How to Support Your Child or Teen Through Therapy: What Parents Need to Know

This content has been updated from the previous article on June 17, 2021.

It’s undeniable that recent years have placed extraordinary strain on the mental health of children and teens. Whether it’s pandemic-related stress, grief, academic pressures, or biological factors, more young people than ever before are seeking therapy. As a parent, understanding how to support your child or teen through therapy is critical to their mental health journey.

You are giving your child the gift of a dedicated, supportive space to learn more about themselves and their emotional health, and work to improve themselves and their relationships with others.

According to Dr. Aimee McWilliams PsyD, the key is for parents to have the right mindset. “I wish caregivers knew that just because their teen is starting therapy doesn’t mean that something is ‘wrong’ with them or that they have failed as parents. I hear this so often. It’s important to remember that it’s quite the opposite. It is a sign of strength for anyone, including teens, to be open and willing to engage in therapy. You are giving your child the gift of a dedicated, supportive space to learn more about themselves and their emotional health, and work to improve themselves and their relationships with others.”

The Importance of Open Communication

Effective support begins with honest, nonjudgmental conversations. For younger children, keep explanations simple: they’re meeting someone who can help with big feelings. Reassure them it’s okay not to have all the answers immediately, reinforcing that you’ll navigate uncertainties together.

With teens, conversations may feel trickier. Clearly and compassionately describe the behaviors or emotions you’ve noticed, emphasizing that therapy is a team effort aimed at improving their well-being. Validate their feelings, give them space to ask questions, and admit when you don’t have all the answers. This open dialogue helps teens feel understood and respected.

Preparing for the First Appointment

Initial therapy sessions can be particularly daunting. Empower your child or teen by giving them some control—such as choosing their clothes or music on the drive to the session. Allowing them to bring a comfort object can ease anxiety. Remind them that therapy is their safe space to speak openly and that your love for them is unconditional.

Ongoing Support Throughout Therapy: Respect Confidentiality

Therapy can be messy and emotional. Be patient and consistently remind your child or teen of coping strategies they’re learning. Openly validate their feelings, no matter how uncomfortable they seem. Recognize that difficult behaviors often represent underlying emotions your child struggles to express. Dr. McWilliams advises parents to respect their teen’s need for confidentiality by allowing them the time and space to fully engage in therapy and build a relationship with their therapist.

Therapists have to abide by strict confidentiality codes and must reach out to parents with any concerns of harm. Constantly pushing teens to disclose session details can backfire, causing them to withdraw from both their parents and their therapist. Respecting boundaries and not pressuring teens to share therapy details fosters a sense of safety and trust, essential for effective therapy.

Active Parental Participation: Are You Being Too Involved or Not Involved Enough in Your Child’s Therapy?

Being an active participant doesn’t mean demanding details from every session. Instead, collaborate with the therapist, who may recommend joint sessions or specific strategies for home. Trust the therapist’s expertise and your child’s judgment about sharing therapy content.

According to Karissa Fleming, MSW, LCSW, parents frequently ask how involved they should be. Fleming explains there isn’t an exact formula, as every situation is unique. However, there are signs that parents might be either too involved or not involved enough. Indicators of being too involved include situations where teens stop communicating for themselves and expect their parents to read their minds. Although intended to help, speaking for teens diminishes their sense of autonomy and fosters self-doubt. On the other hand, indicators that parents might not be involved enough include avoiding conversations about mental health entirely. Fleming suggests replacing overwhelming questions like “How was therapy?” with more specific prompts such as, “Did you learn anything new in therapy today?” This approach encourages teens to articulate and reinforce their therapeutic insights.

Fleming suggests replacing overwhelming questions like “How was therapy?” with more specific prompts such as, “Did you learn anything new in therapy today?”

Consider Therapy for Yourself

Supporting your child through therapy is challenging and emotionally taxing. It’s normal for parents to experience anxiety, guilt, or uncertainty. Seeking therapy for yourself can help you navigate these feelings and set a healthy example for your child.

By approaching therapy as a collaborative, respectful, and confidential process, you give your child or teen a solid foundation for healing and growth.

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Key Takeaways Key Takeaways
  • Child and teen therapy can be more complicated than adult therapy because children often don’t initiate therapy themselves, requiring careful parental support and encouragement.

  • Empowering children and teens by reassuring confidentiality is crucial—they must understand therapy is their safe, trusted space.

  • Parents should be actively involved in supporting therapy, but it’s important to recognize boundaries to avoid over-involvement or inadequate participation.

Authored By 

LifeStance Health

LifeStance is a mental healthcare company focused on providing evidence-based, medically driven treatment services for children, adolescents, and adults.


Contributed By

Karissa Fleming, MSW, LCSW
Karissa Fleming is a Licensed Clinical Social Worker (LCSW) dedicated to supporting individuals and families across Illinois. Karissa is trained in EMDR (Eye Movement Desensitization and Reprocessing), DBT (Dialectal Behavioral Therapy), TF-CBT (Trauma Focused Cognitive Behavioral Therapy), and Sand Tray. Karissa is especially passionate about working with individuals who have experienced trauma and women navigating life transitions. Additionally, Karissa works with children, teens, and their families. She incorporates elements of play and expressive arts to create a safe and fun environment for clients to express their feelings. Her experience with foster care and adoption provides strong skills to help families navigate a variety of difficult situations. By focusing on each client’s strengths, she helps them uncover new perspectives and solutions, fostering meaningful change. She emphasizes the importance of interpersonal connection and shared healing. Her inclusive and affirming approach ensures that all clients feel valued and supported on their journey. Outside of her clinical work, Karissa enjoys engaging in creative hobbies like writing, cooking, and crafting. She also finds joy in movement–especially long walks with friends–and spending time with her beloved cat.