Spieltherapie in der Vitos Kinder- und Jugendklinik für psychische Gesundheit Marburg

Welcome to the La Höhe clinic in Marburg. Play and win money. As you can imagine, it is not about how we help you win at online poker or how you can clean the Baden-Baden casino with roulette, but rather it is about game therapy. and that's exactly what the subtitle says looking over a therapist's shoulder I'm Christian Wolff I'm the clinic director here at the Vitos Lange clinic is a clinic for psychosomatic psychiatry and psychotherapy for children and adolescents We have 62 bets We have 18 days clinic places and we have two months With about 3000 patients a year, our clinic has some special features: one is that we have a small outpatient clinic, the other is that we can still do inpatient psychotherapy because we have the most long in In Germany we treat people for quite a long time.

Relatively few emergencies and that, of course, prefers us over other clinics. Another special advantage of our clinic is that we have cooperation agreements with 37 residential groups, these are intensive, unaccompanied refugee minors. residential groups, therapeutic residential groups and we are very linked to play therapy which for us is why we do not have just one play therapy room but three for each children's room and for the outpatient clinic so that the therapist always has the opportunity to working here in the play therapy room was developed by Anna Freud, Sigmund Freud's daughter is delighted and realized that she was simply watching children play very exciting things that had a direct connection to their lives and then she used it .

As a therapeutic means, in the store we do a mixture of this psychological concentration play therapy, that is, we only describe what we see, what the children do, when the children express their feelings and then we name them without judging them. There is no right or wrong game, just how they come up with it and then the kids create their own. Very problematic life stories are often presented in scenes that reveal something about themselves and themselves, if they also feel sure about what is important. your life or what's wrong and then we can pick that up in therapy, like you did.

I went to play therapy. I became a specialist in child and adolescent psychiatry and psychotherapy, but after or during this I also did special child therapy and. Adolescent psychotherapy and some of it was play therapy, but I really learned it here in the clinic. Experienced play therapists showed me how to play. rdx is really important with gaming because it's different from how I would normally like to play. It features two employees who are also play therapists, but who have taken a different approach than I took with Munch with his daughter. Today we will call her Ronja.

She's not a real patient at all, she's an actress and maybe you can briefly describe how you did it. enter play therapy? I studied social pedagogy and after studying social pedagogy I did the moto logi as a master's degree and then I decided to just do it to become a child and adolescent psychotherapist and I did my training at an institute oriented to depth psychology. and especially in depth psychology, play is a very important medium, especially for younger children because we have already written about it, children express themselves through it and you also portray your inner experience.

Thank you very much Mrs. Münch and thank you. Ronja now I would like to introduce myself to you with her Leon, who is not really called that but he is an actor and today his name is Leon-Rot, of course he is cute. I started studying psychology after school and after finishing my psychology studies. I applied to several psychotherapy institutes and then entered behavioral therapy. I then went first to the adolescent room and then worked therapeutically with the young people during their conversation. But in the children's room I was able to discover play therapy for myself and realized that it is simple.

Through play, getting to know each other can be incredibly enriching and particularly exciting things can happen between the patients and me, which I found very enriching. I enjoyed it a lot. Now we have heard many theories and now we are really looking forward to it. to see the practice. Join us in a play therapy scene. We won't say anything else at first. Just let this scene sink in. We'll discuss it later and I'll show you a second scene. Another part of the treatment. We are having our first play therapy here today. You can play anything here and do whatever you want.

We can do crafts, paint. In 50 minutes we don't hurt ourselves, we don't hurt ourselves. we break anything and in the end we clean up together and we go back to the room and everything you have in the play therapy room stays here too, so you decide yes, I should join, no, I still can, let's get closer, no, can I come ? Closer, no, that won't come anymore, but it looks bleak. I don't think you'd like me looking. I'm not completely alone. Why has it changed? Now I'm a little surprised and the game comes. I was presented with something completely different that wasn't a real game at all, nor a role-playing game, then Leon didn't use all this fantastic game material, he locked himself in like that.

Maybe you can explain what happened here. So with the patients I have presented now it is a problem of distance, the child is mostly afraid of being overwhelmed by the situation and what I explained at the beginning is very important, I will not participate unless you want me to. so I have to stick to it, I mean, I do it. I asked him several times, he rejected it, so it is very important for the therapeutic process that he lives, I am not going to interfere, I will take it into account and he also confessed. What I said and the issue that worries him above all is this where I am, where the others are, this distance, this wall, which feels the vines within itself but also pulls from the outside, that is simply what worries him the most and what matters, that's why he leaves all the play materials to show him what happens inside him and why it is typical, so what situations or clinical pictures have antecedents for such play behavior?

This can be, for example, if a? The child has simply had traumatic experiences, an overwhelming experience until action has been taken, for example, he has experienced violence from caregivers and I always fall into despair. If he were good, he would be bad. Can I come closer? Well, I can take a look. Yes, that makes me happy. Now I can see you much better. , that was a very impressive scene where you really think that nothing is happening and then it is so significant and now we are looking forward to the second play therapy sequence, which will surely be completely different and where we will get a completely different impression of what which is the game.

Therapy could be like, let's see if I dare go here. Now I'm a little scared. I'm afraid of you, I'm at peace. If you just saw it, maybe you can explain what happened and. What type of disorder is typical? Yes, Ronja chose to play with the puppets for many hours and they came with an anxiety disorder and as you can see, she has taken on the role of the crocodile. She was practically in the fort. position that threatened the turtle and that was very important because the turtle is very close to her own experience and that would have been too threatening for her and that is why she specifically chose a different position and that has two sides that on one side that she Then I got into this powerful position and I felt strong in it and I was also able to experiment with it and how much we saw that it really requires repetition over several hours to just try it out.

To reflect internal events, how therapy works. He then continued, what basic elements did she confess during the course of therapy? So briefly about the clinical picture, so it was an anxiety disorder, but also part of it was a depressive illness and a very low sense of self-esteem, which it was. really so against it that Ronja didn't go any further and as she refused and in the course of the therapy Ronja was also able to discuss things and her fears and that then turned into the fact that Ronja also reached out to herself again. able to identify with this fear and say yes, I'm afraid, but it's just a part of me and we just look at it again as part of our family work and what it has to do with the environment and ultimately that's the way it is.

So she took a very positive course so that Ronja would somehow feel strong and free herself from fear when she left management and returned to school. Well, today I'm the crocodile there like I'm not afraid, because now I'm eating you. I know this corresponding image of the crocodile shell, she speaks louder if she scares me. Monster so far I think and how things are finally going well, great, yes, I would like to thank you very much for your cooperation because I can summarize briefly. What you said was the most important thing because, for example, you saw me at the shipyard.

I think it's particularly important for Leon to see exactly how it's about control and trust, how much control I can give up, how much trust the child has and that everything can be the way the child designs it and then I just do it. I also have to wait and take a step back and see where the child is, how prepared they are and we move forward together in this game and ultimately it's about the child being able to open up and only then do I have access to them. Would you say what the key ideas are and the ten people you saw above really seemed like a simple game?

Of course it wasn't, but on the one hand, it was very important for Ronja to be able to take on the role of the strong one and of course the therapeutic side was really about being able to withstand all these emotions like anger, but also maybe also helplessness that entails. and that another important thing was the change of roles from her to her, so she managed to be herself again and return to that very terrifying role but then realize that it is no longer part of her but that she also says no, me. I'm not afraid anymore.

It has been noticed that you also enjoy it. What would you say to a good friend? Why should I work in child and adolescent psychiatry and feel enriched every day to be able to experience what I can achieve? families and achievements for children I also learn more about myself every day, which basically means everything stays the same. It is always a very exciting job and I return home satisfied and with a good feeling. You always learn something new about yourself. Maybe what you would recommend? Friends of a good friend. Yes, I would definitely recommend it and I think it's a very diverse field of work where you really have a lot of contact with people, especially children and young people, and that's it.

It really is very fun. I am so happy that when I go to work every day I don't even know what to expect because the children bring their own topics and the joint discussion and understanding of these topics is really exciting to me. in addition to creating meaning and my feeling is that in the end it is also very useful for children and families and of course that makes me feel good again, yes, now it was fun too, so the central question is answered: can psychotherapy be fun? and if so, also and the other question has already been clarified, today you actually earn money by playing, that was Ronja and first León and the obligation of medical confidentiality prohibits me from saying how many are inside the envelope, we are very pleased that you are interested, We will be happy if you want to talk to us, make comments, have questions, they are now available directly in a chat, if you want to know more, because I am on the clear heights, there are the little YouTube click clips, the provider screen. clear heights, then you can look at her or contact her