Child therapy: what to know

What the job involves, what changes the price, and what to ask a pro.

What child therapy is

Child therapy is a series of sessions with a licensed therapist who works with children, often through play, drawing and conversation, to support emotional and behavior concerns. Parents are involved so changes carry over at home. If you or someone you know is in crisis or in danger, contact local emergency services instead of waiting for an appointment.

Signs you need it

  • Big changes in mood, sleep or school behavior that last more than a short while
  • A child who has gone through a loss, move or family change and is struggling
  • Frequent worries or fears that get in the way of school or play
  • Trouble getting along with peers or siblings
  • A pediatrician or teacher has suggested talking with a therapist

What the pro does

  • An intake with parents to learn about the child's history and concerns
  • Sessions with the child using play, drawing or conversation that fits their age
  • Regular check-ins with parents to share progress and ideas to try at home
  • Tools such as calming skills or routines taught in age-appropriate ways
  • Review of goals and decisions about continuing or finishing

What changes the price

Every job is different, so we do not publish prices. These are the things that move the quote up or down.

  • The therapist's license and training with children
  • Session length and frequency
  • Whether parents attend part or all of each session
  • In person or video
  • Insurance or private pay
  • School visits or coordination with teachers

What a written quote should spell out

  • Session length, frequency and how parents take part
  • How the therapist shares progress with parents while respecting the child's privacy
  • Cancellation terms
  • Billing details
  • What the therapist will not provide, such as school evaluations or custody opinions

Questions to ask before you hire

  • What is your license, and how much of your work is with children my child's age?
  • How do you involve parents?
  • How do you handle what my child tells you in private?
  • How will I know if it is helping?
  • Do you work with the school?
  • What is your approach when a child does not want to talk?

Red flags

  • Promises of quick change in a child's behavior
  • Not involving parents at all
  • Asking the child to keep secrets from parents without a clear policy
  • Cannot name a license or credential
  • Blaming the child or a parent without listening

What you can do yourself

At home you can keep routines steady, listen without rushing to fix and name feelings together, but these do not replace professional help when concerns last. Talk with your child's pediatrician if you have health or developmental questions, and contact emergency services in a crisis.

Licenses and permits

Therapy and counseling are licensed health professions. Ask for the license type and number, then check it with your state licensing board before the first session.

Child therapy questions

Will the therapist share what my child says?

Ask for the privacy policy up front. Therapists usually share themes with parents while protecting a child's trust.

What happens in a play session?

The therapist uses play or drawing so the child can express feelings in a natural way.

How long does it take?

It varies by child and goals. The therapist should review progress with you.

Do I stay in the room?

It depends on age and approach. Ask before the first visit.

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