A therapeutic guitar lesson

Today, with just one patient on the children's unit at the BHC, I had the opportunity to lead a one-to-one session. If your patient has an interest (like mine did) in learning the guitar, this can turn into an awesome session with a focus on cognitive stimulation.

Preparations:
Tape strips of paper to the neck of the guitar that number each fret (the paper should sit just above the fret, not under the strings).

Create flash cards of the chord fingerings you want to teach, (use a different color of construction paper for each chord). I chose to teach C, D, em, G, A, and A7.

Tape three strips of paper on the fret board; place one in the 1st fret, one in the 2nd fret, and one in the 3rd fret.

Color dots where fingers should be placed for each of the chords you chose. Correspond the color of that dot with the color of the flashcard. To color, pull the strings away carefully to get access to the paper taped onto the fret board.

Materials:
Guitar with paper labels of frets/chord fingerings
Chord flashcards (with finger numbers)
Markers
Sheet music

Task analysis:
1) Teach the patient finger numbers (1=index, 2=middle, 3=ring, 4=little). Quiz patient on finger numbers by calling out numbers and having them wiggle that finger.

2) Teach fret numbers. Quiz: e.g. "Put your 3rd finger anywhere on the 2nd fret."

3) Teach string numbers. Quiz: e.g. "Put your 1st finger on the 5th string on the 3rd fret."

4) Explain to the patient how colors of the dots on the guitar correspond with the chords on the flashcard. Teach them how to finger their first chord (mine was D). Quiz: e.g. "Take fingers off the guitar. Finger the D chord again." Repeat, repeat.

5) If they do really well with all these tasks, allow them to try to figure out the next chord (A) on their own. Quiz as you did in step 4, but then ask them to finger the switch between fingering the first chord and fingering the second.

6) At this point, the patient may play a I-V-I song.

7) Teach another chord (G) and the patient is ready for a I-IV-V-I song! The songs I used for this step were "Don't Worry, Be Happy" and "This Little Light Of Mine."

8) If you have time to advance, teach more chords (C and Em). A great song that utilizes only the chords mentioned in these steps is "Viva La Vida" by Coldplay.

If You Have An Instrument

Because many young children struggle with impulse control, music therapists often work to increase this skill. Any activity that requires a child to wait for cues or take turns playing will be valuable in addressing this area.

This activity is designed for all the little ones you might work with. Kids are asked to start and stop on a dime, but it becomes a game to them. It is a song I adapted from a friend, Amanda. And as I was writing it, I also had in mind a song that I learned in practicum at the hospital. I cannot take full credit for this.

A music-writing program is not readily available to me, so I will try to share this song with you as best as I can. I will post the song lyrics and chords, then include an mp3 recording of the song. I hope that it will be helpful in learning the melody. I would also suggest that you feel free to change the melody in whatever way you wish. If you think there is a better way that I can share future songs, please let me know by commenting on this post.

Song lyrics & chords



Materials:
Guitar
Various small percussion instruments

Task Analysis:
1. Teach clients that "rest position" means instruments are down and hands are in their lap.
2. Pass out the small percussion instruments to each child, reminding them to keep it in rest position.
3. Sing the song written above with guitar accompaniment, prompting children to start and stop as you say.
4. Take turns picking a child to lead the group. Sing the song again with guitar accompaniment, but let that child say "start" and "stop." Allow the child to lead a couple rounds of this.
5. Repeat steps 3 and 4 as needed. If your group is small enough, everyone may get a chance to lead.

Extensions & Adaptations
You may need to cue the student to say “start” or “stop” when it is their turn to lead. If a student is not quite giving clear directions, therapist can help reinforce the child for any approximating behavior. (For example, if the child starts playing without saying "start," shout it yourself and play with them.)