ABSTRACT

After some reflections on depression in primary-aged children, the music therapy service within a residential psychiatric unit is described and a Music Therapy Diagnostic Assessment (MTDA) is discussed. Three case studies illustrate ways in which music therapy can prevent the development of clinical depression in adolescent and/or later life: Gemma attended a music therapy group and was gradually able to develop some sense of self. Joshua’s diagnosis of autism was reviewed, and he was able to develop spontaneity and self-confidence during free improvised instrumental dialogues. Finally, David became excited and engaged in song stories, shedding new light on his emotional problems.