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How to Find a Great Therapist for Your Teen

Published: August 9, 2022 Updated: November 24, 2022
Published: 08/09/2022 Updated: 11/24/2022
Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Dr. Kristen Fuller, MD
Reviewed by:

Kristen Fuller

MD
  • What Is Teen Counseling?Teen Counseling
  • When Does a Teen Need Counseling?When to Seek Counseling
  • Signs That Your Teen Needs Professional Help ImmediatelySigns Counseling is Needed
  • Types of Teen CounselingTypes of Counseling
  • Where to Find a Therapist for TeensFinding a Therapist
  • How Much Does Teenage Therapy Cost?Costs of Therapy
  • Factors to Consider When Choosing a Therapist for Your Teen5 Factors to Consider
  • Questions to Ask a Potential TherapistQuestions to Ask
  • Talking to Your Teen About Starting TherapyTaking About Therapy
  • Preparing for the First SessionHow to Prepare
  • How to Determine If This Is the Best Therapist for Your TeenChoosing a Therapist
  • How Long Can I Expect My Teen to Be in Therapy?How Long Does Therapy Last?
  • How Can I Help My Teen Get the Most Out of Therapy?How to Help
  • Final ThoughtsConclusion
  • Additional ResourcesResources
  • Finding a Therapist for Your Teen InfographicsInfographics
Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Dr. Kristen Fuller, MD
Reviewed by:

Kristen Fuller

MD

Therapy can help with issues commonly seen in adolescence, such as self-esteem, transitional stress, and mental health disorders. However, it can be difficult to determine exactly when you should get help for your teen, and searching for the right provider can feel overwhelming. Most people use personal referrals, online searches, and trusted directories to begin the process of finding a therapist.

Would your teenager benefit from therapy? Therapy can help teenagers develop self-esteem and feel less overwhelmed by their emotions. Teen Counseling specializes in serving teens, and parents of teenagers. The services start at $60. Complete a brief questionnaire and a therapist will be suggested based on your answers.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Teen Counseling / BetterHelp.

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What Is Teen Counseling?

In teen counseling, therapists employ a variety of different interventional strategies with teenagers; in addition to talking about their thoughts and feelings, counseling may include other creative interventions like drawing, dancing, writing, or playing games. As with adult therapy, teenagers meet with their therapists to work on specific problems or stressors that affect their daily functioning.

Teenagers may need help with issues specific to their age group, such as newly encountered peer pressure, test anxiety, angst, and not fitting in, or with more universally encountered issues that persist into adulthood, such as OCD, ADHD, and BPD. Similarly to adult counseling, a high degree of confidentiality is maintained, unless a specific concern needs to be relayed to the parent. Your teenager will meet with their therapist privately. However, the therapist may also recommend family therapy sessions or other parenting work to help you better support your child.

When Does a Teen Need Counseling?

There isn’t a specific rule for when a teen does or doesn’t need therapy. However, mental illness in teenagers has been on the rise for the last decade, so it is important to address these concerns as they come up. For example, your child might request therapy simply because they want to talk to someone about their feelings, which should not be overlooked as a small request. Teenagers may also need support for a specific issue like grief, anxiety, or depression.

Teens may also need counseling to cope with transitional changes. Divorce, changing schools, or a parent getting sick can all represent stressors that may impact a child’s well-being. Even if your teen hasn’t talked about feeling stressed directly, that doesn’t mean they aren’t affected. Sometimes, you may even identify your teen’s changing behaviors and approach them about therapy without them bringing it up.

Signs That Your Teen Needs Professional Help Immediately

While there may be signs that your teen is struggling, such as a depressed mood and sudden behavioral changes, there is a high probability that you may not know whether your teen needs professional help. Children may be more secretive and withdrawn from their families at this age and internalize their suffering. As a result, they might not come forward with how they feel, especially if they worry about being shamed or judged.

That said, some potential signs that your teen should see a therapist as soon as possible include:1

  • Persistent feelings of sadness or depression
  • Talking or making gestures about suicide
  • Isolating from friends and family
  • Sudden feelings of grandeur and mania, associated with bipolar disorder
  • Evidence of self-harm (cutting, burning, hitting oneself)
  • Dramatic changes in appearance or weight
  • Concerns or evidence of substance use or addiction
  • Sudden behavioral changes (new friends, drop in grades, disregard for usual hobbies)
  • Heightened anxiety in some or many situations

Types of Teen Counseling

The type of counseling used for a specific  teenager will depend on their unique circumstances and the type of provider they seek out. Different providers use different approaches and treatment plans to intervene with their clients, and it is important to remember that there isn’t a single gold standard of care for therapy. Likewise, what works well for one client may not have the same results for someone else.

Some types of therapeutic interventions and methods used when treating teenagers include:

  • Cognitive Behavioral Therapy (CBT) 
  • Dialectical Behavioral Therapy (DBT) 
  • Mindfulness

Therapy vs Psychiatry

Psychiatrists, psychologists, social workers, marriage and family therapists, and licensed clinical counselors may all provide therapy within their scope of practice. However, while psychiatrists can provide therapy, their main focus tends to be on psychiatric evaluations and medication management. A psychiatrist may work with your teen to properly assess and diagnose medication for their mental health, but they will typically not provide therapeutic or psychological interventions2
. Psychologists, social workers, marriage and family therapists, and licensed clinical counselors all provide therapy within their scope of practice, but are typically unable to prescribe medications.

Where to Find a Therapist for Teens

The next step in your search is building a short list of potential candidates. Fortunately, depending on your preferences and locations, there are numerous options available.

Some places to find a therapist for your teen might include:

  • Their school’s psychologist/social worker/guidance counselor: Your teenager’s school likely has direct mental health resources available on campus.
  • Their pediatrician: Ask your teenager’s pediatrician or primary care doctor for a list of counseling referrals.
  • Trusted friends or family members: If a loved one has spoken highly of a particular provider, ask them for their contact information.
  • Local parenting groups: Your local parenting group may have referrals for providers in your local area.
  • Your insurance company: Ask your insurance company to send you a list of in-network providers who specialize in teen counseling.
  • An online directory: You can use an online therapist directory to narrow your search to find specific therapists with certain specialties, price ranges, and availability.

Popular Options For Child & Teen Therapy

Talkiatry – Talkiatry offers virtual psychiatry for children and adolescents (age 6 and up). They’re in-network with every major insurer and offer medication management with talk therapy. Complete the online assessment and get matched with a doctor in just days. Free Assessment


Teen Counseling – Provides online talk therapy to teenagers (13 – 19 years) of age. Serves all 50 states. Learn More


Manatee – Provides parent coaching for behavioral issues including tantrums, talking back, video game addiction, and aggressive behaviors. Free Consultation


Choosing Therapy partners with leading mental health companies and is compensated for marketing by Talkiatry, Teen Counseling, and Manatee.

How Much Does Teenage Therapy Cost?

The cost of therapy varies, and the fee depends on a provider’s level of experience, professional background, insurance coverage, and location. You should expect to pay significantly more for treatment in metropolitan areas than in more rural locations.

Your insurance may cover some or all of the treatment. Check with your insurance carrier to determine your deductible, copay, and the types of services covered. An in-network therapist will bill your insurance to pay for sessions. Out-of-network therapists may offer sliding scales or provide you with a superbill, which you can submit to your insurance for potential reimbursement.3

5 Factors to Consider When Choosing a Therapist for Your Teen

There are numerous factors to consider when choosing a therapist for your teen, including a provider’s approach, their credentials, personality, and the type of services offered.

Five factors to consider when choosing a therapist for your teen include:

1. Experience Working With Teens

Teenagers, as you know, have different needs and preferences than adults. Therefore, the ideal provider should be passionate and experienced in working with younger populations. You want your child to feel comfortable and safe working with someone.

2. Proper Credentials

Look for a provider who is actively licensed through their state. You might also want someone with specific training in issues pertinent to your teen (i.e., trauma, eating disorders, grief, etc.). If a therapist identifies as a trainee, associate, or intern, that means they are receiving supervision under a licensed provider. This status doesn’t make them less qualified or helpful, but they typically will have less experience.

3. Therapeutic Approach

Therapists are diverse when it comes to planning out their treatment. For example, some therapists may use more cognitive-behavioral interventions, whereas others focus more on exploring the past or practicing mindfulness. Before beginning treatment, a potential therapist should tell you how the process will work. You can also ask what type of interventions they use when making an initial appointment.

4. Personality Fit With Your Teen

Significant research shows that the therapeutic relationship is the driving force behind effective therapy4
. In other words, how your teen feels about their therapist may be more important than what the therapist actually does. It may be helpful to ask your teenager what they want in a provider–for example, do they have a preference for age, gender, religion, or type of modality?

5. Location

In most cases, a therapist can only work in a state where they are licensed to treat clients. This can make treatment challenging in more rural areas. However, with the rise of telehealth services, you may have a greater selection of mental health professionals who can work with your teen. If you plan on having face-to-face sessions, it’s worth considering the location and commuting time to and from the office.

Questions to Ask a Potential Therapist

Before you begin treatment, it’s important to get clarification on any questions you may have. Many therapists offer a free consultation prior to starting services. That said, you have the right to ask questions at any point during treatment.

General questions to ask a new therapist might include:

  • How long have you been working with teens?
  • What therapeutic methods do you use when working with teens?
  • How do you measure progress for teens?
  • What do communication and confidentiality look like with parents?
  • How often do you prefer to meet with clients?
  • Do you accept this insurance plan?
  • What is your cancellation policy?
  • What should my teen expect in a particular session?

If your teen has a specific concern, you might want to ask:

  • How much experience do you have working with teens who have ___?
  • What are your typical approaches to teens with ___?
  • What is the typical length of treatment for teens with ___?
  • What kinds of progress do you typically see with teens with ____?
  • Do you have any specific certifications or licenses in ____?

Talking to Your Teen About Starting Therapy

Many parents feel nervous or unprepared to talk to their teen about therapy. However, modeling openness can help your child feel more comfortable talking about their own feelings. If you seem angry, uneasy, or disconnected about your teen needing help, they will likely shut down as a result.

Here are four tips for talking to your teen about starting therapy:

1. State Your Observations

You may acknowledge the symptoms you have noticed, but aim to be objective without shaming. For example, you might say, I’ve noticed that you are in your room most of the day and aren’t doing well in school. You no longer spend time with your best friend. What’s going on?

With that, it’s also appropriate to then follow up with your own personal feelings. You might say, In seeing all this, I can’t help but feel worried. I love you and am concerned about your well-being. 

2. Anticipate Defensiveness

Your teen might deny any problems or get upset at you for highlighting their struggles. This often comes from a place of fear or shame.

Try not to combat their defensiveness. Instead, remain calm. Let them know that you are here to listen and you want what’s best for them.

3. Provide Options

Options can be helpful if your teenager exhibits resistance to therapy. For example, if they’re against seeing a counselor on their own, you might ask if they’re open to family therapy or group therapy. You can also try to get them involved in the search process, or ask what it would take for them to feel excited about therapy.

4. Respect Their Privacy

Some teens balk at the idea of therapy because they worry their parents will become overly involved in their treatment. Therefore, it’s a good idea to establish ground rules with your teenager and encourage them to do their own research about confidentiality in teen counseling. It may also be helpful for the therapist to overview what will and will not be discussed. Do your best to respect that your teen needs a safe space away from you to talk about their feelings.

Preparing for the First Session

Some therapists will provide paperwork for teens and their parents to complete before the first session. If this is the case, aim to complete the assignment ahead of time. You should also arrive early for the first session to account for traffic or technical difficulties. You might consider asking your teen to write down anything specific they want to address.

Remind them that it’s normal to be nervous! Over time, therapy should feel more comfortable5

How to Determine If This Is the Best Therapist for Your Teen

Each therapeutic relationship is unique. Likewise, good relationships can take time to develop.

Ideally, you should let your teen inform you if treatment is going well. It is important to verbally check in and ask your teenager how therapy is going, what they do and do not like, etc. If your child likes their therapist, they will likely be more compliant and motivated for growth.

Some signs you should look for a new therapist for your teen include:

  • Your teen repeatedly makes negative comments about their therapist
  • You don’t feel like the therapist considers your needs or concerns
  • Your teens’ negative behavior persists or worsens after therapy
  • You don’t have any clarification on what’s being addressed in therapy
  • Your teen vocalizes wanting to work with someone else.

Would your teenager benefit from therapy? Therapy can help teenagers develop self-esteem and feel less overwhelmed by their emotions. Teen Counseling specializes in serving teens, and parents of teenagers. The services start at $60. Complete a brief questionnaire and a therapist will be suggested based on your answers.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by Teen Counseling / BetterHelp.

Get Started

How Long Can I Expect My Teen to Be in Therapy?

Treatment lengths vary based on individual goals and progress. Therapy typically ends when a client has successfully completed their goals, but it is important to highlight to your teenager that therapy can be used whenever needed in the future. On average, 50% of people complete therapy within about 15-20 sessions. Many clients, however, prefer longer periods of treatment (six months or more) to maintain progress and continue receiving support. Chronic or severe issues may require more care.6

How Can I Help My Teen Get the Most Out of Therapy?

As a parent, you play an important role in supporting your teen’s well-being. Even if you may feel discouraged, you can take proactive steps to promote their treatment compliance.

Here are a few things you can do to help your teen maximize their time in therapy:

Ask Questions Without Being Nosy

Let your teen know that you are available and interested in hearing about their therapy. If they discuss what they’re working on, ask thoughtful questions and avoid jumping to assumptions. With that, don’t bombard them with too many questions about the specifics–they have a right to their own confidentiality. Focus on how the overall approach is working, as opposed to the details being discussed.

Take Their Suggestions

Try to be open to the changes your teen wants to make. For example, if they come up to you and tell you that they discussed quitting soccer with their therapist, listen to their points and try to support them as best you can. If their therapist suggests that certain changes be made in the home environment, such as allowing your kid to sleep in on the weekends, try to consider their benefits for your teen. You want to respect that they can make healthy, autonomous decisions as young adults.

Acknowledge Progress

Make sure to praise your teen when you notice positive changes. Compliments (as long as they aren’t overdone or seem insincere) can go a long way in reinforcing good habits and instilling a sense of confidence.

Look After Your Own Mental Health

Model taking care of yourself by practicing self-care, asserting healthy boundaries, and working on your mental health. Helping somebody through difficult times can be taxing on you as well, and it is important that you model healthy behaviors during times of hardship and conflict. Even if you don’t realize it, your child absorbs everything you do!

Final Thoughts

Teenagers are at a unique point in their lives where they encounter many external life-altering changes for the first time, in addition to dealing with puberty and their changing hormones. It can be normal for these changes to be overwhelming for both parents and teenagers. Helping your teenager access the support and guidance they need is one of the most loving acts you can do as a parent. Treatment is available, and it can significantly improve the quality of your teen’s life and relationships

Additional Resources

Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.

Online Therapy 

BetterHelp – Get support and guidance from a licensed therapist. BetterHelp has over 20,000 therapists who provide convenient and affordable online therapy.  Complete a brief questionnaire and get matched with the right therapist for you. Get Started

Online Psychiatry

Hims / Hers – If you’re living with anxiety or depression, finding the right medication match may make all the difference. Get FDA approved medication prescribed by your dedicated Hims / Hers Healthcare Provider and delivered right to your door. Plans start at $25 per month (first month). Get Started

Medication + Therapy  

Brightside Health – Together, medication and therapy can help you feel like yourself, faster. Brightside Health treatment plans start at $95 per month. United Healthcare, Anthem, Cigna, and Aetna accepted. Following a free online evaluation and receiving a prescription, you can get FDA approved medications delivered to your door. Free Assessment

Choosing Therapy Directory 

You can search for therapists by specialty, experience, insurance, or price, and location. Find a therapist today.

Choosing Therapy partners with leading mental health companies and is compensated for marketing by BetterHelp, Hims / Hers, and Brightside.

For Further Reading

  • The Youth Mental Health Project 
  • NAMI
  • The Jed Foundation
  • Mental Health Literacy
  • Best Books for Parenting Teens

Finding a Therapist for Your Teen Infographics

When Does a Teen Need Counseling?  Where to Find a Therapist for Teens  Factors to Consider Where Choosing a Therapist for Your TeenHow Long Can I Expect My Teen to Be in Therapy?

6 sources

Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.

  • Signs That Your Child May Need a Therapist (2021, March). Cleveland Clinic. Retrieved from: https://health.clevelandclinic.org/signs-your-child-may-need-a-therapist/.

  • What Is the Difference Between Psychologists, Psychiatrists and Social Workers? (2017, July). American Psychological Association. Retrieved from: https://www.apa.org/ptsd-guideline/patients-and-families/psychotherapy-professionals.

  • Does your insurance cover mental health services? (2019, October). American Psychological Association. Retrieved from: https://www.apa.org/topics/managed-care-insurance/parity-guide.

  • Better relationships with patients lead to better outcomes (2019, November). American Psychological Association. Retrieved from: https://www.apa.org/monitor/2019/11/ce-corner-relationships

  • Preparing for a Therapy Appointment. Caltech. Retrieved from: https://wellness.caltech.edu/documents/5537/Preparing_for_a_Therapy_Appointment.pdf.

  • How Long Will It Take for Treatment to Work? (2017, July). American Psychological Association. Retrieved from: https://www.apa.org/ptsd-guideline/patients-and-families/length-treatment.

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Headshot of Lydia Angelica Antonatos, LMHC
Written by:

Lydia Antonatos

LMHC
Headshot of Dr. Kristen Fuller, MD
Reviewed by:

Kristen Fuller

MD
  • What Is Teen Counseling?Teen Counseling
  • When Does a Teen Need Counseling?When to Seek Counseling
  • Signs That Your Teen Needs Professional Help ImmediatelySigns Counseling is Needed
  • Types of Teen CounselingTypes of Counseling
  • Where to Find a Therapist for TeensFinding a Therapist
  • How Much Does Teenage Therapy Cost?Costs of Therapy
  • Factors to Consider When Choosing a Therapist for Your Teen5 Factors to Consider
  • Questions to Ask a Potential TherapistQuestions to Ask
  • Talking to Your Teen About Starting TherapyTaking About Therapy
  • Preparing for the First SessionHow to Prepare
  • How to Determine If This Is the Best Therapist for Your TeenChoosing a Therapist
  • How Long Can I Expect My Teen to Be in Therapy?How Long Does Therapy Last?
  • How Can I Help My Teen Get the Most Out of Therapy?How to Help
  • Final ThoughtsConclusion
  • Additional ResourcesResources
  • Finding a Therapist for Your Teen InfographicsInfographics
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Privacy & Cookies Policy

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