She is usually so much taller than they are; perhaps that is what draws my attention to her actions. She speaks with a high pitched voice, conceivably to make herself seem more fun. When she speaks to them, she bends forward at the hips with her hands on her knees, probably to “get down to their level”. While leaning forward I have heard her on many occasions say, “Oh my God! You are so cute!”, apparently to connect with them in a manner that will never benefit the patient/therapist relationship. She remains silly and kittenish for the duration of their encounter, but I am uncertain if this is for her own entertainment, or theirs. Children respond to her approach and they seem to improve despite my own reservations.
The elderly, however, should demand better.