COGNITIVE BEHAVIORAL THERAPY FOR CHILDREN AND TEENS
Cognitive behavioral therapy (CBT) is a structured, practical approach that helps children and teens understand the connections between their thoughts, feelings, and behaviors. Through CBT, young people can learn to recognize unhelpful patterns, develop coping skills, and practice different ways of responding to difficult situations.
As a child and adolescent therapist in Phoenix, MD, I use cognitive behavioral techniques to help children and teens work through emotional and behavioral challenges. My approach considers each child’s developmental level, personality, strengths, and family circumstances, with goals that connect to daily life at home, at school, and in relationships.
Cognitive Behavior Therapy: Applying Empirically Supported Techniques in Your Practice
by William O'Donohue
UNDERSTANDING THOUGHTS, FEELINGS, AND BEHAVIORS
The way a child interprets an experience can influence how they feel and what they do next. For example, a child who thinks, “I always get everything wrong,” may feel discouraged and stop trying when an assignment becomes difficult. A teen who assumes, “Everyone will judge me,” may feel anxious about speaking in class or joining a conversation.
In therapy, I help children and teens notice these thoughts, explore how accurate or helpful they are, and consider more balanced ways of understanding a situation. We might work toward a thought such as, “This is difficult, but I can take it one step at a time and ask for help.”
CBT also includes practicing new behaviors. Children and teens can work on approaching challenges, expressing their needs, and choosing responses that support their goals. Understanding thoughts and practicing different actions are both parts of the CBT process.
HOW CBT CAN HELP YOUR CHILD OR TEEN
CBT is an evidence-based treatment approach that can help children and adolescents experiencing anxiety and depression. It can also provide a framework for understanding and addressing patterns associated with emotional and behavioral difficulties.
Depending on your child’s needs, our work may focus on:
-
Anxiety and worry: Recognizing anxious predictions and developing skills for handling uncertainty and stressful situations.
-
Frustration and emotional regulation: Understanding triggers, noticing early signs of distress, and practicing constructive responses.
-
Confidence and self-esteem: Working through harsh self-criticism and developing a more balanced view of strengths and setbacks.
-
School stress: Addressing worries about assignments, tests, presentations, expectations, or making mistakes.
-
Friendships and communication: Considering different perspectives, expressing needs, and practicing problem-solving.
-
Low mood and discouragement: Exploring patterns that contribute to withdrawal and finding manageable ways to participate in meaningful activities.
CBT FOR CHILDREN
With children, I use clear language and concrete examples to make therapeutic concepts easier to understand. Depending on the child’s age and interests, sessions may include drawings, stories, games, or play-based activities alongside conversation.
For example, we might explore what frustration feels like in the body, identify a thought that appears during a difficult moment, or practice asking for help. These activities create opportunities to build emotional awareness and rehearse useful responses.
I adapt the work to the child’s developmental level and ability to communicate. Child psychotherapy can involve a combination of play, drawing, and talking, depending on the child’s needs.
CBT FOR TEENS AND ADOLESCENTS
In my work with teens, I encourage active participation in identifying concerns and setting meaningful goals. We may explore academic pressure, social comparison, friendship difficulties, family disagreements, or expectations about the future.
CBT offers opportunities to examine patterns such as perfectionism, expecting the worst, or viewing a setback as a complete failure. Sessions may also include practicing assertive communication, breaking an overwhelming task into smaller steps, or planning a different response to a recurring challenge.
I aim to connect the work to situations the teen recognizes and changes they want to make.
PRACTICING SKILLS BETWEEN SESSIONS
Practice between appointments is an important part of CBT. It gives children and teens opportunities to apply what they are learning to everyday experiences.
I may suggest brief activities such as noticing a recurring thought, recording a difficult situation, practicing a coping strategy, or trying a problem-solving step discussed in therapy. These activities are tailored to the child’s age, needs, and treatment goals.
At subsequent appointments, we can discuss what happened, recognize effort, and adjust strategies that were difficult to use. This helps keep therapy connected to challenges beyond the session.
PARENT INVOLVEMENT AND SUPPORT
Parents provide valuable information about their child’s experiences, strengths, and challenges. In my practice, parent coaching and family therapy can complement individual work with children and teens.
Together, we may discuss ways to support skill practice, communicate expectations, respond to frustration, and establish routines that fit your family. Parent involvement is tailored to the child’s age and needs; family participation can be included in CBT when it supports the young person’s treatment.
We’ll identify the concerns affecting your child and family and develop an individualized treatment plan focused on practical, sustainable improvement.
GETTING STARTED WITH CBT IN PHOENIX, MD
If you are interested in cognitive behavioral therapy for your child or adolescent, please email me at mina@minacounseling.com to discuss your concerns, determine whether my services are a good fit, and inquire about current availability.
I provide child, adolescent, and family therapy in Phoenix, Maryland, welcoming families from Phoenix, Jacksonville, and nearby communities. I look forward to learning about your child and the changes you hope to see.