapy interventions.

This kit enables you to use my template to quickly create nice-looking meters for whatever problem area you are working on. The advantage of putting the meter on a computer screen is that you and the child can easily look at the screen together and collaborate on its design.

Most kids also really like to take part in cutting it out and laminating it. This can afford them a sense of agency in the therapeutic process.

The pictures below provide some examples of what the behavior meters look like and some tips on creating them and using them.

Having these custom-made meters helps you and the child to focus on therapeutic issues and keep track of progress.
I have placed text boxes on the PowerPoint slide so you can type on it. You can also add images to customize the meter.
If you laminate the meters, you can write on them with dry erase markers.
You can create the meter with a child in real time during a session. It works whether you are seeing the child in person or in teletherapy.

Elsewhere on my website, you will find links to some meters that are pre-made on topics such as voice volume and fantasy enthrallment.

There are other free, downloadable “meters” on the website.

Annoy-o-meter, Nice-o-meter

Printable Voice Volume Meters

Your comments on these resources are most welcome, and often helpful. Click HERE to send an email.

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Draw a cookie with a partner – social skills activity to promote flexibility

Autistic children are very often uniquely creative when they draw or create other kinds of art. But cooperating with others in creative endeavors can make them confused and unless they have adequate adult guidance and clear cooperation rules to follow.

This printable activity sets up a one-page drawing and writing activity that two children are assigned to complete jointly. Each pair, in either a social skills group or a classroom setting, is instructed to invent, name, describe and jointly draw a cookie together. It’s not easy, but it can be very fun. On the many occasions I have used it, it usually works out well.

This activity is to help kids with ASD learn flexibility and to practice working with a partner.

It’s essential to go over the cooperation rules (shown below) carefully ahead of time. Practice aloud the specific phrases of “cooperation language.”

The drawing partners have to talk to each other and plan together before they start to draw.

I have found I need to be vigilant to help mediate disagreements, and to help the participants to actually work together instead of each one just drawing “my half of the cookie.”

To find a similar worksheet on jointly drawing a pizza instead of a cookie, click here.

A different worksheet has kids draw a pizza together instead of a cookie.

More collaborative drawing projects for children on the spectrum –

There are lots more great ways to help pairs and groups of kids with ASD to practice cooperation and creating things together. I have a whole section on this for you to explore: See “Collaborative drawing tasks for social learning” for information and ideas, like the one shown above.

Your comments on these resources are most welcome, and often helpful. Click HERE to send an email.

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