The first thing she did was break my Japanese kaleidoscope—jabbed her finger through the viewing window. From the threshold of my office, she’d homed in on it, as if she’d known it would be there, on my table by the schefflera, awaiting destruction. A pixie with a tornado’s wake, she tore around my office, snatching things up and demanding “What’s this?” before casting them aside and moving on. She was ten, with a three-year-old’s lack of restraint. Her mother did not stir to intervene in any way, just sat heavily and watched me, wearing an inscrutable smile.
I had some information to relay and gather, it being our first visit, although I knew a bit from the intake report and a colleague on the Youth and Family team. The family had been receiving functional support services in their home for some time, to help with behavior management, but the FSS worker felt therapy would be appropriate as well. Danielle, the pixie, was suspicioned to have some trauma in her history. If she did, that might explain her wild energy, although she was being medicated for ADHD, as all too many kids are. The FSS worker had told me she was a sweetheart, if a handful, and would likely want to spend our time playing dolls.
At a certain point, I interrupted my intro to let Danielle know that although there weren’t a lot of rules in my office, there were a few important rules, and one of them had to do with gentleness. “I’m going to show you how I don’t like things to be handled, and how I do like them to be handled.” First, I picked up a toy and threw it on the ground. “You will not see me do that again,” I said, “and I don’t want to see it either. This is how I like things to be handled.” I picked the same toy up and set it down gently. “Can you show me the gentle way to handle things?” And she did—from that moment on, she was careful with everything she touched, and I made sure to thank her and heap praise upon her.
Danielle offered to teach me a card game in vogue called Trash. I accepted, and we arranged ourselves “crisscross applesauce” on the floor. She gave me the rules haphazardly, clarifying as she went along, as in, “Oh, and if that happens, you lose your turn.” It felt as though maybe she was just making up rules to suit her, which, if that was the case, was a) hard to follow, and b) not fun for me. So, again, I asked for what I wanted: “Could you please tell me all the rules first before we play? I’m feeling confused.” And she did! With perfect sense and order! We got on like a house afire then and played cards till the end of our session. I invited her mom to join us, but she just kept smiling and shook her head. Soon enough, our time was up, and I confirmed our next appointment for the same time next week. I was on Cloud 9: attention deficits can be hard for me, but we were off to a good start!
Then, the next week, no Danielle. I made an outreach call and got voicemail. No reply to my message, so I called again later that week, expressing concern. No reply again. I called a week later, then wrote a letter—nothing. Finally, I ran into her FSS worker and asked him to look into it. This is what he came back and told me: the mom didn’t want therapy for her daughter, or at least, not with me. “All she did was play with her,” the mom reportedly said.
Now at the risk of sounding prideful, is that all I did? Danielle and I built rapport. We engaged in behavior modification through clear communication and positive reinforcement. She got the chance to take the lead, and led beautifully, and we started in on addressing unmet needs. (The FSS worker still talks about the time the two of them played Trivial Pursuit—how Danielle didn’t even understand the questions, let alone know the answers, but appeared to be having the time of her life because someone was playing with her.) Perhaps these matters are subtle to the untrained eye. But I didn’t even merit a conversation? The funny story I told recently, about the mom who worried my voice was too calm when we booked our first appointment? That mom gave me a chance, and we got on splendidly.
My supervisor opined that the mother felt uncomfortable seeing Danielle behave like a different child; perhaps I had achieved something that she, as the parent, never had. He felt that she probably saw her daughter through a certain lens and was unwilling to have that lens so radically changed. Indeed, she might not have wanted to feel compelled to look at herself. I can’t profess to know if any of that was the case—but I can say this: I wanted to work with Danielle, and there are few things in life that upset me more than golden opportunities missed, especially when it’s not a matter of chance, but one of willful denial.