Let Them Lead: The Child-Led Autism Podcast

22. What to do When an Autistic Child is Not Engaging With Us


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In this conversation, Nicole Casey discusses the challenges therapists face when children disengage during sessions. She emphasizes the importance of understanding the reasons behind disengagement, advocating for a child-led approach, and recognizing signs of fatigue or burnout. Nicole shares strategies for managing disengagement, building trust with families, and reframing engagement. She encourages therapists to shift their mindset, prioritize connection, and be present with the child, even in quieter sessions. The conversation concludes with practical tips for therapists to enhance their practice and foster meaningful connections with their clients.
  • Disengagement is a common experience in therapy sessions.
  • It's important to understand the reasons behind a child's disengagement.
  • Child-led therapy focuses on following the child's lead.
  • Recognizing signs of fatigue can help tailor sessions effectively.
  • Effective communication with families is crucial for understanding the child's needs.
  • Therapists should prioritize building trust and connection with their clients.
  • Not every session will be filled with engagement; that's okay.
  • Therapists should reframe their understanding of engagement and disengagement.
  • Mindset shifts can enhance a therapist's effectiveness in sessions.
  • Practicing patience and presence can lead to meaningful connections.
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Let Them Lead: The Child-Led Autism PodcastBy Nicole Casey

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