Psychotherapy refers to a variety of techniques and methods used to help children and adolescents who are experiencing difficulties with emotion and behavior. Although there are different types of psychotherapy, each relies on communications as the basic tool for bringing about change in a person’s feelings and behaviors. Psychotherapy may involve an individual child, group or family. In children and adolescents, playing, drawing, building, and pretending, as well as talking, are important ways of sharing feelings and resolving problems.

As part of the initial assessment, the child and adolescent psychiatrist will determine the need for psychotherapy. This decision will be based upon such things as the child’s current problems, history, level of development, ability to cooperate in treatment, and what interventions are most likely to help with the presenting concerns. Psychotherapy is often used in combination with other treatments (medication, behavior management, or work with the school). The relationship that develops between the therapist and the patient is very important. The child or adolescent must feel comfortable, safe and understood. This type of trusting environment makes it much easier for the child to express his/her thoughts and feelings and to use the therapy in a useful way.

Psychotherapy helps children and adolescents in a variety of ways. They receive emotional support, resolve conflicts with people, understand feelings and problems, and try out new solutions to old problems. Goals for therapy may be specific (change in behavior, improved relations with friends), or more general (less anxiety, better self-esteem). The length of psychotherapy depends on the complexity and severity of problems. Child and adolescent psychiatrists are specifically trained and skilled to provide psychotherapy.

Parents should ask the following questions:

  • Why is psychotherapy being recommended?
  • What are some of the results I can expect to see?
  • How long will my child be involved in therapy?
  • How frequently will the doctor want to see my child?
  • Will the doctor be meeting with just my child or the entire family?
  • How will we (the parents) be informed about our child’s progress and how can we help?
  • How soon can we expect to see some changes?

A child and adolescent psychiatrist will be able to provide you with answers to your questions and concerns.


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Copyright © 1997 by the American Academy of Child & Adolescent Psychiatry.

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