Part 2: CBT token systems – CBT Cards, a free download

These free download cards are designed to accompany my CBT Videos for Kids.

CBT token systems – CBT cards, a free download

Cognitive behavioral therapy, whether it’s for a kid or an adult, can be hard and discouraging. After all, the main work involves the arduous process of finding and rooting out automatic negative thoughts that get stuck in our minds. When we are doing CBT with children, we obviously can’t turn this therapeutic activity into something “fun,” but by adding some game-like elements we can can help propel our work forward.

This article introduces a game-like token system with a free download. It is a set of cards you can use along with the CBT YouTube Videos for Kids (these videos are explained in much detail here).You use the cards to reward the child for identifying automatic negative thoughts in the videos and in their own minds.

How to make the cards

Print the cards on card stock, or on paper that you will then laminate. If you want to get fancy, print the decorative back before printing out the front of the cards.

The back of the cards.

How to use the cards

Once you have introduced the five Poison Thought categories, you can keep five piles of the Poison Thought Cards handy while viewing the CBT Videos for Kids. Then, you can hand out the cards one by one to children in order to recognize and reinforce a child’s success in:

a. Identifying a Poison Thought experienced by a child in the video

b. Identifying one of their own Poison Thoughts

c. Thinking of  Antidote Thoughts which might apply.

Certain kinds of children tend to like token systems like the CBT cards

I have often used these cards when doing CBT activities with children on the higher end of the autism spectrum. I have found that children and teens with ASD are often very receptive to these game-like devices in therapy. First, young people with ASD might not notice or be sufficiently reinforced by the subtle, spoken encouragement offered by clinicians during therapy sessions. They may actually prefer a small pile of CBT cards as tangible evidence that they are “getting it” during therapy. Second, neurotypical children, when they approach teenage years, tend to become averse to these playful gambits and they can feel manipulated by them. But teenagers with autism are actually seldom put off by these CBT cards, so with them I use them often.

I have used cards like this in my work for years. I have to say that it is a really straightforward and useful tool to use. It adds a little levity to hard work without undermining the serious nature of CBT. If you print out these cards, you probably will end up using them over and over when you work with the CBT Videos for Kids.

Joel Shaul, LCSW


Follow these links to other posts in this series.

Intro: Refinements to Make CBT Better Suited for Kids [link]

Part 1: About CBT YouTube Videos & How to Use Them [link]

Part 2: CBT Token Systems – CBT Cards, a Free Download [link]

Part 3: More CBT Token Systems – Using Mr. Yuk Stickers [link]

Part 4: Creating Thought “Enemies” and “Heroes” in Child CBT [link]

Part 5: Tailoring CBT Methods & Media to the Individual [link]

A few ways to use music in therapy & social skills teaching for kids with ASD

Introduction

I am an amateur (not at all accomplished) guitarist and very untrained singer. I have no musical training and I have not studied music therapy.  Nevertheless, in my psychotherapy and social skill training work with young people on the autism spectrum, I have periodically employed music. This article summarizes some of what I do, in case colleagues working in speech, mental health or education might find something worthwhile to try in their own work.

Reasons I sometimes use music in my work

To practice fundamental words and phrases in social communication

Children with ASD often skip over essential elements of conversation such as greetings, goodbyes and words of validation. I have used two kinds of songs to help with this. The first kind of song is kind of a promotion or “advertisement” for an element of speech such as greetings. Here is one example. Click on the picture to view it on YouTube.

A second kind of song for teaching elements of conversation is one that children sing along with me to facilitate practice and memorization.

I believe that many kids on the autism spectrum are unusually good at learning and recalling the repetitive words and phrases in some of these songs. Maybe this is some functional manifestation of delayed echolalia.

Here below is an example is a song I have often used with younger children to help them get used to greeting / saying goodbye and using the names of other children in a social skills group.

The two songs below are to teach and practice what I call words of validation. These are common words to convey interest and maintain reciprocal flow in conversation, and many young people with autism need help mastering language like this.

To facilitate communication exchange within a group

In the hundreds of social skills groups I have run, my most most important task has been to enable the participants to talk with each other and learn about one another. Here is a call and response song I created to help with this.

To promote and reinforce an important message / lesson in therapy

These are songs that I use to focus on central therapy issues. I sing them to the child, or the child can join in if they like. I have often used variations of “If you’re happy and you know it…” to practice identifying emotions and talking about feelings. For children who have become over-enthralled with pretend and fantasy, I made up a song called, “Don’t Let Pretend Get Too Big.”

Here is a song by Cathy Bollinger about eye contact.

I made up this song about tattling many years ago and I use it occasionally.

To break up the routine of therapy and provide respite and levity

We ask our young clients to do really hard work, week after week, often for years. For many of these kids, a little music now and then helps maintain energy and morale.

To increase focus, comfort and commitment during therapy sessions

Many children with ASD have certain songs or music styles they like to listen to repeatedly. I have occasionally encouraged a child to let me play their favorite music in the background while we work during sessions.

Other ways I have used music in my work

Watching social skills song videos

I don’t do this too much myself, preferring instead to make up my own songs. Some videos out there contain good and useful songs, and others are not so great in my opinion, employing overly complex language and annoying features.

Exploring the child’s musical interests to identify strengths and concerns

I have often explored YouTube with young clients to learn more about children’s interests. I have sometimes discovered that my clients have found music that is helpful and inspiring and which furthers my own therapeutic agenda. Occasionally, I have discovered that a child is into music with negative and harmful messages.

When to not use music

If you are someone like me who enjoys music, you need to be careful that you don’t obligate a kid to participate in some musical activity just because it happens to be part of your therapy routine. I put away the guitar the instant any kid shows disinterest or aversion.

What I have not yet tried with music in therapy activities

As I stated in the Introduction, I am not a music therapist. Music therapists do all kinds of things I can’t do and they have all kinds of cool musical equipment to enable children to participate in a variety of meaningful ways. It would be fun and worthwhile to spend time observing music therapists at work with kids on the spectrum.

Conclusion

Whether you are a musician, or an avid musical dabbler like me, you might consider making music a part of your therapy repertoire when you are working with kids on the autism spectrum. It has often been worthwhile for me.

Joel Shaul

Translations of books by Joel Shaul

Children’s books by Joel Shaul translated into other languages

Other publishers have been granted translation rights to most of Joel Shaul’s books.

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The Conversation Train is available in Mandarin, published by Huaxia Publishing House; in French, published by Autisme Diffusion; published in Polish by Wydawnictwo Harmonia.

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The Green Zone Conversation Book is available in Mandarin, published by Huaxia Publishing House; in French, published by Autisme Diffusion; published in Polish by Wydawnictwo Harmonia.

Our Brains are Like Computers! is published in Mandarin by Huaxia Publishing House.

The ASD Feel Better Book is published in Japanese by Japan UNI Agency, Tokyo.

Welcome to Autism Teaching Strategies

I’m glad you found this website and blog.

I love learning about social skills training for young people with autism, and sharing ideas with other professionals who do similar work.  In this blog, I will be passing on some of what I have learned.

In this blog, I share lots of ideas on how to help young people on the autism spectrum with communication, relationship skills and regulation of emotion.  I offer dozens of resources for that you can download for free.  Some are are also available here in German, Spanish and French and most are available in Polish.

Come back often.  Let’s interact. Take away a few ideas, and leave a few of your own if you like.

Joel Shaul, LCSW

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The Conversation Train Book

 Green Zone Book Cover Click to Learn More