Music Therapy for Kids with ADHD

Attention Deficit Hyperactivity Disorder, better known as ADHD, is characterized by atypical executive functioning and sensory needs. It is a complex neurotype that we are learning more and more about all the time! And, we are always thinking of new ways to use music therapy to support our clients who have ADHD.

No two people with ADHD are exactly alike…

…but certain characteristics are displayed by most people with this neurotype. Some commonly observed traits or behaviors are:

  • Impulsiveness
  • Heightened emotions
  • Difficulty with time management
  • Difficulty with working memory
Like with every neurotype, though, there are some unique strengths that are associated with ADHD as well.
  • Ability to multitask
  • Unique non-linear thinking
  • Highly creative
  • Very sensitive to others or their environment
  • Thrive in novel situations

People with ADHD can benefit greatly from specialized support. Therapies designed to give them tools to succeed, without discouraging their creative abilities and unique ways of thinking, can be life changing for people with ADHD.

How can music therapy help?

Music therapy sessions at NeuroMotif are meant to be a safe space and outlet for creativity. Music does a great job of containing creative impulses, and helping them to feel organized, without sacrificing the feeling of spontaneity and engagment.

This means a child’s music therapist can help them practice impulse control, auditory perception, and memory in a way that aligns with their thinking style. It doesn’t feel like work, because it’s fun!

Because of the distinctness of this neurotype, people with ADHD often feel like they are failing at tasks that seem easy to others.

Managing time, remembering important appointments or assignments, and initiating and completing tasks are very difficult when your brain is faster, louder, and busier than that of your peers. Often, people with ADHD experience guilt or shame because of these struggles. So it’s not surprising that many people with ADHD also experience anxiety, low self esteem, burnout, or even depression.

At NeuroMotif, we are committed to helping our clients see their self worth and their unique abilities that come along with having an ADHD brain. Yes, it is a disability, and ADHD will cause many difficulties. But that doesn’t mean we should wish it away – we can support, accommodate, and highlight strengths. Music therapy exercises can help our clients process feelings and feel a sense of accomplishment.

What will we do in music therapy sessions?

As with any of our clients, we will tailor sessions and goals to each individual. Due to immense creativity, and occasional uninhibitedness, ADHD brains seem to be perfectly suited to musical improvisation, songwriting, and composition. We use musical games to exercise working memory and other executive functions, and we write songs that can reinforce coping strategies or encode important information.

Most importantly, we recognize that people with ADHD have deep interests and passions, and every therapeutic exercise is so much more motivating if it relates to one of these interests! Our music therapists challenge themselves to find creative ways to utilize these interests in the exercises that help our clients work on their goals.

Want to know more?

Again, every person with ADHD is different, and we would love to tell you how we could support you or your child in music therapy. Let’s talk! We would love to tell you more, and make a plan that affirms your loved one and reveals their full potential.

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Come Move With Us!

Join us September 23rd for a Free Motion Capture workshop!

Our friend James Kwan is bringing his Motion Capture music-making technology to our studio for our clients and friends to try. We would love to see what you think, and how our clients and fellow clinicians would use this musical tool!

Saturday, September 23
3:30pm
Spoke the Hub Dance Studio

Just bring your authentic self, and your openness to try something new.

Sensors on each limb trigger different synth sounds, so every movement you make becomes part of the symphony. Watch us test it out here!

We hope you’ll spend a bit of your afternoon with us, bring your friends, and give motion capture music a try.

Interested? Let us know, and we’ll keep you in the loop.
I’m Interested!
Details:

Saturday, September 23
3:30-5:30pm
Spoke the Hub Dance Studio
748 Union St, Brooklyn 11215
Ground floor

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Music and Neuroplasticity

Maybe you’ve heard of neuroplasticity before – the concept that brains can change, adapt, and learn. People often talk about how younger minds have more plasticity – it’s easier for kids to learn new things because their brains typically have more neuropathways.

We’ve known through research that music, and especially directed music therapy exercises, can aid people of any age in learning new tasks. This is most clearly illustrated when you look at the effects of music therapy interventions used in treatment for strokes and brain injuries. Music therapists have been able to help patients regain important skills like speaking and walking following these types of traumatic events.

Because of this, researchers have suspected for a long time that music encourages neuroplasticity. But there hasn’t been enough research yet that we can confidently claim it.

A new study conducted by researchers in Finland and published last year is helping us strengthen the evidence for this correlation. In the study, participants who had suffered brain injuries participated in three months of Neurologic Music Therapy interventions. Afterwards, their brains were scanned using MRI to show changes in neural connectivity in the white matter areas of their brains.

It turns out that there was a pattern in the brain areas where connectivity increased. The connection between Wernicke’s Area (language comprehension) and Broca’s area (speech production), which is called the arcuate fasciculus, presented with stronger connectivity. Another pathway, the superior longitudinal fasciculus, which is associated with attention, emotion, and memory, also showed stronger connections after music therapy treatment. Additionally, the tissue that connects the two brain hemispheres and allows for efficient communication between the left and right brain, called the corpus callosum, showed an increase in connectivity.

The researchers found a correlation between the amount of connectivity increases in each patient and the degree to which their executive function increased after treatment. This can certainly help us feel much more confident that music encourages neuroplasticity!

We are constantly learning more and more about the brain and how it is affected by music. There is still so much we don’t know about our brains! Each time researchers unlock a new secret, we can get better and better at explaining why music therapy works.

Make sure to follow along and stay up to date with us on the latest research about music and the brain.

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Through the Eyes of an Autistic Therapist

I am autistic, and I could not be more proud of that.

Childhood struggles

I was born in a time that autism was hardly recognized at all, let alone recognized in girls who are hyperlexic and extremely talkative. In the 2020s, most people would hear their pediatrician say “your daughter is not bonded to you” and immediately think of autism. But in the 1980s, when my mom heard those words, her only thoughts were about disappointment and failure.

A part of me is glad I didn’t know the real reason until much later. I always felt that I was different from my peers, especially from my highly social older sister. I had an inkling that basic tasks and processing were harder for me than people my age, but didn’t want to complain too much and be accused of self pity. I spent decades struggling through social situations and keeping my life organized. But, finally receiving my diagnosis made it all feel worth it. I think the same is true for my mom, who is now my best friend. (How’s that for not bonded?)

Me and my sister, circa 1988. I think I thought I was smiling.
Figuring it out

It took me providing music therapy for autistic children and teens for several years, and wondering why rapport came so much more naturally in these relationships than my “real life” ones, for me to begin to suspect anything. I took pride in my excellent skills as a therapist that helped me to “read people” so well in my work. I’ve often been able to guess why a client was edging toward a meltdown, what minuscule stimuli was distracting them, or what made certain tasks so challenging for them.

But it wasn’t necessarily my skills. It came naturally to me, because these clients’ experiences subconsciously reminded me of my own. Thanks to what researchers describe as the “double empathy problem,” I was able to “read minds” for the first time in my life, the same way that neurotypical people are able to do for each other all the time. In other words, I had found my people.

Owning the label

After a lifetime of quiet shame about not living up to my potential, feeling awkward in social situations, and struggling with my working memory, owning the label “autistic” makes me feel empowered. I know now that I don’t have to be ashamed of these things, because there isn’t something “wrong” with me; I’m just different. And in addition to those things that I struggle with, my autism comes along with unique skills. I’m super good at pattern recognition (in the 99th percentile, according to my diagnostic test!), I memorize things quickly (very helpful for learning new songs as a music therapist), and I notice tiny details that my neurotypical peers might not.

Most importantly, my own autism helps me meet my autistic clients where they are, and help them feel seen. It doesn’t take extra work to put myself in their shoes – I’m already in them! I love the fact that I not only easily relate to my clients, but I could also be a role model for them. Despite the struggles that come along with autism, I found the help I needed and figured out my own path. I am an autistic therapist, autistic business owner, and an autistic success story.

We need your support

This message, though, is just as important for neurotypical people as it is for their autistic children or family members. I am proof that empathetic friends and family, accommodations, and patience are necessary for neurodivergent individuals to succeed. Neurodivergent people are not a burden, and accommodations don’t need to be, either. In fact, they are highly worthwhile. When we have the support we need, we have so much to offer.

Brooke is a board-certified music therapist and co-founder of NeuroMotif Music Therapy. She has been practicing music therapy since 2011 and was officially diagnosed with autism in 2022. For more information, check out About Us.

Want an autistic therapist’s perspective? Send Brooke your questions on the Contact page!

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The Neurodiversity Affirming Model: What is it?

Differences are normal.

The Neurodiversity affirming model is based on the idea that everyone has differences in the way they think and interact with the world.

There’s nothing inherently wrong with having a disability or being neurodivergent. The problems arise when society won’t accommodate for differences in needs.

Who is neurodivergent?

The term “neurodivergent” refers to anyone who does not have what we think of as a “typical” brain. They thrive in different ways of learning and understanding concepts than the majority of people, and have a different sensory experience of the world. Here are some diagnoses and disabilities usually included under the neurodivergence umbrella:

  • Autism
  • ADHD
  • Dyslexia
  • OCD

There are many more that are sometimes included in this list. The main idea is that every brain is different, and that’s okay! In fact, it’s something to be celebrated.

The term “neurodiversity” was coined in 1998 by Judy Singer, an Australian sociologist.

The Neurodiversity Affirming model has gained traction in response to the “defecit model” of treatment. The deficit model looks at disabilities and neurodivergencies as something to be cured or eliminated. It focuses on what a person can’t do, rather than on their unique strengths.

The Neurodiversity Affirming model recognizes that the problem is with societal issues, not the individual. The right coping strategies and accommodations can help anyone thrive, even in a world tailored to neurotypical people!

But, in the long-term, we should think about the societal structures and expectations that we can change to make the world more accommodating for people of every neurotype. The pressure to change should not only be on neurodivergent people. Neurotypical people have a duty to meet disabled and neurodivergent people in the middle.

At NeuroMotif, we are serious about being a Neurodiversity Affirming practice.

We believe that there are benefits to being Neurodivergent! It’s so cool that everyone’s brains are unique.

We celebrate Neurodiversity and lean into our clients’ strengths to help them achieve their goals. We like to make Music Therapy success-oriented and fun. Sometimes neurodivergent people need different levels of structure and different kinds of sensory input in order to get the most out of a session. Our therapists use client-led approaches, and don’t rely on neurotypical social cues to track progress, like eye contact or sitting still. Also, we encourage stimming – making music is one of the best ways to stim!

Thanks to The Cleveland Clinic and Amy Yacoub from TherapyWorks for the source information.

If you are interested in learning more about us or about our Neurodiversity Affirming approach, contact us! We would love to tell you more.

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Music Therapy for Children with Autism

You may have heard about the strong correlation between diagnoses of Autism Spectrum Disorder and a great affinity for music. Many children with autism have been noted to have an echoic memory for music, natural musical ability, or even perfect pitch. So, it should not be surprising to hear that Music Therapy for children with autism can be productive and powerful!

More and more researchers are finding that autism seems to be related to an abundance of neuron connectivity in neighboring regions of the brain. This could explain why autistic children seem to catch onto patterns easily or memorize things quickly. Autistic brains are even more pattern-seeking than neurotypical ones, and music provides the right balance of structure, predictability, and surprise to organize brain activity and help make sense of the surroundings or situation.

Over decades of research, Music Therapists have worked out how to hone the specific characteristics of music and apply them to useful skill building. For neurodivergent children, singing can create a more accessible entrance to verbal communication skills. Because a sung melody has multiple sensory aspects, it engages more brain areas than a spoken sentence can. This synchronized engagement aids in the child’s comprehension.

You might find that when you’d like to ask your autistic child to complete a task, singing the question or request seems to capture their attention much better than simply speaking it.

Here is another example: musical improvisation can aid in an autistic person’s flexibility. Routine and rigidity are comforting for autistic individuals, and surprises or changes can be dysregulating. Practicing flexibility in a nurturing environment can help autistic children feel more prepared for our world’s unpredictability.

The beautiful thing about music is that it allows for creative risk-taking, but still exists within a reliable set of rules.

This means the structure of music is a contained space where kids can try new things with confidence.

Last to note, and perhaps most important: music can regulate and reassure. Familiar music can be helpful for recovering from meltdowns or shutdowns because it is grounding and validating. Music can reach us in ways that other things cannot, whether we are creating it or simply listening to it. It seems like magic, but it really is just an essential part of being a human with a brain!

How does your child engage with music? Let us know!

If you have questions about Music Therapy or our approach at NeuroMotif, don’t hesitate to reach out. We love to hear from you!

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Introducing our Summer Music Fundamentals Group

We are getting ready for summer, and I’m so excited to tell you about our Music Fundamentals group today! This class is open for children 4-5 years old (give or take–if your child is just outside the range we can definitely accommodate you). We’ll be learning some of the basics of music to get your child ready for private lessons on their preferred instrument in the future.

As Brooke mentioned in a previous blog post, there are so many advantages to virtual groups. We’re able to welcome students from all over, and get some really valuable face-time without the restrictions that come with in-person meetings. Our groups are 30 minutes, so that we don’t add too much screen time to your child’s day, and so that we can maximize attention and engagement.

So, what is this virtual class about?

Music Fundamentals covers just that–I’ll be taking students through the foundational concepts of music in a fun and age-appropriate setting. We’ll cover beginner music theory, including recognizing notes and symbols on the staff, and learn how to read simple sheet music. This will give your children a jumpstart on what they’ll likely learn if they sign up for private lessons in the future, or even what they’ll see in their school music classes.

In addition to theory, we will also dive into some ear training. Ear training involves connecting theory concepts with what we hear, such as matching pitch vocally or identifying the distance between two notes. I like to approach ear training through accessible games that simultaneously encourage kids to work on turn-taking, waiting, attention, and other important developmental skills. 

What will my child come out of the class knowing?

Participants will leave the class knowing how to:

  • Recognize notes on the treble staff
  • Identify note values and read simple rhythms
  • Sing back simple phrases
  • Hear and identify basic intervals

Most importantly, the curriculum will be tailored to the needs of the children who enroll in the group. Depending on each student’s unique interests and abilities, I may modify the activities that I bring in. My biggest goal is to get everyone excited about learning music and set your child up for success in whatever type of instruction they choose to pursue in the future. 

Have any questions? Reach out anytime. I can’t wait to meet you and get your children started with music!

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A Sneak Peek at our Summer Parent-and-Me Group

I am so excited to tell you about our Summer Parent-and-Me Group happening Saturdays on Zoom, starting July 2021! It’s open to children 6 months to 3 years, but we will always leave some wiggle room if your child is just outside that range. I am looking forward to leading you and your baby through fun music activities that involve movement, games, and more!

What’s great about a virtual group, in addition to the absolute social distancing, is that you can Zoom in from anywhere. So even though we are based in Brooklyn, we already have some kids joining us from out of town. If you have instruments at home, or anything that makes a satisfying noise, I will help you find a way to incorporate it. We keep the group to 30 minutes to make sure your baby or toddler won’t get overloaded with screen time, but Zoom happens to be an ideal platform for toddlers to study each others’ faces, which kids love to do! This is a nice change from in-person groups where masks are required and serious face-time isn’t possible.

So what’s going to happen in this virtual group?

First and foremost, we’re going to make music together, and make sure that we’re having a lot of fun doing it. Secretly, I’ll be focusing on early childhood development skills, like…

  • counting
  • ABC’s
  • turn-taking
  • and emotion identification…

but you and your child will be focused on singing, laughing, and making new virtual friends.

Egg shakers are cheap at your local music store, and also easy to make on your own!

What else can you expect?

With children of all ages (babies, too!) I love to incorporate sign language and other visuals. There have been lots of studies that show combining ASL with speech and singing can really kick-start language development. And that includes spoken language! I’ve worked with some parents who fear that leaning into sign might hinder language acquisition, but the data shows the opposite. Surprisingly young kids are able to approximate the signs, and quickly too!

The group will include multi-sensory music activities that encourage kids to…

  • practice paying attention
  • listen actively
  • take turns
  • and communicate effectively.

I will combine old favorites (like the ABCs and popular counting games) with NeuroMotif originals aimed at specific things like naming colors and identifying emotions.

If you have any questions at all, don’t hesitate to reach out.

Above all, we want this group to be meaningful for you, and each participant’s individual needs will help shape exactly how the group will unfold. I can’t wait to meet you and lead you and your child in song!

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Why I love telehealth

In March of 2020, when everything suddenly pivoted online, I was immensely concerned about what that meant for my work. I couldn’t picture how my music therapy clients and music students could be nearly as successful remotely as in person. I had no idea how I was going to be able to translate things to function virtually.

One year later, my outlook has completely shifted. 

Throughout this whole experience, one of my biggest takeaways has been that remote music therapy and music lessons can and do work. I can truthfully say that some of my clients have even done significantly better in the remote setting than in person. After over a year of working remotely, I am excited and passionate about telehealth. Below are the biggest reasons I think virtual services are amazing:

Clients and families can choose the environment they participate from.

Clients can choose to attend sessions from the most comfortable place in their home, which often increases engagement and communication. With in-person services, many of my new clients have taken a few weeks to adjust to the environment and get comfortable enough with me to start really working towards their goals. Through remote sessions, we get to begin from a more comfortable baseline. I’ve also had clients call into sessions on the go–while on vacation with family, while at their homeschool pod location, or even from the car! The flexibility of remote sessions allows for clients to join from wherever they are rather than having to cancel or reschedule when they have somewhere to be.

Many individuals actually find social interaction via screen more comfortable than in-person interaction.

Some of my clients on the spectrum have really blossomed through teletherapy because they prefer interacting with me on screen. Many have shown increased focus and attention as well, as they have found it easier to sustain engagement in the remote setting. Some individuals may be easily overstimulated, so the reduced amount of stimuli as compared to in-person sessions can be very beneficial.

Parents can gain insight into what happens in the therapy or lesson room.

With most in-person music therapy sessions or music lessons, parents will wait outside the room for their children. One of the most rewarding things about remote sessions is that parents can actually be in the room and see what goes on in the session. Remote music therapy can address familial relationships and provide tools for parents to use outside of sessions as well.

During a time when in-person interactions have to be restricted for safety, online sessions allow for a greater degree of “closeness”.

I think it’s important to acknowledge that even as things begin to reopen, in-person services are far from their pre-pandemic norm. In the music setting, necessary precautions include social distancing, mask-wearing, limited singing, and restricted physical touch, among others. These restrictions can impede the therapeutic or educational process, and can actually limit our ability to do many of the activities that are easily facilitated online. In music therapy the limitations on singing can be especially difficult to work with, and can get in the way of progress towards speech and communication goals. I really feel that I have the most therapeutic tools at my disposal in the virtual setting at this point in the pandemic.

Consistency, consistency, consistency.

Many services that are open in person are operating on some type of hybrid model, where clients receive a combination of remote and in-person services. Alternating between service modalities can increase feelings of insecurity and decrease the consistency of services provided. Through remote sessions, we can promise that services will not be interrupted by rising infection rates, confirmed exposures to the virus, or waiting on the results of a COVID-19 test.

It bears mentioning that telehealth is not a perfect, one-size-fits-all solution. However, neither are in-person services! It’s always the reality that each individual will have different needs and considerations. At NeuroMotif, we are committed to making things work for all of our clients, and we feel that remote services are the best possible services we can offer at this time. Please contact us if you would like to discuss your child’s needs in detail or try out our virtual services!

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Music for Processing Grief

Last week, I attended a mental health awareness event called #BeWell at Samsung 837 in Chelsea, NYC. I RSVP-ed knowing little about the event and its presenters – just that Dr. Jess, the main speaker, is a young, Black, female psychiatrist, and that I get excited about representation of all of those traits in the medical field. I couldn’t wait to learn more about her. I hoped to come back to the blog with more insight about the importance of clicking with your therapist, and the related challenges you face when you come from one or more marginalized groups. Because so many mental health professionals are older white males, it can be hard for people of other social groups to find a professional with whom they feel totally comfortable.

Dr. Jess did touch on this a little bit – how in the Black community, there is such a stigma about seeing a therapist or giving attention to your mental wellbeing. Dr. Jess, more formally Dr. Jessica Clemons, is currently completing her psychiatry residency at NYU, and because she is making such a push to put mental wellness in the spotlight for young people (especially people of color), she is already making an impact in important ways. I was thrilled to see so many young Black women in the audience, chatting excitedly about their career dreams in counseling and therapy, noting Dr. Jess as an inspiration. The way I see it, more varied cultural backgrounds amongst medical professionals means more people feeling comfortable reaching out and getting attention for their mental health.

What I did not expect was that I would hear Dr. Jess and her guest, rapper/musician/designer A$AP Ferg, talk at length about the power of using music for coping and mental health. As I am a music therapist, this was, of course, right up my alley! I was so impressed to hear an accomplished medical professional and pro musician speak about music’s healing potential, beyond relaxation and distraction.

Photo by Myesha Evon

When Dr. Jess first sat down with A$AP Ferg, she asked the audience members to respect a short list of agreements about the experience. Among these was this: although we may get something therapeutic out of this, it is not therapy. The conversation she had with Ferg might have been similar to how she would have conducted a therapy session with him, but some important points disqualified it as actual therapy – a huge one, the fact that the conversation was happening in front of dozens of people. I was so happy to hear her make a big deal of making the distinction. I think she is setting a great example for the rest of us mental health professionals by not being afraid to correct misconceptions like this.

Dr. Jess asked Ferg to talk at length about the deaths of loved ones, including those of his girlfriend and father. He talked a lot about ways of grieving, and this is when music came up.

Photo by Steve Crookson

Ferg noted that he felt as though his coping still isn’t done. “I took so long to grieve,” he said. “I wasn’t connected.” When he didn’t cry at his girlfriend’s funeral, he said he “knew something wasn’t right … I had to put myself in a position to grieve again.”

He partially connected his emotional block to the fact that he “wasn’t listening to music” for almost a year, subconsciously trying to shield himself from feeling.

Dr. Jess agreed that music is important and powerful in this way, noting that you can turn on certain music to “feel sadness if you can’t access it” and that this can be so helpful in working through pain.

Dr. Jess praised Ferg for having the strength to notice he needed to grieve, and asked if he had always been the type of person who was curious and mature about emotional expression. He responded,

“That’s why I’m successful in music, because I kind of know what people want to hear. Sonically, but I know what conversations people want to hear too.”

It was so refreshing to hear them connect mental health to music in this way. When I bring up music therapy, as I’ve mentioned in other posts, people often respond with something like, “Oh yes, music is so relaxing” or “makes you feel good,” which can feel dismissive. This doesn’t even begin to cover it. Dr. Jess and Ferg both have huge and growing platforms, and hearing them both give a different perspective about music’s power was inspiring for me. I feel as though this means we are heading in the right direction. They are advocates of the field music therapy, even if they don’t quite know it yet!

Dr. Jess closed the talk by noting several resources for finding mental health help, including ThriveNYC where you can learn about mental health first aid, and NYC Well where you can get connected with crisis counseling 24/7.

“Whatever happens to you, you are not your pain,” she told us all, before sending us back into the real world. “You are love.”

To learn more about Dr. Jess and her work in mental health advocacy, visit her website, and follow her on Instagram.

For more information about how music is related to emotional processing and access, check out this scholarly article about the brain as it processes music.

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