Does your child need therapy?
How to find the right therapist
Types of therapy
Books
Links



I've often had parents ask me, how can they tell if a child needs therapy
and while there are no absolute answers, there are several determining
factors I use to answer that question.


  • Is the child's behavior developmentally appropriate?
    For instance, I look at a two year old is having temper tantrums quite differently than I do a twelve year old displaying the same behavior. A six-year old who would rather help her mother clean than play with friends might benefit from some counseling. If the behavior is that of an younger or older child, therapy may be helpful.
  • Are my child's problems effecting his school life?
    To a child, school is his full time job and if he is having problems academically, behaviorally or socially that is cause for concern. I am concerned when a first or second grade child does not want to go to school, because these years are the foundation of his education. Children also need to adapt socially in order to grow and develop successfully.
  • Is my child overly depressed, anxious or angry?
    Children experience emotions differently than adults. Depression and anixety can mask themselves with fatigue, ambiguous illness, inappropriate anger and withdrawl among other symptoms.
  • Has my child experienced a major life stressor?
    Divorce, death of a loved one or special pet birth of a sibling or other major life adjustments are often reasons children come to therapy.
  • Is my child experimenting with drugs or alcohol?
  • Does my child bully or intimidate others or is he a victim of bullying?
  • Has there been a recent change in my child's behavior?
    When a happy-go-lucky, playful child becomes withdrawn, or an shy child becomes aggressive, this is often an indication that there is a problem that needs to be addressed.

    These are some of the many reasons that children may benefit from counseling.


  • low self esteem
  • problems with sleeping or eating
  • extreme shyness or aggression
  • a child who is overly mature or immature for her age
  • school problems
  • excessive anxiety or fear
  • social problems
  • preoccupation with sexual thoughts/behavior
  • somatic complaints (stomachaches, headaches etc.) without a medical origin
  • divorce or other family changes
  • chronic illness of the child or a family member
  • a death in the family
  • domestic violence or child abuse
  • natural disasters (fire, flood, tornado etc.)

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    How to Choose a Therapist

  • Level of Comfort - I believe that the relationship between the therapist and the client is the vehicle for all change. Not only do you need to feel comfortable with your child's therapist, but your child also needs to feel a level of comfort and trust. Your child could be seeing Sigmund Freud (if he was still alive), but if she didn't feel comfortable with the good doctor, chances are therapy will not be successful.
  • Referrals - School counselors, teachers, pediatricians, and other parents are often excellent sources for finding a therapist for your child. I believe that the most important factor in the success of therapy is the relationship between the child and the therapist so you may have to interview several professionals before you find one that is right for both you and your child. You can also get referrals from your state licensing boards for psychologists, social workers, counselors and family therapists, although not ever state licenses all of these disciplines. By finding a licensed therapist you are assured that he or she has met certain educational credentials.
  • Social Service Agencies often provide counseling services on an ability to pay basis.
  • Churches and Religious Groups also often provide counseling or can refer you to counseling.

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    Types of Therapy

  • Psychiatry
    Psychiatrists are trained as medical doctors and can write prescriptions for medications if necessary. While medical doctors can also prescribe psychiatric medications, psychaitrists often have more training and experience with the particular medications. Ideally, a child psychiatrist is preferable because there is sometimes a difference between the way medications effect adults and children. Because of recent changes in insurance reimbursement, many psychiarists no longer provide psychotherapy, but do evaluations and medicine checks. Often clients see psychiatrist for their medication and another type of counselor for their therapy.
  • Psychology
    Psychologists provide assessment and treatment for emotional and behavior problems with individuals, families, couples or groups using a variety of different techniques. Most states require licensed psychologists to have a doctorate, pass a rigorous examination, and take continuing education courses.
  • Social Work
    Clinical Social Workers have completed at least a master degree. Licensing varies from state to state. The National Association of Social Workers (NASW)has a code of ethics which must be followed by members. Not all social workers are trained as therapists, so be sure to ask for a clinical social worker.
  • Family/Marriage Therapy
    In marital therapy the focus is on the treatment of the couple, not the individuals, while family therapy works with the family unit. Often times a child's behavior or emotional problems masks problems in the family. I have seen many kids who act out as a way to call attention to problems in the family or between parents.
  • Group Therapy
    There are several different types of group therapy, including gender specific, and problem specific. This can be used alone or in addition to psychological or psychiatric treatment.

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    Books

  • Straight Talk About Psychiatric Medications for Kids
  • Child's First Book About Play Therapy
  • Your Adolescent - What every Parent needs to Know edited by David Pruitt, MD
  • Your Child - What every Parent needs to Know: What's Normal, What's Not, and When to Seek Help. Emotional, Behavioral and Cognitive Development from Infancy through Pre-Adolsecence by David Pruitt, MD
  • It's Nobody's Fault - New Hope and Help for Difficult Children and their Parents by Harold S. Koplewicz, MD

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    Links

  • The Depressed Child
  • What is Psychotherapy for Children and Adolescents?
  • Distinction between Therapist by Education and Training
  • How to Choose a Therapist
  • How to Choose a Psychologist
  • Choosing and Assessing a Psychotherapist
  • The Therapeutic Value of Play Therapy for Children

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