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HI all,

 

I had a telephone enquiry from a mum who has a 14 year old girl, the problem is she still sucks her thumb, this young lady is very academic and active in many sports, no major issues to talk about.

Can anyone come up with any ideas on how best to treat this person.

 

Many thanks

Ian

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Hi Ian, firstly I would ask what the kid wants to change and how she sees her thumb sucking I have a friend who is 30 and still does it, he likes it!!!?

If the girl is keen to stop the thumb sucking, sit down chat and use the fishing for thoughts technique to get some ideas and conversation going, then use any manner of techniques to help that you will find over on Kidsworks.

 

For me the whole thing with kids comes down to listening and listening some more engage and captivate their imagination in what you do make it interactive and collaborative , this is why stories and metaphor work so well and then whatever you decide to use keep it KISS.

Smiles Nath

Wouldn't this be like nail biting?  It seems to be a self soothing technique.

Hi Chris it is often a displacement activity and can often be used to sooth one self, it could also be just pure old habit/compulsion. Truth is the client knows  at some level why, so we listen to their narrative for the clues to get a guide for how best to proceed and to discover enough about who they are and how the function so we can pick the best way or better still create the best way with them to get a valued outcome.

Interestingly we all have self soothing actions/ habits mine are running and hoovering smiles Nath, 

Chris Witherspoon said:

Wouldn't this be like nail biting?  It seems to be a self soothing technique.

Hi Nathan,

 

If she was to suggest she just likes doing this, would you change the feeling associated?

 

thanks

 

Ian

If she just likes doing it and is happy to do it, I would leave her to do it. Sometimes parents have the problem with the presenting problem not the kids!!!

If she wants to stop sucking her thumb then I would help her, if she doesnt then I would work with mum in accepting that fact.

When working with kids I always try to find exactly who has the problem or has a problem with the behaviour, and sometimes it is not the kid. I dont know if its true in this case, thats why a good old fashioned conversation and collaborative detective work helps us so much in finding the right way forward?

Smiles Nath

Ian,

Follow Nath's advice to utilize what your client brings and if the desire for change is present, ask her what she thinks will help. Sometimes kids (and adults!) are stuck for an answer, so I might ask, "Would it be alright if there was a different way to feel ______?"

I helped a 10 yr old stop thumb-sucking by planting the suggestion experientially that "Mr. (or Mrs.) Thumb" would, instead of moving up to the mouth, tuck right inside the palm and be covered nicely by the other fingers. I anchored that action to the sense of comfort that the girl was craving. Be sure to future pace and then test.

Keep it fun! Kelley

Thanks Nath and Kelly,

 i wil take both your advice on board and look at what i come up with after speaking to the child.

 

Many thanks

 

Ian

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