Providing familiarity and predictability is one of our greatest tools in therapy, and can provide much-needed comfort to clients who aren't used to it. According to Martha Straus, an expert in working with kids and teens, young people need this familiarity the most, especially when they've survived trauma. Here, she explains how to model it in your work.

By Martha Straus - My young client, Brian, can reduce even confident mid-life adults to an infantile puddle, one provocative comment at a time. He's a therapist's nightmare. But he’s also the universe's gift to me. He measures my commitment to the work, to him, to my ideas about therapy, to my best self.

By Martha Straus - After a difficult case, I decided to consult with a small group of millennials, who helped me grasp what a big deal choosing has become for this generation. Here are three adjustments I've made to help millennial clients struggling with the tyranny of choice take hold of their lives and approach differently the sense of paralysis they feel.

By Martha Straus - What we therapists have to offer our young clients, more than anything, is our well-regulated, fully developed adult brain, with its mature capacity for awareness, perspective, appraisal, curiosity, and forgiveness on full display. According to the approach I use, Developmental-Relational Therapy, we’re both the mechanism of change and the intervention. Here are a few strategies that can rewire the teen brain for safety and intimacy.

By Martha Straus - For me, working with girls is what I do with the greatest interest and passion. I have wells of empathy to draw on, and can stay attuned with them more easily than with males. Our bond is implicit, and by being as fully authentic, connected, and present as I know how, I help them make it explicit. Here are four of the biggest lessons I've learned in my therapeutic work with adolescent girls.

By Martha Straus - Today, about 25 million young adults between between 18 and 34 are currently residing with their parents. In its basic form, this story holds that most emerging adults still living at home are wretched, entitled, or manipulative. But the new bungee family offers emerging adults---and our fragmented social fabric---a healing alternative, one that's injecting the best social capital available into the human mix.

For a child to develop, adults need to “loan” them their adult regulatory system. But being a self-aware, engaged, and compassionate therapist isn't automatic. To play our part, we must first foster our own capacity to self-regulate before we can demand it of a terrified or furious teen. Attachment is a two-way street: it’s not just about them.

In this brief video clip, child psychologist and Symposium 2016 presenter Martha Straus discusses the benefit of using co-regulation with a young client in trouble. 

Working with girls in therapy is what I do with the greatest interest and passion. Like many female therapists who have this specialty, I had my own tough times as a teenager. I have wells of empathy to draw on, and can stay attuned with them more easily than with males, or females of other ages. Our bond is implicit, and by being as fully authentic, connected, and present as I know how, I help them make it explicit. Thus the thoughts that follow are largely informed by my 20-odd years of experience treating adolescent girls and their families. They synthesize what's helped me forge alliances with them quickly and inspire change.

By the end of the hour, even when we begin with her raging and sobbing, Jenna usually leaves more cheerfully. She’s much less reactive than when she entered, and, best of all, we’re more in sync. When I’m able to be present in this way, my cooler, more regulated brain lowers the emotional temperature of her hot head. Over the year or so that we’ve been meeting regularly, she’s allowing me to comfort her more and more, using me more effectively for soothing. This is the wonder of what I call Time In.

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Shared laughter is an attachment language. Though therapists usually engage more knowingly with tears, the exchange of brighter affect is another kind of invitation to the dance of intimacy.

Without a well-researched paradigm for reaching young children who might need teleplay therapy in an uncertain time like this, therapists are forging ahead into unknown territory.

Therapists are used to adolescent girls grumbling about their hovering, overinvolved parents. But these days, many have a new complaint—technoference in the home. Even as they’re tethered to their own screens, teens are wanting more, not less, of their digitally distracted parents’ attention.

Admitting her bafflement with some of her millennial clients, a veteran therapist accepts her ignorance and gets advice from some of the young people in her life. Here’s how their fresh perspectives energized her practice.

With traumatized adolescent clients, it’s emotion that gradually changes emotion—not rational explanation or interpretation, not snazzy techniques or “fake it till you make it” exhortations.

Most parents “loan” children their adult regulatory system beginning at birth. But developmentally traumatized teens have missed out on this opportunity when they were little. Thus, a major goal of therapy is to backfill this absolutely essential experience, which is often not an easy job.

While some warn that the conveyor belt that once transported adolescents into adulthood has broken down, other insist the increasing number of adult children living at home is less about dysfunction than the changing function of family life today.

Working with self-harming teens often seems like riding a runaway roller coaster, which keeps threatening to go off the rails altogether. Just as things get smooth and predictable, a crisis sends you hurtling downhill again.

Perhaps it isn't surprising that the challenging case that ambles through the thickets of my mind is Brian Stanley, a furious and terrified 11-year-old boy I've known well for six years and am still wrangling with every couple of weeks. Befitting my more deliberate gait, ours is a story of incremental healing and occasions for small hope.