Carlos’ story

To demonstrate the power of counseling, we share the story of Carlos. We have changed the name and identifying details to preserve privacy.

“Sometimes it feels like my life is a roller coaster and counseling is my seat belt.” ~ Carlos

Carlos has experienced great hardship in his young life. He came to the United States five years ago at age three. He came with his mother, who migrated from Mexico to search for a job and security. But it hasn’t been easy for Carlos or his mother. Sadly, there has been much heartbreak. Carlos experienced abuse by another adult, and he witnessed violence upon his mother. Trauma has long-lasting effects on people, especially when it happens in childhood.

Carlos’ mother did not know where to turn for help. She works the nightshift at a low-wage job and has very little household resources, yet she found her way to a bilingual children’s counselor, Alicia Krpan, at the Center’s through it’s specialized services for children and adolescents, C.O.O.L. (Children Overcoming the Obstacles in Life). COOL is an experienctial approach to therapy, integrating art, play, food, sports, nature and music into the counseling process. Alicia provides services at the Center’s home facility and also at a satellite center in the Drake neighborhood. Both locations provide the a safe, welcoming place for children like Carlos to find hope and healing.

Alicia Krpan, t.L.M.H.C., bilingual counselor

“It has been such a privilege to help Carlos to know that the trauma he and his mother experienced was not his fault,” said his counselor Alicia. “He now knows that he did nothing wrong. In his counseling sessions I can remind him he is brave and beautiful and awesome.”

Alicia employed the use of a therapeutic sand table (more info here) to help Carlos communicate his concerns, and to help Carlos to understand that he can heal and become whole again.

Carlos and his counselor Alicia communicate in English, but his mother only speaks Spanish. It is scary for a parent to sign up their child for a service in a language they don’t understand. It could put the child in an awkward position of translating their own counseling sessions for their parents. However, counselor Alicia is able to speak with Carlos’ mother in Spanish and help her to understand the process. Carlos only needs to think about his own healing, and not how to explain it to his mother. Carlos can stay focused on being a child.

Sand Therapy

Sand therapy is a powerful therapeutic technique used by counselors at the Center to help clients process their trauma. It is especially useful to help children to find ways to communicate their experiences. Clients choose small objects that describe, say, their family or home. The skilled clinician will help the child explore their fears and experiences by asking questions about their choices of objects. The counselors helps the child to learn that healing is possible. (See last photo.)

Children learn that it is possible to heal. Sand objects in this photo represent a broken heart, a repaired heart and a patched heart.

For more information about C.O.O.L. (Children Overcoming the Obstacles of Life) www.dmpcc.org/COOL

Hope and Healing for Children and Adolescents through C.O.O.L. (Children Overcoming the Obstacles in Life)

By Billie Wade, guest writer and PrairieFire graduate

The Paint Wall is a signature aspect of C.O.O.L. Children and teens express their feelings by flinging paint, facilitated by a licensed therapist. photo courtesy of: Business Publications Corp.

September heralds the end of summer, cooler weather, shorter days, and the annual exodus to school. It’s time for students of all ages to head for the classroom. From kindergarten through adult learner, going to school can be a time of joy and excitement or a time of apprehension and trepidation. Students entering school for the first time or going to a new school may have some uneasiness and fear of the unknown. Students returning to school may feel a sense of exhilaration or a sense of dread. Parents see their children off to school feeling a host of emotions ranging from fear to relief.

Years ago, I read that children are not miniature adults. Children have stressors adults may not understand. Parents and teachers may be in a quandary about how to help and feel overwhelmed with the challenges of children in addition to those they already experience. A stressed-out parent still must pay the bills, put food on the table, and quite possibly maintain a job. A stretched teacher still must develop lesson plans, create tests, teach the class, and maintain a learning environment for all students. Growing up and learning how to interact with others is hard. Children need the adults in their environment to model civil behavior. When the adults misread or do not understand a child’s perspective, problems can arise.

Sara Swansen, and Grace Sherer, former clinicians at Des Moines Pastoral Counseling Center, recognized the mental health needs of children and their families and created a specialized clinical approach within the Center called C.O.O.L., Children Overcoming the Obstacles of Life. They believed in children’s abilities to thrive, given a fertile environment. Since December 1999, the experiential program has helped thousands of children, 645 in 2017. C.O.O.L. aims to help children, adolescents, and their families navigate the murky waters of life’s challenges. C.O.O.L. meets children at eye-level with age- and developmentally-appropriate activities and services. Kelli Hill, Ph.D., director of clinical services and one of six clinicians facilitating the C.O.O.L. program, said,” “The C.O.O.L. waiting room and wing of the Center is designed specifically to help children and adolescents feel comfortable being here.”

Dr. Hill said children come to C.O.O.L. in varying stages of mental health and for sundry reasons, including divorce, separation in impending divorce, abuse and trauma, attachment concerns, bullying, life decisions, anxiety, and depression. When life stressors pile on, children respond in myriad ways including poor study habits and the resulting grades; withdrawal from family members, teachers, and classmates; anxiety; depression; low self-esteem; substance abuse; and, inappropriate behavior, Dr. Hill said. C.O.O.L.’s clinicians work with children ages two through college-age and assessment and evaluation services are available to children of all ages, even younger than two. Sometimes, siblings participate in C.O.O.L. and may see the same clinician or a different one. C.O.O.L. works through the child’s strengths and perspective, relying heavily on age-appropriate “play, art, music, literature, the outdoors and physical movement” in a highly spontaneous and creative environment. Dr. Hill shared with me that some children refer to the Center as their second home. Children usually attend the program biweekly, and more often if necessary. Clinicians customize the program to the unique needs of each child and her or his family. Some activities focus on the child and others focus on interactions with their families.

Dr. Hill told me bullying is a big problem in schools and can follow students through several school years. Social media has changed the landscape of bullying. No longer confined to recess, gym class, the school bus, and the walk to and from school, the harassment and torment invade children’s’ sanctuaries—their homes. Bullies now can Tweet, text, post, and email damaging messages to large numbers of people simultaneously. Usernames allow them to carry out their hurtful behavior in anonymity.

I loved school and learning, but my experiences there were not always pleasant. Shy, soft-spoken, and overweight, from an alcoholic, abusive family, I was bullied through fifth and sixth grades and junior high school. My parents were ill-equipped to address what I experienced. My father demanded good grades and grounded us for anything less than an “A.” My mother demanded good behavior and a trip to the principal’s office for her meant grounding for us, regardless of who was at fault. Fortunately, my brother, sister, and I rarely wound up in the principal’s office. My father grounded us for not fighting; my mother grounded us for fighting. Thirty-two years later, as a single parent, I was ill-equipped to help my son as he faced teacher-supported bullying. When he reported offenses to teachers, they accused him of being a trouble-maker or tattling. School administrators surprised me by making excuses for the bullies while blaming my son. Punishment for my son often exceeded that of the bully’s. Bullies tormented him through elementary, middle, and high school. I spent several afternoons in principals’ offices defending my son after a bully or a group of bullies attacked him.

Art and activity room for C.O.O.L. clients.

The holistic approach of the C.O.O.L. program reaches beyond a child’s need for physical safety to psychological and emotional safety. Children learn personal limits and gain confidence in their evolving bodies and identities. Finding the balance between giving a child too much rein and not enough can baffle adults. C.O.O.L.’s staff are there to bolster the parents and families as well as the child. They encourage children to explore and trust themselves, and they encourage parents to trust their child’s autonomy.

Dr. Hill said, “I get to come to work every day and watch the amazing growth and development of young people. I have a great opportunity to serve children and their families. We at C.O.O.L. feel blessed and honored to be on the journey of hope and healing with the children and adolescents.”

C.O.O.L. is a dynamic intervention for children and their families. Participants receive the support system and guidance that is so crucial to their development and their ability to engage fully in life’s opportunities and to face life’s challenges with confidence and courage. For more information about C.O.O.L. please visit www.dmpcc.org/COOL. To start the process to schedule an appointment for your child or adolescent, please visit www.dmpcc.org or call 515-274-4006.

Billie Wade, writer

Billie Wade is a gregarious introvert whose primary interests are writing, lifelong learning, personal development, and how we all are affected by life’s vagaries. Issues facing black people, women, the LGBTQ community, and aging adults are of particular concern to her. She enjoys open-hearted dialogue with diverse people. The opinions expressed here are her own.

To read more of Billie’s blogs: www.dmpcc.org/Billie

The Work of Play

by Grace Sherer

What is play? It is spontaneous, fun, free – a means with no end. A seemingly purposeless process from which springs joy. It is the creative expression of Self through every age and stage that says “I am alive!”

Play is about accessing that which is vital – the life spark. Play is not productive in a quantitative sense and it is not about rules. Play is not about winning and losing, but rather about presence and experience. Play is enormously significant for both children and adults.

There is growing evidence that the learning of emotional control, social competency, personal resiliency and continuing curiosity are accomplished largely through developmentally appropriate play experiences.

Play is the occupation of childhood. Play provides a space for the “greening” or development of the young Self. It is the mirror where the child first glimpses its Self as fun, beautiful, and worthy of the time and energy of another. It is where life experience is assimilated. It is where life experience is mastered. It is where life experience is communicated.

Play begins at a very young age. Babies play with their primary caregivers and vice versa. When a parent is smiling at an infant and the baby laughs spontaneously, it is the baby’s first experience of the joy found in relationship through play. These early play experiences transmit messages such as “you are very special” and “it is fun to be with you” and “it’s okay for you to change the rules or create something new.” Play is the activity that allows children to explore and master their world without fear of judgment.

Play is a presence that does not mete out rewards and punishments contingent upon performance. What is deemed “good” is just being together and celebrating whatever happens. There is little room for cautionary statements, admonishments, or limitations. Play becomes the medium for conversation and relationship.

Sometimes the conversation is issue specific as when a child recreates a divorce scene with toy animals in a sand tray. Sometimes the “conversation” is more abstract as when a child creates a shield with pictures cut out from magazines of things about herself that “protect” her in the world. Sometimes play relates to specific coping skills (e.g., tolerating frustration) and sometimes it is just about BEING in relationship (e.g., constructing an airport out of masking tape on the office floor).

This is what play is at C.O.O.L. (Children Overcoming the Obstacles of Life), the Des Moines Pastoral Counseling Center’s child and adolescent program. It is the fort made from two chairs, a prayer shawl, a couple of bean bag chairs, and a construction paper sign. It is the child hiding under the bean bag chairs in the waiting room and a therapist who gingerly sits on top lamenting the “absence” of the child. It is a child stacking bean bag chairs on top of a therapist to build a volcanic mountain that erupts when the child climbs on top. It is the “Topsy Turvey Rule” that says, “If you win, you lose and if you lose, you win” that a child can invoke anytime during any game. Play in this context is not structured in a traditional sense but is free-form where rules are mutable and even able to be totally eliminated. Thus, a regular checkers game can become “give away checkers” where the goal of the game is to lose all your pieces rather than capture all the opponent’s pieces.

Many children come to C.O.O.L. fearful about being judged, fearful about being “less than,” fearful about losing and losing out. We live in a highly competitive world that tends to promote these kinds of fears. In play, children are often exposed to games that are only about winning and losing where the messages they seem to have learned are that you are only worthwhile
if you win, get an “A,” are first in line, etc. At C.O.O.L. we try to change that up. Games are over before there is a conclusion just to take out the competitive aspect.

“Rules” are changed over and over just because it might be fun or interesting to do so. What is immutable is the caring, spontaneously fun relationship between the child and therapist. At C.O.O.L. we have great belief in our kids. We believe that if we provide a safe and nurturing space for them and materials for them, that they will discover their true and beautiful Selves through creativity and play and relationship. We play structured games but play with the rules. We build forts and bridges and obstacle courses that are metaphors for self protection,  communication, and challenges in life. We foster play in relationship and we foster relationship through play.

It is not uncommon to see a therapist with a puppet in hand hiding behind the waiting room door and having the puppet greet the child.

Grace Sherer is a licensed pediatric psychologist, a former therapist at the Center, and founder of the Center’s C.O.O.L. clinical approach. Grace holds a master of arts degree in behavior analysis from Drake University. This timeless post was originally printed in the Center’s newsletter, November-December 2019 edition.

Oliver’s Story

Oliver is a thoughtful, curious first grader. With a backpack full of school supplies and a renewed sense of resilience, Oliver is classroom ready. But last year was different. He grew uninterested and aggressive. One day he stood in the middle of his kindergarten classroom and screamed. His worried parents knew he needed professional counseling but they worked multiple jobs and relied on public transit. It seemed impossible to find a qualified children’s counselor on a bus line, plus take unpaid time off from work.

This is where the good news comes in. Oliver’s teacher referred the family to the Center’s new counseling outreach program located in the same building as Oliver’s free afterschool program, in the heart of urban Des Moines. His parents signed him up and Oliver met with his counselor once a week. Oliver found a way to communicate his fears through art and play. His counselor taught him age appropriate methods to work through his anxiety. Now, Oliver is back to school and feeling strong.

We launched the counseling outreach program in February 2017 in partnership with Grace United Methodist Church and Trinity/Los Americas United Methodist Church. Referrals also come from Free Clinics of Iowa and the Des Moines Public Schools. We are excited to grow the program to serve more children like Oliver, and we invite you to join us. Will you please give a gift to help more children and families access quality counseling?

DonateNow

If you have questions or ideas, please contact Terri Speirs, director of development and marketing at (515) 251-6670, tspeirs@mindspiritcenter.org.

Thank you for your consideration!

(Name and identifying details have been changed to protect privacy.)

Jack’s story

Meet Jack

Jack is a brave, bright and kind child on the cusp of his teenage years.

Each morning he makes breakfast for his younger siblings and helps them get ready for school. Jack takes on more responsibilities as his mom descends into severe depression. Though Jack is growing into his own maturity, he is too young to understand how physical, sexual and emotional abuse has traumatized his mom. All he knows is she cannot get out of bed. Jack feels a confusing mix of anger, sadness and compassion.

To sort out his complex emotions, Jack meets with a counselor in the Des Moines Pastoral Counseling Center’s C.O.O.L. practice (Children Overcoming the Obstacles of Life). C.O.O.L. is the Center’s specialized counseling approach that integrates play, art and physical movement to help young people communicate their inner life.

In his therapeutic artwork, Jack creates landscapes of his life before and after his mother’s depression. His counselor is trained to help Jack articulate his artistic choices.

“I feel comfortable and safe here,” said Jack about his counseling experience. He knows his mom cannot fully provide right now and he does not blame her. He is hopeful his mom will get better.

*Jack is a pseudonym. Identifying factors have been changed to ensure privacy.

COOL – Children Overcoming the Obstacles of Life

We are pleased to reprint this classic piece by Grace Percival, co-founder of the Center’s COOL practice (Children Overcoming the Obstacles of Life).

Beauty Teenage Girl In Hat OutdoorsChildren are born with varying degrees of potential for growth – physically, cognitively, emotionally, and relationally. They rely on and look to the adults in their environment to not only keep them safe, but to help in the monumental and awesome task of realizing their potential to understand and integrate the world around them.

They are eager to connect and to please. They are eager to develop relationship. It is what they are born to do.

I am on the floor in the children’s waiting room at the Center picking up some toys and I notice an eight-year-old boy several feet away intently building with Lego blocks. His mother sits in the rocker close by slowly rocking, her face set in tired lines. The boy completes his masterpiece and raises his face to his mother. His eyes are shining as he exclaims, “Mom! Look at what I built!” Just then his therapist enters the room and greets the boy and his mother. His mother never looks at the boy or his masterpiece. She says hello to the therapist and says sharply to the boy, “Pick up that mess. Hurry up. You have to go.” The boy’s face falls, his body slumps. He knocks down his masterpiece.

Portrait of a boy teen outdoorsWe are much concerned in society today with providing safe physical environments for our children. This can be tricky while trying at the same time to nurture the child’s natural curiosity and sense of independence. If environments are too physically safe, children do not learn their limits very well nor do they learn to trust their bodies or their developing “self.”

Climbing, jumping, balancing result in a child’s feeling grounded and at one with the earth, which increases feelings of “I can-ness,” mastery and self-power. When a toddler begins to climb onto something and checks back with an adult, an encouraging, rather than fearful, response can convey not only a message of support but also of trust, e.g., “I trust that you can manage this.”

It is important to realize that “safety” involves not only management of the physical environment, but also involves psychological and emotional safety. This bigger picture of safety calls upon adults to provide:

  • encouragement rather than limits,
  • praise rather than criticism,
  • patience rather than sarcasm,
  • negotiation rather than issuing edicts.

child paint handsThis bigger picture of safety also involves understanding that children do not possess the communication skills or experience to always adequately convey motivations or explanations. It means that adults recognize that children, of every age, are easily frightened and psychologically wounded.

At the Center, we see the consequences when children are not provided this kind of psychological and emotional safety. We see children who carry their bodies stiffly and shy away from touch. We also see children who are afraid to make a choice of a game for fear of displeasing the adult or who will not try something new because they might get hurt or fail. We see what happens when the very things intended to protect become obstacles to growth. So, providing a safe environment also means providing time and space for kids to be who they are without fear of judgment, criticism, or too many limits. It means providing environments that are rich and ripe for exploration without fear of getting in trouble for getting dirty or hurt.

It seems that adults are so often concerned with “teaching a lesson” and/or discipline that they forget how it is that kids learn best:

  • by exploring,
  • by making mistakes, and
  • by being in caring, non-punitive relationships.

Kids learn through their relationships with other people and through physical interaction with the environment. Indeed, infants are neurologically “wired” to attunement with other people. They pick up on and respond to the emotional tones around them, as well as other sensory input. A harsh tone, a turning away from, a lack of acknowledgement of the infant or child – all have profound effects on the developing child throughout his/her life.

For example, the child who learns that people cannot be relied upon to provide for basic needs may grow into an adult who has trouble with intimacy. There is also the misbegotten idea that if a child misbehaves, punishment in the form of reprimand or time out or removal of privilege is required or the child will not “learn the lesson.”

IMG_1034The problems with the use of punishment are that:

  • the effects are usually temporary,
  • a whole host of emotional and physiological reactions are engendered that actually interfere with learning, and
  • relationships are damaged.

This last issue – damage to relationships – has profound ramifications for future learning. If a child learns to not trust a significant adult, chances are the child is not going to learn from that adult anything other than how power impacts the relationship. For example, a child learns that bigger people have power and can use force; little people are not listened to; there are right ways of doing things and wrong ways and nothing in between; what the adult says goes and it does not matter what the child thinks or feels.

Most people reading this may think, “Well, I never act like that.” However, think about the last time you were playing a board game with a kid and the kid changed the rules in the middle of the game; or when the three-year-old decided to climb onto the counter to get something out of the cupboard; or the 12-year-old tried to recreate a science experiment with a plastic pop bottle, tin foil, and matches; or the 16-year-old stayed out past curfew. What was your response? Were you reactive out of fear or anger or were you responsive, pointing out consequences of their behavior?

IMG_1035Children require physical, social, and emotional environments that trust their innate capacity for growing, learning, and relating. Our job as adults in relationship with children is to nurture these bright young spirited beings through the obstacles that life throws at them. Our role is about being a guide on the side, rather than a sage on the stage. It’s about taking the back seat and relinquishing the spotlight. It’s about giving and it’s about giving up – sleep, that new thing, my time, my fears….

I am standing on a stool in the kitchen full of all my four-year old know-how, trying to separate an egg. My mother’s hands are on either side of the bowl; she must have been standing behind me. Her words in my ear encouraged me to pour the egg from one shell to the other. Her hands never touched mine. She was present but she let me separate the egg, with yoke splitting, yellow mixing with white, and flecks of shell falling.

Grace Percival, M.A. / Grace is a licensed pediatric psychologist, formerly on staff with the Des Moines Pastoral Counseling Center

*

The Center’s COOL practice (Children Overcoming the Obstacles of Life) is an experiential approach to counseling that integrates art, play and physical movement to help young people communicate their inner life.

Resources

  • Holt, John (1995, revised ed). How Children Learn. NY: Perseus Publishing.
  • Karen, Robert (1994). Becoming Attached: First Relationships and How They Shape Our Capacity to Love. NY: Oxford University Press.
  • Standing, E.M. (1998, New Ed). Maria Montessori: Her Life and Work. NY: Plume Publishing.

Dawn’s story, a child’s perspective of trauma

Dawn

Seven-year-old Dawn lost her parents to something possibly worse than death: abandonment. She was able to process her trauma through play therapy at the Center.

Dawn is 7-years-old. When she meets with her therapist at Des Moines Pastoral Counseling Center, she plays at the rice table and in the sand tray, choosing a toy baby animal as her main character. During her play, she positions the figurine as locked away and not given any food. Sometimes she postures the plaything as breaking out to get food. Other times she pretends the toy baby animal is rescued by other animals and given food.

Art and play are key to the therapy approach in the Center’s C.O.O.L. program (Children Overcoming the Obstacles in Life). At her young age, Dawn’s traumatic experiences have far surpassed her vocabulary. Dawn had been removed from her home three times before she was five years old, through no fault of her own but due to her parents’ substance abuse and chronic mental illness. She awaits her permanency hearing during which the court will terminate parental rights, enabling Dawn to be adopted by the only real family she has ever known – the guardians who brought her to the Center for counseling.

Dawn’s playtime choices help her express themes of abandonment, abuse, neglect and rescue. Her selections also help her express anger. For example sometimes Dawn assigns a figurine to portray a “mean beast” who “wrecks everything and takes all the food.”

Of the Center's 26 licensed therapists, seven specialize in serving children and adolescents. Pictured below, L-R: Shannon Welch-Groves, Psy.D., Kelli Hill, Ph.D., Doug Auperle, Ph.D., Elaina Riley, M.S.W., Sarah McElhaney, L.M.F.T. The Center also has capacity to provide medication management to children and adults through our psychiatrist and psychiatry physician assistant.

Of the Center’s 28 licensed therapists, seven specialize in serving children and adolescents. Pictured below, L-R: Shannon Welch-Groves, Psy.D., Kelli Hill, Ph.D., Doug Auperle, Ph.D., Elaina Riley, M.S.W., Sarah McElhaney, L.M.F.T. The Center also has capacity to provide medication management to children and adults through our psychiatrist and psychiatry physician assistant.

The counselor interprets Dawn’s choices and creates a therapy plan. The counselor provides Dawn with a special drawer where the child collects and keeps things safely – a jar of glitter, a small doll with a blue cape, several toy baby wild cats, a picture of Dawn with her therapist. Dawn decorates her drawer with her name so that no one else can get into her special place. Dawn is learning what it means to feel safe.

The Center serves 700 children and adolescents annually through its innovative C.O.O.L. approach, which views most youth behavior as a meaningful attempt to communicate inner life. Thanks to generous donors, we will continue to help vulnerable children and adolescents access quality mental health services.

*Note: Dawn is a composite character created from real counseling scenarios at Des Moines Pastoral Counseling Center. Dawn’s photo is a stock image.

More about C.O.O.L.

IMG_1047
C.O.O.L. (Children Overcoming the Obstacles of Life) is the Center’s innovative approach to counseling children and adolescents. C.O.O.L. counselors realize that kids have unique ways of viewing the world and expressing their emotions. We view most behavior as a meaningful attempt to communicate inner life. C.O.O.L.’s clients range in age from two to 20 years.
The Center has a separate waiting room for children and adolescents (photo left), plus a paint wall (photo above), a play room, a soft room and outdoor space to take walks and play basketball. Each therapy room is stocked  with bean bag chairs, puppets, crayons, games, paint, toy cars, wooden blocks and more. We are serious about play!
Additionally, the Center offers a full range of testing for children and adults, including assessment for IQ, learning disorders, developmental challenges, Austism Spectrum Disorders, ADHD and more.