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TALKING WITH YOUR TEEN ABOUT THERAPY 

Talking With Your Teen About Therapy

Talking to your teen about therapy can feel overwhelming—especially if you’re concerned about their mood, behavior, or school performance, or if they’ve already pushed back against the idea. How you begin the conversation can make a meaningful difference.

Start By Sharing Your Concern

Let your teen know you’re worried and be specific about what you’ve noticed. Focus on observable behaviors rather than labels or blame. It’s common for teens to feel defensive or hear concern as criticism, so try to stay calm, open, and supportive.

Emphasize That This Isn’t Just About Them

Teens don’t live in a vacuum. Their feelings and behaviors affect the family, and family dynamics affect them in return. Reassure your teen that this is a shared challenge and that the family will work together to help them feel better, develop healthier coping skills, and improve relationships at home.

Be Clear About Next Steps

Let your teen know the time and place of the appointment in a straightforward, matter-of-fact way. Predictability can help reduce anxiety, even if they don’t express it.

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Give Them A Voice

Invite your teen to contact the therapist ahead of time with any questions or concerns. This can help them feel respected and more at ease. Even if they say, “I’m not going to any therapist,” try to respond calmly rather than engaging in an argument.

Reframe Therapy As An Opportunity

Explain that therapy is a place where they can be heard and understood—and a chance for you to better learn what they need. Let them know that while you hope they’ll participate, you’re willing to attend the first appointment on your own if they’re not ready yet.

If Your Teen Is Resistant

Let your teen know that although you really want them to participate in therapy, you’re prepared to attend without them if needed. This approach often reduces pressure and power struggles. You can also ask your teen to commit to just the first session. Explain that the initial appointment is simply an opportunity to meet the therapist and hear what they have to say, with no obligation to continue. Resistance is very common. Many teens initially refuse therapy but still attend the first appointment often return for future sessions. If your teen truly won’t budge, go without them. A skilled therapist can often help parents develop strategies to better support their teen. Continue inviting your child to join, but try not to let therapy or their re fusil become the main focus of everyday conversations.

If Your Teen Chooses To Participate

That’s great news. Do your best to respect your teen’s developing relationship with the therapist. Be mindful of boundaries and privacy. Unless there are safety concerns, therapists cannot share the details of what your teen says in session. Experienced adolescent therapists balance confidentiality while keeping parents appropriately involved.

If you are experiencing a crisis, please contact 911 or proceed to your closest emergency room or crisis center.

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