Psychotherapy is a form of psychiatric treatment that involves therapeutic conversations and interactions between a therapist and a child or family. It can help children and families understand and resolve problems, modify behavior, and make positive life changes. Several types of psychotherapy involve different approaches, techniques, and interventions. At times, a combination of different psychotherapy approaches may be helpful. In some cases, a combination of medication with psychotherapy may be more effective.
Different types of psychotherapy include:
- Cognitive Behavior Therapy (CBT) helps improve a child’s moods, anxiety, and behavior by examining confused or distorted thinking patterns. CBT therapists teach children that thoughts cause feelings and moods, which can influence behavior. During CBT, a child learns to identify harmful thought patterns. The therapist then helps the child replace this thinking with thoughts that result in more appropriate feelings and behaviors. Research shows that CBT can be effective in treating a variety of conditions, including depression and anxiety. Specialized forms of CBT have also been developed to help children cope with traumatic experiences.
- Dialectical Behavior Therapy (DBT) can treat older adolescents with chronic suicidal feelings/thoughts, who engage in intentionally self-harmful behaviors, or have Borderline Personality Disorder. DBT emphasizes taking responsibility for one’s problems and helps the person examine how they deal with conflict and intense negative emotions. This often involves a combination of group and individual sessions.
- Parent-Child Interaction Therapy (PCIT) helps parents and children with behavior problems or connections through real-time coaching sessions. Parents interact with their children while therapists guide families toward positive interactions.
- Play Therapy involves using toys, blocks, dolls, puppets, drawings, and games to help the child recognize, identify, and verbalize feelings. The psychotherapist observes how the child uses play materials and identifies themes or patterns to understand the child’s problems. Through a combination of talk and play, the child can understand better and manage their conflicts, feelings, and behavior.
- Psychodynamic Psychotherapy emphasizes understanding the issues that motivate and influence a child’s behavior, thoughts, and feelings. It can help identify a child’s typical behavior patterns, defenses, and responses to inner conflicts and struggles.
- Psychoanalysis is a specialized, more intensive form of psychodynamic psychotherapy that usually involves several weekly sessions. Psychodynamic psychotherapies are based on the assumption that a child’s behavior and feelings will improve once the inner struggles are brought to light.
- Supportive Therapy gives children and teens support in their lives to cope with stress, identify helpful and unhelpful behaviors, and improve self-esteem
- Acceptance and Commitment Therapy (ACT) helps a child understand and accept their inner emotions. ACT therapists help children and teens use their deeper understanding of their emotional struggles to commit to moving forward positively.
- Family Therapy focuses on helping the family function positively and constructively by exploring communication patterns and providing support and education. Family therapy sessions can include the child or adolescent, parents, siblings, and grandparents.
- Couples Therapy is a specific type of family therapy that focuses on a couple’s communication and interactions (e.g. parents having marital problems).
- Group Therapy is a form of psychotherapy with multiple patients led by one or more therapists. It uses the power of group dynamics and peer interactions to increase understanding of mental illness and/or improve social skills. There are many types of group therapy (e.g. psychodynamic, social skills, substance abuse, multi-family, parent support, etc.).
- Interpersonal Therapy (IPT) is a brief treatment specifically developed and tested for depression, but also used to treat various other clinical conditions. IPT therapists focus on how interpersonal events affect an individual’s emotional state. Individual difficulties are framed in interpersonal terms, and then problematic relationships are addressed.
- Mentalization Based Therapy (MBT) involves working with children and teens who struggle with who they are. MBT is focused on helping children grow into healthy individuals.
Psychotherapy is not a quick fix or an easy answer. It takes time. It is a complex and rich process that, over time, can reduce symptoms, provide insight, and improve a child or adolescent’s functioning and quality of life. At times, a combination of different psychotherapy approaches may be helpful. In some cases, medication and psychotherapy may be most effective. Child and adolescent psychiatrists and therapists are trained in different forms of psychotherapy and, if indicated, can combine these forms of treatment with medications to help alleviate the child or adolescent’s emotional and/or behavioral problems.