
Here is a list of 10 ice-breaker activities that have worked for other clinicians in the past.ġ. If you have recently made the switch to online therapy (teletherapy), you may be wondering what types of rapport building therapy activities will work well in this setting. We’ll discuss ice breaker activities that work for a variety of ages. Though they’ll express it in different ways, it’s not any less obvious when a child is not fully buying into your therapy techniques or trusting you as a clinician. It’s interesting to note the similarities between relationship building in pediatric vs adult clients as well. Start building this foundation in your early sessions. His research refers specifically to psychotherapy however, it seems reasonable to apply this theory to other professions including occupational and speech therapy.Īn article from APA titled “Better relationships with patients lead to better outcomes” states “Based on its 16 meta-analyses on aspects of the therapy relationship, the APA Task Force on Evidence-Based Relationships and Responsiveness concludes that a number of relationship factors-such as agreeing on therapy goals, getting client feedback throughout the course of treatment and repairing ruptures-are at least as vital to a positive outcome as using the right treatment method.” The foundation for all these factors is an open and trusting relationship between client and clinician. Because he estimates that therapy technique only contributes about 15% as an outcome predictor, it is obvious he believes building a strong relationship with your client is an essential foundation to any direct therapy work. Researcher Michael Lambert estimates that the relationship between clinician and client contributes 30% to outcomes in therapy. Though there may be some guilt around “wasting” time getting to know the client and building rapport prior to getting to the meat of the therapy, the research actually says that taking the time to build a strong relationship with your client is likely more important than any specific therapy task. Whether in person or via telehealth, an initial meeting with a new client can make you feel a certain type of anxious.

This blog will review therapy activities that can be used as ice breakers for new pediatric clients in one on one or group sessions.
