Child Therapy

Children and adolescents need more than physical checkups—they also need care for their thoughts and feelings, behavior, and relationships as they grow. At One Family Pediatrics, child therapy is an important part of our health care approach, offering evidence based support for a wide range of emotional and behavioral concerns in children and teens. We work with the whole family—family members, schools, and medical providers—to help each child or teen feel understood, build healthy coping skills, and thrive at home, in class, and with friends.

What Is Child Therapy?

Child therapy is a structured, developmentally appropriate type of therapy that focuses on helping a child and adolescent:

  • Understand and express emotions and thoughts and feelings
  • Improve behavior at home and school
  • Strengthen social skills and relationships
  • Learn practical problem solving and coping strategies

Depending on age and needs, we may recommend different therapies including:

  • Play therapy – Uses toys, art, and play to help younger children express emotions safely and symbolically.
  • Cognitive behavioral therapy (CBT) – An evidence based approach that teaches children how thoughts, feelings, and behaviors are connected, and how to change unhelpful patterns.
  • Parent Child Interaction Therapy (PCIT) – A coaching-based family therapy model that strengthens the parent–child relationship and reduces disruptive behaviors.
  • Dialectical behavioral therapy (DBT)–informed skills – Focuses on emotion regulation, mindfulness, and distress tolerance for older children and adolescents with intense emotions.
  • Other supportive, skills-based interventions tailored to your child or teen.

Our goal is to match the type of therapy to your child’s age, temperament, and specific mental health condition or concern—so treatment feels both supportive and effective.

When to Consider Child Therapy

It’s normal for kids to have bad days. But when struggles become frequent or start to interfere with everyday life, child therapy can help. Therapy may be helpful if your child or adolescent has:

  • Persistent anxiety, worries, or panic
  • Ongoing sadness, withdrawal, or loss of interest
  • Frequent outbursts, aggression, or major mood swings
  • Behavior challenges at school, home, or with peers
  • Difficulty with social skills, making or keeping friends
  • Trouble focusing, following directions, or staying organized
  • Sleep problems, nightmares, or new fears
  • Big reactions to changes (moves, divorce, new sibling, illness, or loss)

You don’t have to wait until a crisis to seek help. Early support can keep a mild concern from becoming a more serious mental health condition.

Evidence-Based Types of Therapy We Use

At One Family Pediatrics, we rely on evidence based treatments that have been shown to help children and adolescents.

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is one of the most widely studied and effective therapies for kids and teens. CBT:

  • Teaches children to notice unhelpful thoughts (“No one likes me,” “I can’t do anything right”)
  • Connects thoughts with behaviors and emotions
  • Builds coping skills to manage anxiety, sadness, anger, and stress
  • Uses problem solving and goal setting to make real-life changes

CBT is often used for anxiety disorders, depression, school refusal, and behavior challenges.

Play Therapy

For younger children, play therapy is often the primary type of therapy. Through play, kids can:

  • Act out experiences they can’t yet put into words
  • Explore worries, fears, and conflicts in a safe way
  • Practice managing feelings and making choices

A trained therapist uses play strategically to understand what a child is going through and to help them build healthier emotional responses.

Family Therapy and Parent-Focused Support

Many concerns improve fastest when family members are involved. Family therapy or parent-focused sessions can:

  • Improve communication and reduce conflict
  • Align parenting strategies and boundaries
  • Help parents support coping skills at home

In Parent Child Interaction Therapy (PCIT), for example, caregivers receive live coaching in positive attention, limit-setting, and calm responses, which can dramatically reduce disruptive behaviors.

DBT-Informed Skills for Older Kids and Teens

For children and adolescents with intense emotions, self-harm behaviors, or big relationship swings, we may integrate dialectical behavioral therapy (DBT)–informed skills, such as:

  • Mindfulness and awareness of feelings
  • Distress tolerance (what to do in a crisis)
  • Emotion regulation (how to calm big feelings)
  • Interpersonal skills to improve relationships

These strategies are especially helpful for children and teens who feel “out of control” emotionally.

What Child Therapy Helps With

Child therapy can support a wide range of challenges, including:

  • Anxiety and fears
  • Depressed mood or low self-esteem
  • ADHD-related behaviors and organization
  • School and learning-related stress
  • Peer problems and bullying
  • Family changes, grief, or trauma
  • Behavioral issues and oppositional behavior

Because therapy is integrated within a pediatric health care setting, emotional needs are considered alongside sleep, nutrition, development, and physical health.

What to Expect From Child or Teen Therapy

A typical process might include:

  1. Parent Intake
  • Review concerns, history, strengths, and goals
  • Discuss which type of therapy may be most appropriate
  1. Child or Teen Assessment
  • Age-appropriate conversation, play, or activities
  • Screening tools for specific concerns, when needed
  1. Personalized Treatment Plan
  • Clear goals (e.g., fewer outbursts, better social skills, reduced anxiety)
  • Recommended approaches (CBT, play therapy, PCIT, family therapy, or a combination)
  1. Ongoing Sessions
  • Regular visits focused on practicing new coping skills
  • Continued assessment of progress and adjustments as needed
  1. Parent and Family Member Involvement
  • Coaching on routines, communication, and structure at home
  • Strategies for supporting your child between sessions

Therapy is not about labeling your child—it’s about giving them tools and giving your family a plan.

Your Role as a Parent or Caregiver

Parents and caregivers are key partners in every type of therapy. You can support your child by:

  • Attending parent sessions and check-ins
  • Practicing skills at home (reward systems, calming routines, communication tools)
  • Modeling healthy ways to handle stress and big emotions
  • Keeping an open line of communication with the therapist and pediatrician

When family members work alongside the therapist, children tend to progress faster and maintain changes longer.

Is Child Therapy Right for Your Family?

If you’ve noticed ongoing changes in your child’s mood, behavior, or social skills, or if you’re simply worried that your child seems overwhelmed, it may be time to explore therapy.

Child therapy can:

  • Help your child better understand their thoughts and feelings
  • Build lifelong coping skills and problem solving abilities
  • Improve relationships—with parents, siblings, teachers, and friends
  • Support a healthier, more confident future

Take the Next Step

You don’t have to figure everything out on your own—and your child doesn’t either.

If you’re wondering whether child therapy could help your child or teen, schedule an appointment with One Family Pediatrics. We’ll listen to your concerns, explain the available types of therapy, and create an evidence based, individualized plan that supports your child, your family, and your long-term goals for emotional and behavioral health.