
Child Therapy
Transform Your Child’s Meltdowns, Anxiety, and Challenging Behaviors into Emotional Resilience and Confidence
When Your Child’s Meltdowns Are Breaking Your Heart—And Your Family Apart
Daily Battles Are Exhausting You Both
Big Emotions Causing Big Explosions
Walking on Eggshells Around Your Own Child

Watching your child struggle with big emotions, challenging behaviors, or difficult experiences can feel heartbreaking and overwhelming. Maybe they’re having meltdowns that seem impossible to manage, struggling with anxiety that interferes with school or friendships, or dealing with changes in your family that have left them feeling confused and upset.
Your child isn’t “broken”—they’re communicating the only way they know how. And with the right support, they can learn healthier ways to express themselves and navigate their world.
Common Reasons Parents Bring Their Child to Therapy
Below are some of the patterns that bring families here — not because the child is “bad,” but because they’re overwhelmed and need help learning skills and resilience.
Behavioral Challenges:
- Frequent tantrums or meltdowns that seem disproportionate to the situation
- Defiant behavior that makes daily routines a constant battle
- Aggressive actions toward siblings, peers, or adults
- Difficulty following rules or instructions despite clear consequences
Emotional Struggles:
- “Big emotions” like anxiety, anger, or frustration that overwhelm them
- Difficulty calming down once upset
- Fears or worries that interfere with sleep, school, or social activities
- Emotional reactions that seem too intense for their age
School and Social Difficulties:
- Academic challenges that affect their confidence and motivation
- Trouble making or keeping friends
- Bullying experiences that have shaken their sense of safety
- Difficulty with classroom behavior or following school routines
Life Changes and Transitions:
- Divorce, separation, or family restructuring
- New baby, moving homes, or other significant changes
- Loss of a loved one or pet
- Adjustment difficulties that persist long after the change
Specific Challenges:
- ADHD symptoms affecting focus, impulse control, and daily functioning
- Autism Spectrum traits that impact social interaction and communication
- Anxiety that limits their activities and enjoyment
- Trauma responses from difficult or scary experiences
These behaviors and emotions are your child’s way of communicating that they need help processing their experiences and developing better coping skills.
Child-Centered Therapy That Actually Works
Our child therapists specialize in working with children ages 3-12 using approaches designed specifically for how young minds learn, grow, and heal. Through play therapy, sand tray therapy, CBT adapted for children, and creative therapeutic techniques, we’ll help your child:
Express Themselves Safely Children often can’t put their feelings into words, but they can show them through play, art, and creative expression. We’ll create a safe space where your child can communicate their inner world without judgment.
Learn Emotional Regulation Skills Those “big emotions” can feel scary and overwhelming to a young child. We’ll teach them practical, age-appropriate strategies for managing anxiety, anger, frustration, and other intense feelings.
Process Difficult Experiences Whether it’s trauma, family changes, bullying, or other challenging experiences, we’ll help your child make sense of what happened and reduce its impact on their daily life.
Develop Better Behavioral Choices Instead of just stopping problem behaviors, we’ll help your child understand what they’re trying to communicate and teach them healthier ways to get their needs met.
Build Confidence and Resilience As your child develops new skills and processes difficult experiences, they’ll naturally become more confident in their ability to handle challenges.
What Makes This Approach Special
Designed for Young Minds Children don’t learn through adult-style talking therapy. Our child therapist’s approach uses play, creativity, and hands-on activities that match how children naturally explore and understand their world.
Neurodivergent-Affirming If your child has ADHD, autism, or other neurodivergent traits, we understand how to adapt therapeutic approaches to work with their unique strengths and challenges.
Trauma-Informed All children deserve to feel safe. Whether your child has experienced obvious trauma or more subtle difficult experiences, we use gentle, effective approaches that prioritize safety and empowerment.
What Therapy Looks Like for Children
The Playroom as Healing Space Our therapy room is filled with toys, art supplies, sand trays, and other materials that invite exploration and expression. Your child will have the freedom to play, create, and communicate in whatever way feels natural to them.
Building Trust and Safety Children need to feel completely safe before they can do the vulnerable work of healing. We’ll spend time building a strong, trusting relationship where your child feels heard, understood, and accepted exactly as they are.
Processing Through Play Whether your child is working through a difficult experience, learning to manage big emotions, or developing social skills, play becomes the vehicle for growth and healing.
Practical Skill Building Your child will learn concrete coping strategies, emotional regulation techniques, and social skills through games, stories, and hands-on activities that make learning fun and memorable.
Ready to Help Your Child Thrive?
Your child deserves to feel happy, confident, and emotionally regulated. Those challenging behaviors and big emotions don’t define them—they’re signals that your child needs support developing the skills to navigate their world more successfully.
Every child has the capacity for growth, healing, and positive change. Sometimes they just need the right kind of help to unlock their potential.
Imagine your child:
- Managing disappointment without major meltdowns
- Expressing their needs and feelings in healthy ways
- Feeling confident and capable at school and with friends
- Sleeping peacefully without anxiety or nightmares
- Enjoying family time without constant behavioral struggles
- Approaching new challenges with curiosity instead of fear
This isn’t just hopeful thinking—it’s what happens when children receive therapy designed specifically for their developmental needs. Your child’s challenges today don’t define their tomorrow. With the right support, every child can learn to navigate their emotions, develop healthy relationships, and approach life with confidence and joy.
Ready to Give Your Child the Support They Deserve?
Areas of Focus for Children
Anxiety
It is common for children to experience anxiety and fear as they grow up. Fear is an important feeling. It is our response to potential threats – real or imagined. This feeling then cues us to respond to danger by seeking safety. Strong fears can manifest at various stages of development. For instance, toddlers often experience distress when separated from their parents, even in a safe environment. Our experienced therapists use age-appropriate techniques to help children understand their worries, develop strategies to build resilience and gain back their confidence.
Big emotions
Strong emotions such as worry, anxiety, fear, frustration, anger, and excitement are referred to as Big Emotions. While not necessarily negative, these emotions may require extra effort to process and handle. Encouraging children to understand and acknowledge their feelings is essential, yet it is also important to teach them how to manage their reactions to these emotions effectively.
Children who struggle with regulating their emotions may exhibit tantrums and outbursts, commonly referred to as “emotional dysregulation”. In therapy we help children learn that all emotions are valid and give us important messages. We don’t need to be afraid of or suppress our emotions. It is our REACTION to our emotions that we need to learn to regulate.
Behavior issues
Children may occasionally engage in arguments, aggression, or defiance towards adults and/or peers. These are all very typical reactions as children learn to manage moments when they are disappointed, not getting all their wants met or are simply over stimulated by their environment. Our child therapists create a trusting space for children to learn to regulate their emotions, build patience and gain skills to use during interpersonal conflicts.
Sometimes these behaviors are particularly severe in intensity or duration. In these cases, child therapy may be a good first place to start. However, we would suggest that counseling would work best in conjunction with other professionals such as the school team, pediatric occupational therapists, psychiatrist or a behavior specialist. We are happy to be part of your child’s care team.
ADHD
ADHD, or Attention-Deficit/Hyperactivity Disorder, is a neurodevelopmental condition that affects attention, impulse control, and organization. However, it also brings unique strengths such as hyperfocus, creativity, and spontaneity. For children and teens, these challenges in focusing on tasks or managing their behavior can sometimes lead to feelings of exclusion. In fast-paced games or conversations, they may miss subtle social cues or details of the rules, leaving them open to criticism or feeling “outside” of the group, impacting their self-esteem. In therapy, we empower children and teens to truly understand and appreciate how their brains work. We emphasize their incredible potential, teaching strategies to manage impulse control and offering tools to strengthen self-esteem. By embracing their distinct abilities and learning to navigate social situations, they can transform their unique ways of thinking into sources of pride and connection.
Autism level 1
Autism Spectrum Disorder (ASD) Level 1 often comes with exceptional strengths, such as logical thinking or passionate, focused interests, yet also presents challenges in social communication, interpreting non-verbal cues, and managing sensory sensitivities. In therapy, we create a supportive space for children and teens to understand and embrace their neurodiversity. Through Play Therapy, structured role-playing, Cognitive Behavioral Therapy, and other methods, we help them interpret and make sense of the world in ways that feel safe and approachable. We also address sensory sensitivities, helping them develop strategies to feel more comfortable in everyday environments. Emotional regulation is key, and we focus on teaching ways to recognize, express, and manage emotions effectively. Our goal is to empower children and teens to own their unique brains, build meaningful connections, and approach social interactions with confidence and resilience.
School Issues
Children face a lot of challenges in school, from struggling with difficult subjects and keeping up with homework to dealing with peer pressure and social dynamics. Some may also experience bullying, anxiety, or learning challenges that make the school environment even more stressful. Child therapists can provide valuable support by helping children develop coping strategies, improve their social skills, and build self-confidence. They can also work with parents and teachers to create a more supportive and understanding environment, making school a more positive experience for the child.
Treatment Modalities
CBT – Cognitive Behavioral Therapy
Dealing with big emotions and unexpected challenges can be really tough for children. That’s where CBT, or Cognitive Behavioral Therapy, comes in. It’s a type of talk therapy that helps children spot and change negative thoughts and habits. CBT teaches children how to relax, understand their negative thinking, and improve their communication skills to manage tough emotions. Through CBT, children can learn to handle things like feeling overwhelmed, acting impulsively, and having self-defeating thoughts. The goal is to replace these negative patterns with better problem-solving skills, self-control, and a boost in self-confidence.
Play Therapy
Play therapy is a type of counseling that uses play to help children express their feelings, work through problems, and develop coping skills. In a play therapy room, which is set up intentionally to facilitate a child’s healing, children are encouraged to feel empowered and play with anything they want. The room is filled with toys that cover themes like nurturance, aggression, competition, mastery, exploration, and fantasy/pretend. This variety allows children to process their experiences through play in a safe and supportive environment. This approach can be particularly helpful for children dealing with trauma, anxiety, depression, or behavioral issues, as it allows them to express themselves freely and develop healthier ways to cope with their challenges.
Expressive Therapy
Expressive therapy for children is a creative form of counseling that uses art, music, dance, drama, and writing to help children express their emotions and experiences. This type of therapy allows children to explore their feelings and thoughts in a non-verbal way, which can be especially helpful for those who find it hard to articulate what they’re going through. By engaging in creative activities, children can process complex emotions, reduce stress, and build self-awareness. Expressive therapy provides a safe and supportive space for children to explore their inner world and develop healthier coping strategies.
EMDR – Eye Movement Desensitization Reprocessing
EMDR (Eye Movement Desensitization and Reprocessing) for children is a specialized form of therapy designed to help children process and heal from trauma and other distressing experiences. While the core principles of EMDR are the same for both children and adults, the approach is adapted to suit a child’s developmental level. Our child therapists have advanced training specific to children. We often use more creative and playful methods, such as storytelling, drawing, or using toys, to make the process engaging and age appropriate. These techniques help children feel more comfortable and better able to process their emotions. The goal is to reduce the impact of traumatic memories and help children develop healthier coping mechanisms, leading to improved emotional well-being.
FAQs
How does therapy work with Children?
Child therapy works by providing a safe and supportive space for children to express their feelings, understand their emotions, and develop coping skills. Therapists use age-appropriate techniques like play therapy, art, and storytelling to engage children in the therapeutic process. Through these activities, children can explore their thoughts and experiences in a way that feels natural and comfortable for them. Therapists also teach children strategies to manage stress, improve behavior, and build self-confidence. By working through their challenges in therapy, children can develop healthier emotional and social skills, leading to better overall well-being.
Is my child too young for therapy?
Children as young as 3 can benefit from play therapy. Young children are naturally resilient and often respond more quickly to therapeutic interventions than adults.
What if my child doesn’t want to talk?
Perfect! Child therapy isn’t about talking—it’s about playing, creating, and expressing through natural childhood activities. Many of my most successful clients are initially reluctant to “talk.”
How long will my child be in therapy?
The length of time your child will be in therapy will vary based on their individual needs, but short-term therapy with a specific goal typically involves around 20 sessions. Weekly sessions are usually recommended to maintain consistency and build a strong therapeutic relationship. This regular schedule helps your child make steady progress and allows the therapist to address any issues as they arise.
Several factors can determine if a child needs long-term therapy. If a child has experienced significant trauma, such as abuse or the loss of a loved one, they might require extended support to process their emotions and heal. Chronic mental health conditions like severe anxiety, depression, or ADHD often need ongoing management. Additionally, if a child has difficulties that affect multiple areas of their life, such as school, home, and social interactions, long-term therapy might be necessary to address these complex issues comprehensively. Finally, the child’s progress in therapy and their ability to apply coping skills independently will also influence the duration of their treatment.
How will I know if therapy is working?
You’ll typically see changes in your child’s emotional regulation, behavior at home, and overall mood within the first month. I’ll also provide regular updates on your child’s progress.
How can I understand my child’s progress?
Parents play a crucial role in their child’s therapy by staying actively involved throughout the process. To ensure effective collaboration, we ask that parents schedule “parent check-in” sessions every 4-6 weeks. These sessions provide dedicated time for therapists to discuss the child’s progress, gather feedback from parents, and set new goals. This ongoing communication helps us tailor the therapy to meet the child’s evolving needs and ensures that parents are well-informed and engaged in supporting their child’s growth and development.
Do you offer telehealth therapy?
Yes, we offer in-office and telehealth therapy.
Is telehealth confidential and secure?
We use HIPAA compliant software to ensure your confidentiality.
How often should my child attend therapy?
Consistent weekly therapy sessions are important for a child’s progress because they provide dependable support and help build a strong therapeutic relationship. Children often take longer than adults to build a trusting connection with their therapist as well as settle into the routine of therapy. Regular sessions allow therapists to address issues promptly, reinforce coping skills, and monitor progress closely. As children make strides and develop effective strategies for managing their challenges, they may reach a point where bi-weekly sessions become appropriate. Signs that a child might be ready for this change include improved emotional regulation, consistent use of coping skills, and a stable improvement in their overall well-being. This shift to bi-weekly sessions can help maintain progress while offering more space for the child to apply what they’ve learned in therapy.
How do I prepare my child for therapy?
Preparing your child for therapy can be made easier by using simple and reassuring language. You might say, “A child therapist is like a helper who listens and talks with you about your feelings and any problems you might have. They have special ways to help children feel better and solve problems, just like a coach helps with sports. It’s a safe place where you can be yourself and share anything you want to talk about.” This explanation helps your child understand the role of the therapist and feel more comfortable about the process.
What does “mandated reporting” mean?
If someone were to disclose the abuse or endangerment of a child or elderly adult, we are required by law to report this to the authorities such as child or adult protective services.
Is therapy confidential for children?
In Washington State, therapeutic confidentiality for children under thirteen years old differs significantly from those over thirteen. For children under thirteen, parents or guardians typically have the right to access their child’s therapy records and are actively involved in the decision-making process regarding their treatment. We do like to keep some confidentiality for our youngest clients so often we will share themes of our work with parents rather than the specific details unless of course those details are necessary for the child’s safety.
Can you talk to my child’s doctor or school?
Other than mandated reporting such as in cases of abuse or neglect or being a danger to themself or others, we cannot speak with or acknowledge working with your child to anyone without your express written authorization. If you would like us to speak with your child’s doctor or school team, we will send you a “release of information” (ROI). This is a legal document that you would sign giving us permission to share the specified personal information with the person(s) indicated.
How do I schedule the first session?
Review the counselors on our team that specialize in child counseling. Click to view their profile and reach out to them directly. You may also request an appointment; however, we suggest also emailing them to ensure they are accepting new clients, and their schedule works with your family’s availability. The first appointment is called an “initial parent session”. This is a parent-only session and a chance to meet the therapist, share background, discuss goals and talk about how to keep parents looped into their child’s therapy. The next appointment would be for your child.
Bellevue Family Counseling provides child therapy in Bellevue, WA (98004) and via telehealth across Washington State. We serve families in Bellevue, Redmond, Kirkland, Mercer Island, Sammamish, Issaquah, and the greater Eastside. To get started, call (425) 947-5030.





