Supporting Children and Teens ages 10 and up
When Might a Child or Teen Benefit from Therapy?
Sometimes there isn't one obvious problem. You may simply notice that your child doesn't seem like themselves, is struggling more than usual, or seems to be having difficulty coping. You don't need to know exactly what's wrong before reaching out.
Some reasons a child or teen may benefit from additional support include:
- Anxiety, excessive worry, or fears
- Depression or persistent sadness
- Anger, irritability, or emotional outbursts
- Difficulty understanding or managing emotions
- Stress and feeling overwhelmed
- Low self-esteem or self-confidence
- Social difficulties or friendship concerns
- School-related stress or avoidance
- Perfectionism
- OCD and repetitive thoughts or behaviours
- Grief and loss
- Family changes or conflict
- Difficulty coping with life transitions
- Trauma or difficult experiences
- Sleep difficulties
- Feeling "stuck" or not knowing how to cope
Therapy Looks Different for Children and Teens
Therapy is tailored to each young person's age, developmental level, personality, strengths, and individual needs. Therapy isn't about telling a young person what they should do. It's about helping them understand themselves, develop useful skills, and find strategies that actually work for them.
Therapy with Children May Include:
- Conversation and storytelling
- Activities and creative approaches
- Emotion identification and awareness
- Problem-solving
- Coping skills
- Mindfulness and grounding techniques
Therapy with Adolescents May Focus on:
- Understanding thoughts and emotions
- Managing intense emotions
- Strengthening self-esteem and exploring identity
- Developing healthy relationships
- Improving communication
- Building independence
- Problem-solving and decision-making
A Collaborative Approach with Parents
Building trust is an important part of working with young people. Children and teens need a space where they can speak openly and feel respected, while parents also need to understand how they can best support their child's therapy. Privacy and confidentiality, including their limits, are discussed openly at the beginning of therapy so that everyone understands what to expect.
Parent involvement depends on the child's age, developmental stage, needs, and treatment goals. Together with the young person, we explore what level of parent involvement feels most helpful, which may include:
- Parents participating in therapy sessions or portions of sessions when helpful.
- Providing parents with guidance and strategies to support their child outside of therapy.
- Sharing appropriate updates about treatment progress and goals, while respecting the young person's privacy.
Evidence-Based Approaches
Therapy is individualized rather than relying on a single therapeutic model. Different strategies may be incorporated depending on the young person’s age, needs, strengths, and goals.
Cognitive Behavioural Therapy (CBT)
CBT helps young people understand the connection between their thoughts, feelings, and behaviours and learn practical strategies for changing patterns that are getting in the way.
Dialectical Behaviour Therapy (DBT)
DBT can be particularly helpful for adolescents experiencing intense emotions or difficulty coping by focusing on enhancing emotion regulation, distress tolerance, mindfulness, and interpersonal effectiveness skills.
Solution-Focused Brief Therapy (SFBT)
SFBT focuses on identifying practical changes and building on existing strengths, resources, and successes to help young people move toward their goals.
Recreation Therapy
Recreation Therapy uses meaningful activities and experiences to support emotional well-being, self-awareness, coping, social connection, and skill development. Depending on a young person's needs and interests, therapeutic activities may provide opportunities to explore emotions, build confidence, practise coping strategies, and develop interpersonal skills.
Mindfulness-Based Approaches
Mindfulness-based approaches help young people develop greater awareness of their thoughts, emotions, physical sensations, and experiences without reacting immediately. These approaches can support emotional awareness, stress management, and more intentional responses to difficult emotions and situations.
Working with the Whole Family
Individual therapy can be helpful, but sometimes meaningful change also involves the relationships and environment around a young person. When appropriate, therapy may include parents or family members to improve communication, understand patterns, and create a more supportive home environment.
Learn more about Family Therapy.
Meet Jennelle
Jennelle Giesbrecht is a Registered Psychotherapist and the primary therapist at Orillia Therapy Services providing psychotherapy to children and adolescents. She has a Master of Arts in Counselling Psychology and a background in Recreation Therapy, with more than a decade of experience supporting children, adolescents, young adults, and families, including using creative and activity-based approaches to engage young people.
Jennelle takes a warm, down-to-earth, and collaborative approach, meeting each young person where they are and adapting therapy to their individual needs, interests, and goals. She combines evidence-based therapeutic approaches with meaningful conversation and practical strategies to help young people better understand themselves, build on their strengths, and develop skills they can carry into their everyday lives.
FAQ
You don't need to have a diagnosis or know exactly what is happening before reaching out. If you've noticed changes in your child's mood, behaviour, relationships, or ability to cope, talking with a therapist can help you determine whether therapy may be appropriate and what type of support might be helpful.
It's not unusual for teenagers to be hesitant about therapy, especially when someone else suggested it. They may worry about being judged, believe they should be able to handle things on their own, or simply be unsure how therapy could help.
Therapy isn't about forcing a teenager to talk or telling them what to do. Building trust and understanding what matters to them comes first. We work collaboratively with young people to understand their perspective and identify what they would like to be different.
Keep the Conversation Open
Let your teen know that therapy isn't a punishment or a sign that something is wrong with them. Frame it as an additional source of support and let them know they don't have to have everything figured out before reaching out.
Give Them Some Choice
Whenever possible, involve your teen in decisions about therapy, such as choosing a therapist, identifying goals, or deciding what they would like to work on. Having a voice in the process can help therapy feel more relevant and meaningful.
Give Them Space to Engage at Their Own Pace
Starting therapy can feel like a big step, particularly when it wasn't their idea. Some young people are comfortable talking from the first session, while others need time to become familiar with the process. Allowing the therapeutic relationship and goals to develop naturally can help create a stronger foundation for therapy.
Therapeutic fit matters. If a teen doesn't connect with the first therapist, that doesn't necessarily mean they don't want or need therapy. Finding someone they feel comfortable with can make a meaningful difference in their willingness to engage.
Be There Alongside Them
When a young person is going through a difficult time, having a supportive parent can make an important difference. A listening ear, reassurance, and the sense that they don't have to navigate challenges alone can go a long way.
Therapy provides an additional space where teens can explore what they're experiencing, develop a better understanding of themselves, and discover strategies that feel useful to them.
The first session is primarily about getting to know each other, understanding what has been happening, and beginning to identify what would be most helpful. There is no expectation that a young person will immediately open up or have everything figured out.
We may explore:
- What brings them to therapy
- What they have been experiencing
- What they would like help with
- Strengths and interests
- Relationships
- School and social experiences
- Emotions and behaviours
- Goals for therapy
Yes. I typically encourage children and teens to have a say in whether they would like their parent to attend. For some young people, having a parent with them initially can help them feel more comfortable and supported.
When a parent attends, this is typically limited to the first half of the session. This provides an opportunity to discuss consent, privacy, and confidentiality, as well as for parents to share relevant background information or concerns.
The second half is generally reserved for the child or teen to spend individual time with their therapist, allowing them to begin developing their own therapeutic relationship and share their perspective in a private space.
The structure of the first session can be adjusted based on the child's age, developmental needs, comfort level, and circumstances.
The length of therapy varies depending on the concerns bringing a young person to therapy, their goals, and how they progress. Some concerns may benefit from a shorter, focused course of therapy, while others may require ongoing support. Treatment goals are reviewed throughout the process to ensure therapy continues to be purposeful and helpful.