Child Therapy 101: Answers to Parents’ Most Common Questions

As a parent, deciding to seek therapy for your child can be a big step. Whether you're dealing with behavioral concerns, emotional struggles, or difficulties at school, therapy can offer your child the support and tools they need to thrive. However, you may have a lot of questions about what the process looks like, especially if you're new to therapy for kids. Below, we answer some of the most frequently asked questions (FAQs) about children’s therapy to help you better understand what to expect.

What Happens in the First Session?

The first session is typically a crucial one for both you and your child. While each therapist may have their own approach, the initial meeting often involves separate sessions with the parent(s) and the child. Initially, you will meet with the therapist alone. During this time, you’ll discuss the reasons you’re seeking therapy, any concerns you have, and your child’s background. The therapist will gather information about your child’s behaviors, emotional health, family dynamics, school situation, and overall development.

Next, your child will meet with the therapist. For younger children, the first session may involve some form of play or drawing to establish rapport and make them feel more comfortable. Play therapy is a powerful tool that allows children to express their feelings, thoughts, and experiences in a way they may not be able to with words alone.

How Involved Will I Be in My Child’s Therapy?

The level of involvement varies depending on the therapist’s approach and the child’s needs. Many therapists encourage regular communication with parents to keep them informed about their child’s progress and to offer guidance on how to support the therapeutic process at home. In some cases, parents might be invited to participate in sessions, especially if the child is struggling with a particular issue that also involves family dynamics, such as parenting strategies, sibling rivalry, or communication.

However, your child’s privacy and comfort are important, so it’s common for children to have time in therapy when they’re alone with the therapist. This allows them to express themselves without worrying about parental reactions. 

What Will I Know If I’m Not in the Room?

If you’re not in the room during your child’s therapy session, it can feel a bit unsettling at first. However, therapists understand how important it is for parents to stay involved, so they will typically provide you with updates and share any significant progress your child has made. The therapist may not always go into detail about what was said during the session due to in order to protect your child’s sense of privacy. However, they will likely offer you insights into the strategies they are using with your child and suggest ways you can support these efforts at home. While it is important to discuss your expectations with your child’s therapist, you should always be made aware of any immediate safety concerns and looped into associated safety planning. 

What If My Child Refuses to Talk?

It’s not uncommon for children to be hesitant or even resistant when first starting therapy. They may feel nervous, shy, or unsure about what’s expected of them. Some children might even outright refuse to talk during the early sessions. This is where the therapist’s expertise in working with children comes into play. Therapists often use creative techniques—like drawing, play, or role-playing—to help children express themselves non-verbally if they aren’t ready to talk. Over time, as they begin to trust the process and the therapist, they may start to feel more comfortable opening up. It’s essential to be patient and let your child progress at their own pace. Encouraging your child without pressuring them is key.

How Long Does Therapy Last?

The length of therapy can vary widely depending on the nature of the issues your child is facing, the goals of therapy, and your child’s progress. Some children may benefit from just a few sessions, while others might need longer-term therapy. In general, therapy for children often starts with weekly sessions, but over time, the frequency might decrease as your child develops coping skills and makes progress.

Therapists typically set specific goals with both the child and parents in the early stages, and these goals help guide the treatment plan. Regular check-ins with you as a parent will help ensure that the therapy is on track and meeting your child’s needs. Ultimately, the length of therapy is something that will be discussed and adjusted as necessary based on how your child is responding.

Why Can’t They Just Talk to Me?

As a parent, it can be frustrating if your child seems to withhold their thoughts and feelings, especially when you want to help. However, children often feel more comfortable talking to a therapist because the therapist is a neutral party. Kids can sometimes find it difficult to articulate complex emotions to their parents, especially if those emotions are tied to feelings of guilt, shame, or fear. A therapist provides a safe, non-judgmental space where your child can explore their thoughts and emotions without worrying about disappointing or upsetting you.

Additionally, therapists use specialized techniques to guide children in expressing themselves. For example, a child might not have the words to explain how they’re feeling, but they might be able to show it through play, drawings, or even storytelling. 

Final Thoughts

Children’s therapy can seem a bit mysterious at first, but understanding the process can ease some of your concerns. The goal of therapy is to provide your child with the tools and support they need to grow emotionally and develop healthy coping strategies. Trust that the therapist is there to work with both you and your child, and remember that it’s okay if things don’t always move at the pace you expect.

Be patient, stay involved, and keep the lines of communication open. The work you do as a team—together with the therapist—can make a big difference in your child’s emotional and behavioral well-being in the long run.

At Havenpoint Counseling, we know that every child is unique, which is why we offer a variety of therapy services tailored to their individual needs. Whether your child is struggling with anxiety, big emotions, trauma, or family challenges, we have specialized approaches to help. From play therapy for younger kids to talk therapy and EMDR for older children and teens, our therapists create a safe and supportive space for healing. We also offer family therapy to strengthen relationships and help everyone feel heard. No matter where your child is on their journey, we’re here to support them—and you—every step of the way.

Healing Starts Here: Therapy for Individuals, Couples & Families

If this blog has resonated with you, it may be time to seek extra support. At Havenpoint Counseling in Louisville, KY, we provide high-quality, tailored therapy services to meet the unique needs of each individual, couple, and family we serve. Our experienced Marriage and Family Therapists are committed to helping you navigate life’s challenges with care and expertise. Whether you need Marriage Counseling or Couples Counseling to strengthen your relationship, Family Counseling to enhance communication, or Teen Counseling to support your adolescent’s emotional health, we’re here to help. We also offer Christian Counseling for those seeking faith-based guidance in their healing process.

If trauma is holding you or your child back, our Trauma Therapists specialize in Trauma Therapy and EMDR Therapy, offering powerful interventions to support deep healing. For younger children, our Play Therapy services create a safe space where kids can process emotions, improve self-regulation, and build confidence under the care of a skilled Child Therapist.

For those struggling with personal challenges like anxiety, depression, or self-growth, our Individual Therapy provides a supportive and nonjudgmental space to work through emotions and develop effective coping strategies. We believe that everyone deserves compassionate care that honors their personal story. Take the next step and reach out today.