UNO Therapy Tools

As child anxiety therapists in St. Louis, we know how important it is to make therapy fun.

Kids and teens with anxiety, or anxiety-driven anger, need to feel comfortable in the therapy room. At Compassionate Counseling St. Louis, our team of St. Louis anxiety therapists, want them to feel heard, understood, and respected - and, even more importantly, we want them to enjoy what we’re doing in our therapy sessions! This makes it so much more likely that they’ll actually use the tools and interventions we teach them at Compassionate Counseling St. Louis which is why we use Feedback Informed Treatment.

 

Anxiety therapy for angry kids

Whether your kindergartener has big outbursts, your pre-teen keeps getting into trouble, or your teen is overly stressed out, our team is ready to help.

 

Using play, and play therapy interventions, is a great way to make anxiety work feel less scary and more fun.

Rather than making a five year old sit and talk about their fears, we can use creative interventions like games, books, puppets, play-doh, or the sand box to explore what’s going on, generally in a less directive way. St. Louis play therapy and art therapy give kids natural ways to express themselves!

Another way that we use games in our anxiety therapy sessions at Compassionate Counseling St. Louis, is by practicing skills-building through the game itself. Games teach you how to take turns, be respectful, demonstrate good sportsmanship, and build frustration tolerance.

One of our favorite games for practicing anxiety and frustration tolerance is UNO.

UNO is a go to card game in our St. Louis therapy offices. It’s not only a fun game, it allows anxious and angry kids to practice turns, good sportsmanship, frustration tolerance, and patience.

Beyond the tools that are naturally built within a competitive game, UNO is unique in that it allows tons of ways to customize it to a therapeutic space.

(Looking for more fun therapy interventions for anxious kids? Check out Child Therapy for Anxious Kids: Bluey and Emotional Acceptance)

Feelings UNO

When we use Feelings UNO, we ask our kids and teens to assign a feeling to each of the UNO colors (red, yellow, green, blue).

Whatever they select, we always want to ask them why they chose to pair those particular feelings with the colors they chose, just to hear about their reasoning and deepen our understanding of their affective expression. For example:

Child: I want the yellow cards to represent silly.

Therapist: I think that sounds great! Tell me why you chose silly for yellow.

Child: Yellow just looks really happy, and when I feel happy it also makes me feel silly and giggly in my belly.

Read more on how to build tools on affective expression: Body Clues Activity for Kids

Once we have has assigned a feeling to each color, we can begin to play. Whenever we play a yellow card, we share about a time we felt silly or something that usually makes as silly.

Remember, there can be different shades of every emotion, so you may hear about a generally positive experience, or a more negative time.

Client: I felt silly when I dressed up like a polar bear for Halloween last year.

Therapist: Oh interesting, tell me what felt silly about that? Was it funny silly or uncomfortable silly?

Getting to Know You UNO

The best predictor of a good outcome in therapy is the relationship you have with your therapist. UNO can be a great tool for breaking the ice and helping our clients feel comfortable opening up to us, which is why we love to use UNO as a Getting to Know You Activity (note: if you’re really funny, you can call this “getting to know you-no,” and wait for the eye rolls from your clients.)

We typically give two rules and then let the client create two rules. Create your own rules, and tailor them to your client. Typically, my two rules for different card colors are:

  1. Tell me one of your interests

  2. Tell me something about your family.

Therapist: My rule for blue is that every time we choose a blue card we have to tell each other about one of our interests.

Then I let the client create two rules and they can be fun and silly.

Client: My rule for yellow is that you have to name one of your favorite foods, and my rule for the wild cards is that you have to say one of your favorite animals!

When working as a St. Louis child therapist, you want to participate in the UNO activity as well and also answer questions. This is also a super fun activity for families to play together!

Zones of Regulation Uno

UNO is perfect for incorporating the Zones of Regulation because the game includes all four of the colors that the Zones of Regulation utilizes. When a child pulls a green card they either share about a time that has put them in the green zone, or they name something that typically puts them in the green zone.

Client: I was in the green zone when I got to go to six flags over the summer.

Therapist: The weekends always put me in the green zone.

Follow the same rules for red card/red zone, blue card/blue zone, and yellow card/yellow zone.

Keeping kids engaged throughout the therapy session.

When you’re working with kids, you need to include fun interventions that keep them engaged, build your therapeutic relationship, and encourage skills such as turn taking, good sportsmanship, and frustration tolerance. UNO, and these specific versions of UNO, can be a great way to help you make progress on your anxiety and anger management goals.

Curious to learn more about Compassionate Counseling St. Louis?

Our St. Louis anxiety therapists specialize in work with anxious and angry kids, teens, and college students. Schedule a free consultation to learn more about how Compassionate Counseling St. Louis can help your child. If we’re not the best fit, we’ll connect you with other awesome St. Louis therapists.

This blog was originally posted Jan 9, 2022 and updated 4/3/24.

Curious to learn more about parent coaching and therapy for child anxiety and anxiety-driven anger? Reach out to us at hello@compassionatecounselingstl.com. As child anxiety experts, we love working with kids, teens, college students and parents to help manage their anxiety, stress, and anger. Compassionate Counseling St. Louis is located in Clayton, MO and works with families by offering both in-person counseling and online therapy throughout St. Louis, Creve Couer, Ballwin, Town and Country, Brentwood, and Ladue. We also provide online therapy Missouri -wide to teens and college students. You can set up your first free consult on this website, on our consultation page.

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At What Age Can Kids Start CBT? How Play Therapy and CBT Work Together at Compassionate Counseling St. Louis