Skip to main content
This product may have additional discounts available which will be visible once you checkout.
Audio Stream

BT06 Workshop 51 - Treating Troubled Adolescents - Peggy Papp, LCSW


Average Rating:
Not yet rated
Topic Areas:
Workshops |  Children and Adolescent Therapy |  Brief Therapy |  Family Therapy |  Abuse |  Gender |  Somatic Psychology |  Trauma
Categories:
Brief Therapy Conference |  Brief Therapy Conference 2006
Faculty:
Peggy Papp, ACSW
Duration:
1:40:22
Format:
Audio Only
Original Program Date:
Dec 10, 2006
License:
Never Expires.



Description

Description:

Many therapists dread working with adolescents because of their unpredictable high risk behavior. Although adolescents may appear disconnected and uninvolved, they are extremely sensitive to family moods, expectations and conflicts and their behavior is often a refection of what is happening in the family at any given time. This family centered approach is focused on identifying and changing the triggers both inside and outside the family that lead to destructive behavior such as substance abuse, self-mutilation, violence, depression and suicidal symptoms. Guidelines for clarifying issues, correcting distortions, opening up significant areas of communication and establishing positive interactions with family members will be demonstrated with video tapes that show the step-by-step process of change.

Educational Objectives:

  1. To define the triggers both inside and outside the family that contribute to the destructive behavior of the adolescent.
  2. To describe two resources within the family that can be used to arrive at mutually satisfying solutions.

*Sessions may be edited for content and to preserve confidentiality*

Outline:

Attitudes Toward Adolescents in Therapy

  • Therapists often view adolescents as unpredictable and difficult.

  • Some avoid working with teens due to discomfort or negative assumptions.

  • Media reinforces negative stereotypes, which can influence therapist expectations and adolescent behavior.

Adolescents as Family Truth-Tellers

  • Ackerman Institute project links adolescent behavior to family dynamics.

  • Adolescents act like a “Greek chorus,” reflecting family moods and conflicts.

  • Emphasis on family sessions over individual therapy to repair connections and prepare teens for external pressures.

Family-Centered Therapy Approach

  • Therapy focuses on how family stress and unresolved issues shape adolescent behavior.

  • Parents are seen as essential allies; therapy aims to strengthen family bonds.

  • Peer and cultural influences are acknowledged, but family remains the core focus.

Creating a Safe Space for Dialogue

  • Goal: give teens and parents a safe place to be heard and respected.

  • Therapist gathers each family member’s view on the problem and potential solutions.

  • Many parents arrive feeling hopeless after trying other interventions.

Understanding Adolescent Behavior

  • Teens may be guarded, especially if referred under negative terms.

  • Therapists use questions like “Do you worry about your parents?” to engage them.

  • Outside factors like school and peers are considered, but family dynamics are central.

Case Study: Self-Harm and Family Conflict

  • A young woman with a history of suicide attempts and self-harm.

  • Strong bond with father, but conflict with mother and sister.

  • Therapy works to shift alliances and improve communication.

  • Family secrets and father’s role are key elements in the dynamic.

Therapeutic Interventions

  • Co-therapy used to understand the meaning behind self-harm.

  • Mother’s anger addressed; therapist recommends a session break with the option to return.

  • A relapse prompts renewed intervention and planning.

Supporting Parents Individually

  • Mother receives individual sessions to manage anger and anxiety.

  • Therapist balances family work with focused parenting support.

  • Emphasis on long-term care and readiness for setbacks.

Challenges and Relapse

  • Progress is not always linear; relapses are expected.

  • Ongoing support and openness to future sessions are crucial.

  • Therapy aims to strengthen the whole family, not just treat the adolescent.

Body Language & Initial Insights

  • Notable body language shifts observed across four sessions, including upright posture and a “V” shape between participants, indicating improved relational dynamics.

  • The continued presence of the “V” shape was unexpected but suggested deeper changes.

  • Emphasis placed on observing nonverbal cues as valuable therapeutic information.

  • A related case involving a depressed 15-year-old boy is introduced, with focus on family themes and generational patterns.

Case Overview: Daniel’s Depression

  • Daniel, age 15, became depressed and truant; his mother eventually asked him to leave the house.

  • He stayed with his grandmother, who helped smooth things over, but his mother remained overwhelmed.

  • The family is blended: remarried mother, toddler half-brother, and another son from a previous marriage.

  • Daniel’s stepfather had more success connecting with him than the mother; his biological father was absent and a drug dealer.

Family History & Projected Fears

  • The mother feared Daniel would repeat the failures of other male family members, like her dysfunctional brother.

  • Her strictness stemmed from anxiety and a desire to avoid the mistakes of her own upbringing.

  • The family had a pattern of secrecy and avoiding emotional confrontation.

  • During a session without Daniel, the mother voiced concerns about his lying and stealing, rooted in fear—not reality.

Addressing Secrets & Projections

  • The idea that lying and stealing were genetic was challenged; instead, they were framed as part of a larger family dynamic of secrecy.

  • The mother was encouraged to share previously hidden family information with Daniel.

  • This led to a turning point—Daniel’s behavior improved and the relationship became more open.

Therapeutic Techniques & Change

  • Dramatic role-play was used to help the mother recognize her behavior and its impact on Daniel.

  • She began to see Daniel as an individual, not as a reflection of her troubled family history.

  • With this shift, Daniel stopped stealing, and the home environment became more supportive.

  • The mother's anxiety lessened as she addressed her unresolved issues.

Paradoxical Intervention & Family Shift

  • A paradoxical approach was used to confront Daniel with the risks of repeating family patterns.

  • The intervention had a strong impact—he began doing homework and showing responsibility.

  • The mother grew more affectionate and less controlling, strengthening their bond.

Outcome & Reflections

  • The mother’s ability to separate Daniel from her fears about other family members was key to their progress.

  • Open discussion of family secrets led to a healthier, more honest dynamic.

  • The intervention helped transform both the mother’s and Daniel’s behavior, resulting in lasting improvements.

Credits



Faculty

Peggy Papp, ACSW's Profile

Peggy Papp, ACSW Related Seminars and Products


PEGGY PAPP, A.C.S.W., is a therapist in private practice and Co-Director of the Brief Therapy Project at the Ackerman Institute for Family Therapy in New York City. She is recipient of the lifetime achievement award from the American Family Therapy Association and the award for distinguished contribution to Marital Family Therapy from the American Association for Marital and Family Therapy. Her latest book is Couples On the Fault Line


Reviews