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Inspiration

Music Therapy With an Adult With Autism: A Session Breakdown

Ryan judd
Ryan judd
Jun 3, 2016
7 min read

From Ryan Judd

Watch · 7

A seven-minute clip, a tambourine, a triangle, a pair of egg shakers, and a man named Elliot learning to say "hello" back. That is the whole scene in Ryan Judd's video "Adult with Autism Shines in Music Therapy," and it is more instructive than its title suggests. Judd, described in the video's description as a board-certified music therapist, sits with his client and builds a session out of greetings, sung requests, call-and-response phrases, and a short song about being "the one and only." There is no narration explaining the method and no session notes. What the clip does offer is a close look at how a therapist can turn ordinary turn-taking into something a client can actually reach for: a name, a choice, and finally a sentence about his own strengths.

Read · 7 sections

What does a music therapy session look like from the first seconds?

The video opens mid-greeting, and the structure is announced before any music starts. "Hey Elliot, hello, how you doing?" Judd asks. Then he sets the rule out loud: they are going to practice saying each other's names. He will say "hello Elliot," and Elliot will answer "hello Ryan." The instruction is spoken plainly, the pattern is modeled, and only then does the session move into song.

That sequence matters. A session like this works by making the expected turn obvious. The client always knows what comes next, so the effort goes into the response rather than into guessing. By 0:37 the two are moving on to instruments, and the pattern of asking, offering, and answering has already been established.

Why does handing over the instruments change the exchange?

When Judd says, "Elliot, what I've got, all these instruments, you want the tambourine, please," he is doing more than passing out percussion. The request has to be made in words, and the answer has to be received. The therapist then praises the asking ("nice asking, excellent") and hands the instrument over with "here you go, thank you." Each piece of the exchange is small, but together they form a complete social loop: request, offer, acknowledgment, thanks.

The same structure returns later. Judd repeats the offer for the triangle, and at around 3:41 the transcript captures Elliot being prompted to ask for the egg shakers in a sung phrase: "Oh, the egg shakers, please." The instrument becomes the reason to speak. A person who might not volunteer a request in conversation has a reason to make one when the request is built into a melody and tied to something he wants to hold.

"Sometimes you don't, that's when you can say..." (Ryan Judd, in the video, around 4:00, as he prompts Elliot to make a request out loud)

The line is cut off in the transcript, but the logic is visible: when the client does not ask, the therapist leaves a gap that invites him to fill it. The silence is part of the instruction.

How does singing a request change the moment?

Much of the session is sung rather than spoken. Judd counts in ("count, 1, 2, 3, 4") and then leads the song, with Elliot joining in on lines like "deep in my soul" and "I am in control." The melody gives the words a shape to hold. A phrase that might stall as spoken speech arrives on a beat, with the rhythm supplying a place to start.

Notice too how Judd corrects without scolding. At around 2:40 he says, "Deep, yeah, man, sing it last time," and the group goes back to the line. The correction is musical: go again, sing it through, and the next pass is the one that counts. The transcript is full of these small returns, which suggest a therapist who treats repetition as the point rather than a failure to move on.

What happens when the song says "I am the one and only"?

The session's central song is built around identity. At about 4:09 Judd sings, "I am the one and only," and asks, "who's the one? Elliot, that's you." Elliot answers, "yes, I am what I am," and Judd affirms him: "you're the one in yes, because you just have some special gifts."

Then comes the question that gives the video its spine. Judd asks, "what's something you're really good at?" The first answer comes back as the song's own line, "I am the one and only," which shows how a familiar melody can carry a client into a new kind of answer. Judd does not stop there. He reframes the question and asks again, this time in plain speech.

"Elliot, put something you're really good at." (Ryan Judd, in the video, around 4:54) Elliot's reply, as captured in the transcript: "I am great with n[umbers]."

The answer is not perfect on the first pass, and the transcript is garbled at the word "numbers," but the content is clear. Judd responds: "Oh, you're great with numbers. That's what it is, man." He then sings the answer back into the song, and by about 5:52 the group is singing "he's so great with numbers" together. A personal strength, offered in a sentence, has become a line everyone in the room can sing.

This is the arc the video is built around. The therapist models, the client joins, the answer is repeated and shaped, and eventually the client's own words become the material of the song.

What does the video not tell us?

A reader should be clear about the limits. The video is seven minutes long. It contains no baseline assessment, no stated treatment goals, no session-to-session progress, and no outcome data. The description says the video "shows the power of music therapy in helping individuals with Autism Spectrum Disorders," which is the uploader's framing, not a measured result. The view count of 143,683 tells us the clip has drawn attention. It does not tell us what happened after the camera stopped.

The title's word, "shines," is also the uploader's word. What the footage shows is a client who answers, joins in, and produces a sentence about what he is good at, with a therapist who makes each of those steps easy to take. That is worth studying on its own terms, without stretching it into a claim about outcomes.

What can a parent or practitioner take from this session?

Several techniques are visible in the clip and can be borrowed as observations rather than prescriptions.

  • Name the pattern before you play it. Judd tells Elliot exactly what the exchange will be ("I would say hello Elliot... and you would say hello Ryan") before he starts.
  • Turn requests into choices. Offering instruments gives the client a reason to ask, and praising the asking makes the request worth repeating.
  • Let a melody carry the words. Counting in, singing lines, and returning to a phrase all give the client a rhythm to enter.
  • Repeat, then reframe. When "I am the one and only" comes back as the first answer, Judd does not reject it. He asks again in a more specific way.
  • Put the client's own answer into the song. The line "he's so great with numbers" is Elliot's material, sung back to him. That is how a private answer becomes a shared one.

None of these steps require a studio or special instruments. A tambourine, a triangle, and a willingness to sing a question are enough to show the shape of the method.

Where to go from here

The video's description points viewers to The Rhythm Tree newsletter for more music therapy videos and ideas for using music with individuals with autism: https://www.therhythmtree.com/newsletter. Watch the clip with the transcript beside you, count the requests and the returns, and notice where the therapist waits. Those gaps are where the method lives.

Comments

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Transcript

[0:08] hey ellot hello how you doing I how are

[0:11] you good so today going to start with

[0:16] our hello hello s yeah yes we're going

[0:20] to practice saying each other yes I

[0:24] would say hello Elliot hello Elliot and

[0:28] you would say hello Elliot hello Ryan

[0:31] yeah hello Ryan hello Ryan and uh Elliot

[0:37] what I've got all these instruments you

[0:40] want the tambourine please nice asking

[0:43] excellent here you

[0:46] go thank you

[0:49] welcome all right my friend Count US 1 2

[0:52] 3 4

[1:00] time to say

[1:04] hello you it's

[1:08] mus time to say

[1:13] [Music]

[1:14] hello

[1:19] [Music]

[1:23] hello you

[1:26] know he's going to

[1:29] sing hello R yeah man you got it

[1:33] nice you know

[1:36] and he's

[1:39] going

[1:41] [Music]

[1:49] beautiful singing my friend

[1:52] [Music]

[2:00] I am in

[2:03] control I'm

[2:05] [Music]

[2:07] Co deep

[2:13] in and

[2:19] stop nice

[2:40] deep yeah man sing it last

[2:50] [Music]

[2:56] time deep in my soul

[3:09] count 1 2 3 four that was

[3:12] [Music]

[3:26] fast

[3:28] day when we ask for

[3:32] something

[3:34] we

[3:36] sing

[3:41] Oh the egg shakers please

[3:55] yeah sometimes you

[3:58] don't that's when

[4:00] you can

[4:03] say

[4:04] [Music]

[4:09] okay so it's time for I am the one and

[4:15] only yeah who's the one Elliot that's

[4:18] you yes I am what I am yeah you're the

[4:22] one in yes cuz you just have some

[4:25] special gifts yes and let me ask you a

[4:29] question what's something you're really

[4:32] good at one and only you are the one and

[4:35] only yes what's something you're really

[4:37] good at

[4:41] doing I am the one and only you're the

[4:43] one and only and you are great great

[4:47] yeah with right no numbers oh you're

[4:51] great with numbers that's what it is man

[4:54] let's try that again Elliot put

[4:57] something you're really good at I am

[4:59] great with n yes you are my friend let's

[5:01] sing our the one and only song oh by the

[5:05] way I've got all these instruments here

[5:08] want the triangle Dr please you got it

[5:11] man here you go thank

[5:15] you carison 1 2

[5:20] [Music]

[5:25] 3 he's the one and only he's such cool

[5:30] got to be

[5:33] around all around

[5:39] [Music]

[5:52] this let me ask question man what's that

[5:56] thing that you really great at

[6:03] [Music]

[6:08] with numers oh yeah man

[6:11] numbers you know he so great with

[6:16] numbers he's so

[6:19] great so great

[6:29] [Music]

[6:31] he's the one and only he such

[6:35] [Music]

[6:40] a talking about you my friend

[6:48] [Music]

Ryan judd
ArtistRyan judd

Ryan Judd is a board-certified music therapist, fingerstyle guitarist and meditation teacher. He supports neurodivergent children and adults and composes instrumental guitar music…

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Explore Topics
Music-therapyAutismCall-and-responseAdult-autismSung-requests

Got Questions?

Frequently Asked Questions

In this video, music therapy for an adult with autism is shown as a structured session built from greetings, instrument choices, sung requests, and call-and-response songs. The therapist, identified in the description as board-certified, uses the music to give the client predictable turns to take in conversation.
The session makes the expected response obvious: the therapist says a name, the client answers with a name, and the pattern is repeated until it is familiar. Because the rule is announced before the music starts, the client can focus on the response rather than guessing what comes next.
Offering a tambourine, triangle, or egg shakers turns a request into a choice that has to be made out loud. In the video, the therapist praises the asking and then hands over the instrument, creating a complete small exchange of request, offer, and thanks.
It is the session's central song, built around affirming the client's identity and strengths. The therapist asks 'who's the one?' and the client answers 'that's you,' then the song becomes the frame for asking what he is good at.
The video is a seven-minute clip with no baseline data, stated goals, or outcome measures. It shows a session in progress and is useful for observing techniques, but the description's claim about the power of music therapy is the uploader's framing rather than a measured result.
The video's description points to The Rhythm Tree newsletter at therhythmtree.com/newsletter, which the uploader describes as offering more music therapy videos and ideas for using music with individuals with autism.

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