I asked Mr. Williams a few more questions. Here are his replies:
1. Assuming the therapist is conducting one 45 minute sessions per week with the child, approximately how long until the parents begin to notice a difference in their child’s behavior (attention, impulsivity, hyperactivity)?
Unfortunately, it depends on the child. When I work with a child for the first time, I encourage the parents to sit in on the session for a number of reasons: they can see how I work, and carry a few techniques into the home regarding behaviour; children often feel more comfortable with a stranger when the parents are nearby; and this gives me a chance to assess the family unit to see if there is a larger systematic problem. From a Music Therapy perspective, the parents might notice a difference if they use some of the techniques at home in about three sessions. A Music Therapist then might continue working with the child for a year or more.
2. What is the main difference in the child’s behavior that the parents’ first notice? (How can they be sure they are getting their money’s worth?)
If the parents have a drum set, a congo drum, a piano or other instrument that the child can go to, they may notice the child chooses to go to an instrument to express their hyperactivity and impulsiveness. This is likely a huge change compared to the first Music Therapy session. Also, your question is probably very difficult to prove, given the children I know with ADHD are in a variety of therapies – often in four or more therapies regularly.
3. If therapy is discontinued after a certain amount of time, does the child’s behavior tend to revert back to its former ways, or can the effects of therapy stay with a child long after the sessions have stopped?
This all depends on when the therapy was stopped. After a year of therapy, I would hope the therapist has established an internal locus of control in the child, an outlet for expression for the child, and has helped the parents set some behaviourial boundaries.
Stephen Williams is a registered Music Therapist and is also the coordinator for the MT program at Capilano University in Vancouver BC.