The effect of play and creative arts therapy on the emotional wellbeing and behaviour of a boy with Attention-Deficit/Hyperactivity Disorder: a case study

Play and creative arts therapy offers a safe space for children to express themselves, to enable them to reach their potential. There is little evidence in the U.K. on whether this type of therapy is beneficial for ADHD. This single-case study examines the effect of play and creative arts therapy on the emotional wellbeing and behaviour of an 8-year-old boy with ADHD. The boy was referred because of difficulties to manage his anger and frustration at school and home. Twenty-three individual sessions of therapeutic play were delivered at school. The Strengths and Difficulties Questionnaire was used to assess hyperactivity, peer, conduct and emotional problems, pre-therapy, mid-therapy and post-therapy. In addition, data from parent and teacher interviews alongside clinical observations of sessions were analysed pre-therapy, mid-therapy and post-therapy. Data from the SDQ, interviews and clinical observations were triangulated via supervision. Themes from the clinical sessions were in line with child-centred play therapy principles and indicated therapeutic growth. Results showed a 50% reduction in hyperactivity and a steep decrease in emotional problems post-therapy at school but not at home. Further work in supporting parents at home may be beneficial alongside individual therapy at school. Implications for theory and clinical practice are discussed.