I own and use this book so often in my Art Therapy groups that this book is flooded with Post It notes. I do adapt most of the activity suggestions to make them fit each client population. The book is flexible and could be applied to youth, teen, or adult/senior populations. It is written and indexed in an easy-to-read manner based on the mode of therapy practiced. The suggestions themselves are general enough however do conveniently elaborate with bullet-marked suggestions for different ways to try out the various activities. So if you think you've worked with clay, perhaps you have not written an acoustic poem about it and then created an environment for the sculpture, etc. Several variations and ideas were new and fresh. Great book for the novice or for the seasoned professional who needs some help getting new ideas sparked up and fueled; a quick, easy (and relatively inexpensive) A.T. reference.