Supporting Your Gifted Child: How to Find a Therapist

by Mariam

Lisa Erickson, MS, LMHC is a psychotherapist with a full time practice in Seattle,WA working with gifted adults.  She is on the faculty at Antioch University and teaches and trains other therapists.  She is on the Parent Advisory  Committee of the NAGC.  You can learn more about her at www.lisaerickson.net

I got an email last night from a father looking for a therapist for his gifted elementary school daughter.  He’d already gone through six referrals before he got to me.  The catch?  He wanted someone in his very limited insurance plan. How can I help this kind and caring father find a needle in a haystack?  Sound familiar?

I wish there were a good answer.  You’ve read the advice—ask parents of other gifted children for recommendations.  Ask your school’s counselor for names.  If you live in an urban area, you might know of a school for gifted children.  Call their counseling staff and ask them for recommendations. Search online for a “gifted therapist” and see the names that crop up.  Check out the therapist lists on SENG, the Gifted Homeschoolers Forum, High Ability and Hoagie’s Gifted websites.  Good ideas, all!

You get some names.  What next?  Does the therapist really know about giftedness?  Be wary of the therapist who says that they understand giftedness because their child is gifted, and implies that this is sufficient.   Or the related claim that the therapist is gifted or a member of a high IQ society.  Are these two scenarios enough to claim expertise in giftedness?  Partially.  After all, you do want a therapist who is smart, and personal experience can be very helpful.  But you also want a therapist who has professional training in the clinical presentation of giftedness. How do you find out?

Here are some suggested questions to ask a therapist.  They can be asked relatively quickly, saving you time and energy:

1.)  “What experience do you have working with gifted children?”  Yes, this is obvious. Remember, you will learn more asking an open-ended question.

2.) “If you do psychological testing and assessment, what is your experience doing psychotherapy with children?  How do you think these two roles are different?”  The two are related, but different skill sets. Skill with one does not imply skill with another.  You want to look for an answer that acknowledges the difference between these two.

3.)  “What do you think of Kasimierz Dabrowski?”  Look for an intelligent and informed answer.  Maybe they will mention his Theory of Positive Disintegration or overexcitabilities.  You are looking for some familiarity with this central figure in the treatment of gifted people.  Yes, there are many important people in the realm of giftedness, but Dabrowski is so fundamental that a lack of familiarity with him is a red flag.  If they mention overexcitabilities, skip to question #5.

4.)     “What are overexcitabilities and how might they play a role in my child’s current difficulties?”  Look for an answer that implies familiarity with the concept.  Don’t expect a specific answer to the question.  After all, the therapist hasn’t met with you and your child yet.  A specific answer would be premature.

5.)     “What books or learning resources about giftedness can you recommend? “ This is another question to determine the therapist’s level of familiarity with the subject.  A long answer is better than a short answer especially if you pick up some enthusiasm and intensity from the therapist about giftedness.

These questions can help you zero in on whether the therapist has a basic clinical knowledge of giftedness.  No one wants to see a therapist who doesn’t “get” it.  You want to save yourself and your child from false starts.  You want to find the right person sooner than later.

I think about the usefulness of having a certification for therapists that would establish a standard knowledge base about giftedness.  Imagine how much easier it would be if you knew you could go to a database and find a therapist with a credential that documented their training.  It would also establish giftedness as a specific clinical specialty that would attract more therapists and inform insurance companies.  That would be good!

What of our kind father searching for a therapist?  I will find out where he lives and give him some more names.  You see, I don’t work with children; I work with gifted adults.  But I teach and train other therapists about giftedness.  I’ve built a list of therapists in Seattle who I have trained and who have expertise with gifted children.  I know how they will answer the questions above.  I have vetted them all.


About these ads

10 Responses to “Supporting Your Gifted Child: How to Find a Therapist”

  1. Great guide for parents, Lisa. I specialize in working with children and families from my Kirkland, WA office and one week of the month in Los Angeles, representing the Gifted Development Center. But, while many insurance providers will reimburse for “out of network” therapists, I don’t work directly with insurance companies either- after years of frustrating, delayed low reimbursements, and having to justify the treatment my clients needed, I gave up on them. I do reserve some low fee hours when there is need; Are you on insurance panels, Lisa? There are so few therapists that are knowledgeable with this group, and the risk of being pathologized for normal Gifted traits is so high, that I frequently don’t even have time to respond to all the inquiries I receive each day. Additionally, the twice exception (those who also have a learning, social, or emotional challenge, in addition to being Gifted and/or creative) are at such high risk of being misunderstood, I spend a lot of time advising parents on their options for assessment and advocating for their children. Hope we can meet one of these days.

    • Hi Linda, Thank you for your comments. I am glad that you liked my post. As you know, people sometimes believe that having insurance coverage means they can automatically use their benefits, but this is not always the case. Being gifted is not a diagnosable condition so giftedness alone does not meet the standard of medical necessity for insurance reimbursement. Something else needs to be going on. There is a big difference between being atypical (ie gifted) and being abnormal. The good news is that being gifted is not pathological, although, it is frequently pathologized by others, and misdiagnosed by therapists. The bad news is that clients may not be able to access their mental health benefit unless they are also experiencing some significant and diagnosable psychological distress. This is a long answer to your simple question–yes, I do take insurance. It would be nice to meet.

      • I personally seffur from MS, restless leg syndrome, and sleep apnea. I only remember feeling tired and losing concentration in session when I had more passive approach to treatment. I mean, you can only reflect so much before your mind checks out. Since adopting CT I m much more focused and the time in session flies by. I find that I have to keep my agenda on one or two things, and frequently have to use redirection to keep us on track.

    • 1) Emphasise the benefits to them, rhater than cold facts. Instead of Based Locally\’ try Faster response times and lower costs as based locally.2) Highlight the key benefit the letter is about in a header or bullet points. You only have a few seconds for them to decide whether to actually read the letter in full.3) Keep it short more than one page (side) is too long is most cases. 4) Have a call to action tell them what to do next: call for a quote , order your brochure today , Register on our web site 5) A PS. can repeat or emphasise a key point, or add for ce to the call to action, such as Call this week for a 5% discount! 6) Use decent quality paper (although not nessesarily expensive branded paper) and pre-printed letterhead or decent colour quality laser print.

  2. Thank you for sharing those questions–very helpful!

Trackbacks

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Connecting to %s

%d bloggers like this: