Introduction
Before children participate fully in therapy activities, they first develop an understanding of the people and environments around them.
Children entering therapy may wonder:
- Who is this person?
- What will happen here?
- Am I safe?
- Will my needs be understood?
Trust is not created automatically because therapy begins.
Trust develops gradually through repeated experiences of safety, predictability, and emotional responsiveness.
Why Trust Matters
Trust influences:
🟢 Participation
🟢 Emotional regulation
🟢 Communication
🟢 Engagement
Children who trust therapists often feel more comfortable:
- Trying difficult tasks
- Making mistakes
- Exploring challenges
Signs a Child May Not Feel Safe Yet
Children may:
- Avoid eye contact
- Refuse activities
- Stay near caregivers
- Withdraw
- Become controlling
These behaviors may communicate uncertainty rather than opposition.
Building Trust Through Relationships
🟢 Follow the child’s lead
🔵 Respect communication
🟡 Be predictable
🔴 Validate emotions
Trust Through Play
Play provides opportunities for:
- Shared experiences
- Enjoyment
- Safety
- Connection
Children often communicate through play before communicating through words.
The Role of Occupational Therapy
OT interventions occur through relationships.
Therapists support trust through:
- Child-centered approaches
- Sensory understanding
- Co-regulation
- Respectful interaction
Final Thoughts
Trust cannot be forced.
It develops through repeated experiences of safety and connection.
Because children often engage more deeply when they believe relationships are safe.