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How to talk to your child about starting therapy

5 min read

How you introduce therapy matters almost as much as the therapy itself: children pick up on tone quickly, and if it's framed as a consequence or a fix for something "wrong" with them, that framing tends to stick.

For younger children (roughly under 6): keep it concrete and tied to something they already understand. "We're going to see someone who has fun games to help you with talking" or "...to help your body feel calmer" works better than abstract explanations. Avoid the word "problem"; try "helper" or "someone who's good at this" instead.

For school-age children: they can usually handle a bit more honesty. "You've been having a hard time with reading at school, and this person knows a lot about helping kids with that" respects that they've likely already noticed the difficulty themselves. Let them ask questions, and it's fine to say "I don't know" to ones you can't answer yet.

For older children and preteens: involve them more directly, even in choosing between therapists if that's practical. Framing it as their tool, not something being done to them, tends to reduce resistance. "This is someone you get to talk to who won't tell your friends anything" often lands better than a clinical explanation.

Across every age: avoid using therapy as a threat ("if you don't behave, you'll have to see the therapist") even in a moment of frustration; it undoes the framing fast and is hard to walk back. And keep checking in casually after sessions start; "how did it go, was it what you expected?" a few times over the first month tells you a lot more than asking once.

This guide is general information, not a diagnosis or medical advice. If you're worried about your child, the next step is a conversation with a qualified therapist.